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Elements of a Complete Medical Record
Jennifer Schmutz
This was in a Medicare bulletin in 2008 Elements of a Complete Medical Record When records are requested, it is important that you send all associated documentation that supports the services billed within the timeframe designated in the written ...  Documenting “Normal” or “Negative” as a Summary Comment for an Entire Body Area or Organ System in the Physical Exam     Both the ’95 and ’97 Guidelines say: “A brief statement or notatio...The medical insurance company can be the greatest hero for the patient and be a nightmare too depending on the circumstances. So, is the case with providers? When a medical provider finds out that there is one particular insurance company that has be...ICD-10: The Wave (or Tsunami) of the Future For many people, simply hearing the words “ICD-10” is enough to cause headaches, indigestion and a sudden compulsion to find a new career. It is the looming healthcare change that many professi...Should Health Care Providers Outsource Billing Services?  Whether or not to outsource is a very difficult decision for any provider to make.  This decision is most heavily influenced by personal ideology and comfort level.  It is ...Modifiers in Postoperative Periods Introduction Documenting the events of a patient visit is not always the simplest and most straightforward of processes. Many variables affect which information must be included in order to report a procedure or...A timely topic if ever there was one!  This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse wh...CEO - stop "Making decisions." If the data and metrics are correct, the decisions are self evident. Spend time instead developing your team, your culture of communication, and ensuring that you are measuring the right activities. Stop mana...  Payers’ Multiple Surgery Discounts—Fair or Highway Robbery?     Most payers have multiple procedure discount policies which reduce the fees for most additional surgical procedures performed at the same session of a pr...An "Eye" on Coding Ophthalmology coding is an interesting specialty, especially when it comes to assigning a level of evaluation and management code.  Coders outside this specialty may not realize that there are two sets of codes a...

Documenting Negative or Normal for an Entire Area or System
Seth Canterbury, CPC, ACS-EM
  Documenting “Normal” or “Negative” as a Summary Comment for an Entire Body Area or Organ System in the Physical Exam     Both the ’95 and ’97 Guidelines say: “A brief statement or notatio...The medical insurance company can be the greatest hero for the patient and be a nightmare too depending on the circumstances. So, is the case with providers? When a medical provider finds out that there is one particular insurance company that has be...ICD-10: The Wave (or Tsunami) of the Future For many people, simply hearing the words “ICD-10” is enough to cause headaches, indigestion and a sudden compulsion to find a new career. It is the looming healthcare change that many professi...Should Health Care Providers Outsource Billing Services?  Whether or not to outsource is a very difficult decision for any provider to make.  This decision is most heavily influenced by personal ideology and comfort level.  It is ...Modifiers in Postoperative Periods Introduction Documenting the events of a patient visit is not always the simplest and most straightforward of processes. Many variables affect which information must be included in order to report a procedure or...A timely topic if ever there was one!  This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse wh...CEO - stop "Making decisions." If the data and metrics are correct, the decisions are self evident. Spend time instead developing your team, your culture of communication, and ensuring that you are measuring the right activities. Stop mana...  Payers’ Multiple Surgery Discounts—Fair or Highway Robbery?     Most payers have multiple procedure discount policies which reduce the fees for most additional surgical procedures performed at the same session of a pr...An "Eye" on Coding Ophthalmology coding is an interesting specialty, especially when it comes to assigning a level of evaluation and management code.  Coders outside this specialty may not realize that there are two sets of codes a...

Deciding to NOT Participate with an Insurance Company
Adam Alpers
The medical insurance company can be the greatest hero for the patient and be a nightmare too depending on the circumstances. So, is the case with providers? When a medical provider finds out that there is one particular insurance company that has be...ICD-10: The Wave (or Tsunami) of the Future For many people, simply hearing the words “ICD-10” is enough to cause headaches, indigestion and a sudden compulsion to find a new career. It is the looming healthcare change that many professi...Should Health Care Providers Outsource Billing Services?  Whether or not to outsource is a very difficult decision for any provider to make.  This decision is most heavily influenced by personal ideology and comfort level.  It is ...Modifiers in Postoperative Periods Introduction Documenting the events of a patient visit is not always the simplest and most straightforward of processes. Many variables affect which information must be included in order to report a procedure or...A timely topic if ever there was one!  This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse wh...CEO - stop "Making decisions." If the data and metrics are correct, the decisions are self evident. Spend time instead developing your team, your culture of communication, and ensuring that you are measuring the right activities. Stop mana...  Payers’ Multiple Surgery Discounts—Fair or Highway Robbery?     Most payers have multiple procedure discount policies which reduce the fees for most additional surgical procedures performed at the same session of a pr...An "Eye" on Coding Ophthalmology coding is an interesting specialty, especially when it comes to assigning a level of evaluation and management code.  Coders outside this specialty may not realize that there are two sets of codes a...

