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Displaying records 1 to 20 out of 3363 results for "addendum b".
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Q: We are seeing an increase in the number of edits we are receiving for modifier -25 (
Q: Is CMS going to start accepting new Category III CPTb>®>
Q: Our physicians want to start implanting a magnetic band around the distal esophagus to trea
Q: Did CMS make any changes to drug payments for April?b> b> >
Q: We have a physician who is sending patients to our outpatient clinic to receive
Q: Why do the payments for some separately payable drugs change? One week we get paid a certai
Q: >Did CMS increase packaging for surgical procedures in 2014? Our surger
Q: We don’t quite understand the CMS' new Comprehensive APCs (C-APC) and how to c
Charging two initial infusionsb> b>Q: A patient comes in for an infusion of a
CMS updates information for billing screening servicesb> On April 3, CMS
Q:> Is it is okay to alter, add to, or take back a query form after the physician answers i
CMS 2015 SNF PPS final rule to increase payments to skilled nursing facilitiesb>
OCTOBER 1, 2014
Intensive behavioral therapy for obesity, screening digital tomosynthesis mammography,
CMS bumps up SNF payment rate increase in FY 2015 proposal b>
AUGUST 1, 2014
CMS updates information for billing screening services b> On April 3, CMS released a c
CMS pilots focused surveys to assess dementia care, MDS accuracy b>
SEPTEMBER 1, 2014
A new query in our
MARCH 25, 2015
JUSTCODING
FEBRUARY 11, 2015
JUSTCODING
Medicare Boot Camp®—b>Utilization Review Version
A new query in our
APRIL 22, 2015
JUSTCODING
A new query in our
APRIL 8, 2015
JUSTCODING
A new white paper in our S
MARCH 11, 2015
JUSTCODING
FEBRUARY 25, 2015
JUSTCODING
A new query in our
JUNE 3, 2015
JUSTCODING
A sample book chapter in our
JUNE 17, 2015
JUSTCODING
Medicare Boot Camp®—b>Utilization Review Version
Medicare Boot Camp®—b>Utilization Review Version b> >
  Part B Outpatient Therapy Q&A
  Billing for pneumococcal pneumonia, influenza virus, and Hepatitis B vaccines
  Part B Therapy Billing: Functional reporting and G-codes webcast
OCTOBER 13, 2017
  Updated 2018 Medicare Part B physician fee schedule in effect
MARCH 16, 2018
  Understand the SNF UB-04 data elements for Part B billing
AUGUST 31, 2018
  CMS releases 2019 Medicare Parts A&B premiums and deductibles
OCTOBER 19, 2018
  Frequently asked questions about Medicare Part B
NOVEMBER 30, 2018
Due to popular demand, we’ve added another Medicare Boot Campb>®
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
The Inside Scoop on Additional Development Requests (ADRs)b> W
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
A new query in our
MAY 6, 2015
JUSTCODING
William K. Cors, MD, MMM, FACPEb>, chief medical quality officer at Pocono Heal
DECEMBER 1, 2014
Q: I am auditing a note for a b>>fusion. The note lacks detail, therefore
MARCH 5, 2014
JUSTCODING
Medicare Boot Camp®—b>Utilization Review Version
NOVEMBER 20, 2013
JUSTCODING
AUGUST 5, 2015
JUSTCODING
AUGUST 26, 2015
JUSTCODING
Kimberely K. Graham, CPC, CPC-H, b>codin
OCTOBER 29, 2014
JUSTCODING
Medicare Boot Camp—b>>Utilization Review Versionb>> is an i
Q: Did CMS make any changes to skin substitutes for October?b> b> 
  Top problems SNFs encounter when billing for Part B outpatient therapy units
DECEMBER 4, 2015
On November 24, the OIG posted a report stating that Medicare Part B and its beneficiaries paid $
DECEMBER 15, 2015
1. b 2. d 3. b 4. a 5. c   Staff trai
  CMS published additional instructions for processing updated Part B therapy claims
MARCH 30, 2018
1. b 2. c 3. a 4. d 5. b   Staff trainer answer key
  GAO: New payment rates for Part B lab tests may lead to billions in overpayments
DECEMBER 14, 2018
The top five reasons to attend the 2014 Medicare Compliance Forumb> The 2
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement
Hospital Safety Insiderb> from last
APRIL 2, 2015
JULY 22, 2015
JUSTCODING
Special Re
OCTOBER 7, 2015
JUSTCODING
Special Reports a
NOVEMBER 4, 2015
