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Expert analysis, advice, and education for health information managers to improve processes for coding and reimbursement, medical records management, HIPAA, and clinical documentation improvement and ensure compliance with regulatory requirements for hospitals, clinics, and physician practices.
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Top Stories
- Tip: CPT Chapter 11 codes take precedence in OB/GYN cases
When coding OB/GYN procedures, remember that ICD-9 codes 630–679 in Chapter 11 (Complications of Pregnancy, Childbirth, and the Puerperium) of the ICD-9 Manual take sequencing priority over other chapters.
- Q/A: Billing telemetry daily monitoring
Q: Can our hospital code and bill telemetry daily monitoring in conjunction with a chest pain patient in observation?
- Providers report first RAC denials in Florida, South Carolina
Healthcare providers in several states received their first RAC denials. Connolly Healthcare, the Region C RAC for Florida, South Carolina, and several other states, has been behind many of them.
- Note: More on deductibles and coinsurance
CMS recently published the Part A deductible and coinsurance and Part B deductible amounts for CY 2010. For most covered inpatient stays, as well as covered outpatient services, Medicare does not pay the entire Medicare allowable for those stays or outpatient services. Beneficiaries generally are responsible for a portion of the Medicare allowable in the form of deductibles and/or coinsurance.
- HIPAA Q&A: Returned mail with patient records
Learn the answer to this tough HIPAA compliance question.
- TIP: Avoid vague education on communication devices, Web sites
You can protect your organization by investing in communication devices such as BlackBerry® smartphones and banning sites such as Facebook and Twitter from hospital computers, says Chris Apgar, CISSP, president of Apgar & Associates, LLC, in Portland, OR.
HIM Blogs
Read HIPAA Update
Find the latest news and updates related to ICD-10 regulations, and access tips from the experts for how to manage the transition to this new coding system.
Read ICD-10 Watch
Spotlight
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Evaluation & Management Boot Camp - Professional Version
The most commonly used, and more importantly, audited services in a medical practice are reported using Evaluation and Management (E/M) codes. Have all your coders and auditors received formal training for E/M?The Evaluation & Management On–site Boot Camp - Professional Version will teach you the fundamentals and intricacies of E/M coding and how to perform effective E/M audits. The course goes beyond the basics and dives right into the many gray areas of E/M to expose conflicting information between CMS and local carriers.This intensive training course is geared to both coding and auditing professionals, and will show you how to evaluate documentation relative to national and local carrier guidelines with a strong emphasis on interpreting rules accurately and to maximize E/M audits.E/M services are highly audited by outside entities—your practice may be at risk.Bring the Evaluation & Management Boot Camp - Professional Version to your organization and train your entire staff. Holding an on-site boot camp is easy, cost-effective, and can be customized to fit the specific needs of your organization. For more information call 800/780-0584 or email bootcamps@hcpro.com.Click here to download a pdf of the current brochure