ICD-10: The Wave (or Tsunami) of the Future
Allison Singer, CPC
ICD-10: The Wave (or Tsunami) of the Future For many people, simply hearing the words “ICD-10” is enough to cause headaches, indigestion and a sudden compulsion to find a new career. It is the looming healthcare change that many professi...Should Health Care Providers Outsource Billing Services?  Whether or not to outsource is a very difficult decision for any provider to make.  This decision is most heavily influenced by personal ideology and comfort level.  It is ...Modifiers in Postoperative Periods Introduction Documenting the events of a patient visit is not always the simplest and most straightforward of processes. Many variables affect which information must be included in order to report a procedure or...A timely topic if ever there was one!  This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse wh...CEO - stop "Making decisions." If the data and metrics are correct, the decisions are self evident. Spend time instead developing your team, your culture of communication, and ensuring that you are measuring the right activities. Stop mana...  Payers’ Multiple Surgery Discounts—Fair or Highway Robbery?     Most payers have multiple procedure discount policies which reduce the fees for most additional surgical procedures performed at the same session of a pr...An "Eye" on Coding Ophthalmology coding is an interesting specialty, especially when it comes to assigning a level of evaluation and management code.  Coders outside this specialty may not realize that there are two sets of codes a...

Why use a billing company?
William Pena
Should Health Care Providers Outsource Billing Services?  Whether or not to outsource is a very difficult decision for any provider to make.  This decision is most heavily influenced by personal ideology and comfort level.  It is ...Modifiers in Postoperative Periods Introduction Documenting the events of a patient visit is not always the simplest and most straightforward of processes. Many variables affect which information must be included in order to report a procedure or...A timely topic if ever there was one!  This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse wh...CEO - stop "Making decisions." If the data and metrics are correct, the decisions are self evident. Spend time instead developing your team, your culture of communication, and ensuring that you are measuring the right activities. Stop mana...  Payers’ Multiple Surgery Discounts—Fair or Highway Robbery?     Most payers have multiple procedure discount policies which reduce the fees for most additional surgical procedures performed at the same session of a pr...An "Eye" on Coding Ophthalmology coding is an interesting specialty, especially when it comes to assigning a level of evaluation and management code.  Coders outside this specialty may not realize that there are two sets of codes a...

Modifiers in Postoperative Periods
Allison Singer, CPC
Modifiers in Postoperative Periods Introduction Documenting the events of a patient visit is not always the simplest and most straightforward of processes. Many variables affect which information must be included in order to report a procedure or...A timely topic if ever there was one!  This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse wh...CEO - stop "Making decisions." If the data and metrics are correct, the decisions are self evident. Spend time instead developing your team, your culture of communication, and ensuring that you are measuring the right activities. Stop mana...  Payers’ Multiple Surgery Discounts—Fair or Highway Robbery?     Most payers have multiple procedure discount policies which reduce the fees for most additional surgical procedures performed at the same session of a pr...An "Eye" on Coding Ophthalmology coding is an interesting specialty, especially when it comes to assigning a level of evaluation and management code.  Coders outside this specialty may not realize that there are two sets of codes a...

Anesthesia Billing for CRNAs
Kelly Dennis
A timely topic if ever there was one!  This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse wh...CEO - stop "Making decisions." If the data and metrics are correct, the decisions are self evident. Spend time instead developing your team, your culture of communication, and ensuring that you are measuring the right activities. Stop mana...  Payers’ Multiple Surgery Discounts—Fair or Highway Robbery?     Most payers have multiple procedure discount policies which reduce the fees for most additional surgical procedures performed at the same session of a pr...An "Eye" on Coding Ophthalmology coding is an interesting specialty, especially when it comes to assigning a level of evaluation and management code.  Coders outside this specialty may not realize that there are two sets of codes a...

How to Manage a Hospital, 101
Robert Jordshaugen
CEO - stop "Making decisions." If the data and metrics are correct, the decisions are self evident. Spend time instead developing your team, your culture of communication, and ensuring that you are measuring the right activities. Stop mana...  Payers’ Multiple Surgery Discounts—Fair or Highway Robbery?     Most payers have multiple procedure discount policies which reduce the fees for most additional surgical procedures performed at the same session of a pr...An "Eye" on Coding Ophthalmology coding is an interesting specialty, especially when it comes to assigning a level of evaluation and management code.  Coders outside this specialty may not realize that there are two sets of codes a...

Payers Multiple Surgery Discount Policies
Seth Canterbury, CPC, ACS-EM
  Payers’ Multiple Surgery Discounts—Fair or Highway Robbery?     Most payers have multiple procedure discount policies which reduce the fees for most additional surgical procedures performed at the same session of a pr...An "Eye" on Coding Ophthalmology coding is an interesting specialty, especially when it comes to assigning a level of evaluation and management code.  Coders outside this specialty may not realize that there are two sets of codes a...

An Eye on Coding
Nancy Maguire
An "Eye" on Coding Ophthalmology coding is an interesting specialty, especially when it comes to assigning a level of evaluation and management code.  Coders outside this specialty may not realize that there are two sets of codes a...


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