JUSTCODING
1. d 2. b 3. b 4. a 5. a 6. b 7. a 8. a
Posttest Answers 1. d 2. b 3. d 4. c 5. d 6. d
1. a 2. c 3. b 4. a, b, c, e 5. blood supply (or blood flow)
JUNE 18, 2014
JUSTCODING
National Provider Callsb> Medicare Sh
National Provider Callsb> Medicare Shared Savin
National Provider Callsb> Medicare Shared Savin
APRIL 15, 2015
JUSTCODING
MARCH 18, 2015
JUSTCODING
FEBRUARY 18, 2015
JUSTCODING
FEBRUARY 4, 2015
JUSTCODING
MAY 27, 2015
JUSTCODING
JUNE 24, 2015
JUSTCODING
What is the correct ICD-10-CM code for hepatic sclerosis? A) K74.0 B) K74.1
AUGUST 5, 2015
JUSTCODING
What is the correct ICD-10-CM code for osteonecrosis due to previous trauma of the left radius?b
AUGUST 12, 2015
JUSTCODING
What is the correct ICD-10-CM code for Briquet’s disorder? A) F45.0 B
NOVEMBER 11, 2015
JUSTCODING
What is the correct ICD-10-CM code for donovanosis? A) A51.1 B) A55
DECEMBER 9, 2015
JUSTCODING
Connolly posts two new issues in two categoriesb> Connolly posted two new
Q: I have a question about reporting drug tests to CMS for CPT® codes th
CMS releases July 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files
 > b>MEDCAC Meeting - Molecular Pathol
CMS releases fourth version of related claims transmittalb> On September
Kimberly Farley, CPC, CPC-H, CHO
MARCH 26, 2014
JUSTCODING
Case Management Monthly b>subscriber,   The challenges h
NOVEMBER 1, 2016
Trustees’ report shows Medicare solvent to 2030b> b> >
Q: I have a question about billing infusion/injections in the ED prior to a decision for sur
CMS allows contractors to use alternate medical documentation to ID illegible signaturesb>
JULY 30, 2014
JUSTCODING
Common challenges, key solutions b> Editor's note: This article was wr
MARCH 17, 2016
MARCH 19, 2014
JUSTCODING
Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS,b> director of coding and
HIM S
JUNE 25, 2014
JUSTCODING
JULY 23, 2014
JUSTCODING
AUGUST 6, 2014
JUSTCODING
 
AUGUST 20, 2014
JUSTCODING
SEPTEMBER 3, 2014
JUSTCODING
Co
SEPTEMBER 3, 2014
JUSTCODING
OCTOBER 29, 2014
JUSTCODING
Medicare Shared Savings Pr
MARCH 18, 2015
JUSTCODING
MARCH 4, 2015
JUSTCODING
Special Reports and
FEBRUARY 18, 2015
JUSTCODING
MAY 27, 2015
JUSTCODING
JUNE 10, 2015
JUSTCODING
JUNE 24, 2015
JUSTCODING
APRIL 2, 2014
JUSTCODING
MARCH 19, 2014
JUSTCODING
CGI Posts one new issueb> CGI posted one new issue in one category to its
APRIL 30, 2014
JUSTCODING
What is the correct ICD-10-CM code for wasting syndrome? A) R61 B)
MAY 14, 2014
JUSTCODING
What is the correct ICD-10-CM code for aphasia? A) R47.01 B) R47.02 C)
JULY 9, 2014
JUSTCODING
AUGUST 20, 2014
JUSTCODING
OCTOBER 1, 2014
JUSTCODING
What is the correct ICD-9-CM code for a left bundle branch hemiblock? a. 426.11 b
NOVEMBER 5, 2014
JUSTCODING
APRIL 8, 2015
JUSTCODING
MARCH 11, 2015
JUSTCODING
Answer key ANSWERS 1. d 2. d 3. b 4. c 5. a
OIG acting deputy inspector general testifies about Medicare mismanagementb>
Briefings on HIPAA 2014 indexb> b> > b>Au
“>Medical residents are, or should be, in the process of becoming ex
AUGUST 8, 2014
APRIL 15, 2015
JUSTCODING
Medicare Shared Savings Pr
“>ABIM clearly got it wrong. We launched programs that weren't ready
FEBRUARY 5, 2015
Special
SEPTEMBER 9, 2015
JUSTCODING
Q: >I was reviewing a case with one of our CDI specialists this morning. Briefl
Claims that are relatedb>   On September 12, CMS release
SEPTEMBER 23, 2014
Claims that are relatedb> On September 12, CMS released a fourth version
Internal auditing strategies for ongoing ICD-10 successb> E
AUGUST 1, 2015
SEPTEMBER 24, 2014
JUSTCODING
Congratulations to this week’s winner, Terri Cappello, LPN, CPC, COC, CDI specialist B
JUNE 17, 2015
JUSTCODING
Q: > When a Part A resident exhaust their Part A days and needs continued thera
ICD-10-CM/PCS Coordination and Maintenan
JustCoding> conducted
SEPTEMBER 16, 2015
JUSTCODING
Residency Program Insider b>won’t be publis
NOVEMBER 22, 2013
NOVEMBER 20, 2013
JUSTCODING
Residency Program Alertb> is looking for the best new tools for managing interview season, f
NOVEMBER 15, 2013
Q: >Do chiropractor visits count as physician visits?  
July update to the calendar year (CY) 2014 Medicare Physician Fee Schedule Databaseb>
Payment adjustment for FY 2014b> extended> On June 16, CMS pos
New on JustCoding Platinum!b> New ICD-10-CM documentation examples in b>
JULY 9, 2014
JUSTCODING
SNF Consolidated Billing: Who Really Has to Pay All These Invoices?
SNF Consolidated Billing: Who Really Has to Pay All These Invoices?
AUGUST 1, 2014
One Week until Medicare Compliance Forum-Here are the Top Reasons Why You Should Attend
Q: What type of information can we email to patients? For example, is it permissible to email
Medicare Shared Savings Program A
Medicare Shared Savings Program A
Q: We see a lot of diabetes diagnoses at our facility, but are confused about when we m
Q: We are have a debate about reporting sinus stents. Specific HCPCS C codes represent
The RAC Toolkit for Physician Practicesb> is your practice’s answer to t
Q: If a patient's family member who is not responsible for the patient's care calls to ask h
Q: Should modifiers for laterality be used for CPT® code 31624 (bronchos
JUNE 24, 2015
JUSTCODING
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aid
Q: Our physicians are injecting a lot of bulking substances, such as those for strength
Q: We have been receiving rejections on claims including a line item for a compounded d
Q: Is CMS adding any items with pass-through status for 2016? We are starting to look at rei
Risk adjustment is central to pay for performance, whereby high-quality cost effective care can b
OCTOBER 28, 2015
JUSTCODING
Q: A patient fractured all metatarsals last year and had open reduction and internal fixatio
NOVEMBER 25, 2015
JUSTCODING
1.    a 2.    b 3.    a 4.&n
1. Before meals, 80–130; At bedtime, 100–150 2. a. diet, b. exercise, c. medi
Q: When coding excision of a breast mass with needle localization using stereotactic gu
MARCH 19, 2014
JUSTCODING
Statistical sampling initiative for claims beginsb> The Office of Medicar
Statistical sampling initiativeb> The Office of Medicare Hearings and Appeals (OMHA) w
Q: We are coding for pain management procedures and have been doing dual coding in ICD-9-CM an
JULY 9, 2014
JUSTCODING
Semi-Annual Meeting of the Advisory Panel on Hospi
Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for solid tumors (This chan
Bilateral procedures may have been incorrectly paidb> On June 30, CMS released MLN
CGI Posts one new issueb> CGI posted one new issue in one category to its
Aprepitant for Chemotherapy-Induced Emesisb> b> 
Q: When physicians continue to b>>only document respiratory failure in the inpatien
JUNE 4, 2014
JUSTCODING
Additional extension of the payment adjustment for FY 2014 extendedb>  
Additional extension of the payment adjustment for FY 2014b>  
Q: We're not sure what to report in this situation: A patient comes to the ED and goes
SEPTEMBER 3, 2014
JUSTCODING
Q: After scheduling a colonoscopy, I received information about a colonoscopy prep company wit
Q: A patient was in a hyperbaric oxygen chamber for eight minutes and the physician had
OCTOBER 1, 2014
JUSTCODING
Q: We’ve heard that ICD-10-CM does not include a diagnosis code to show that a laparosco
DECEMBER 3, 2014
JUSTCODING
Myth:> b>Security is an IT functionb> b> > Security invol
Q: We are receiving requests from our physicians regarding administration of a new drug
Q: It is my understanding that written authorization is required for the release of PHI even f
Home health sees decline in readmission ratesb> The Alliance for Home Health Quality
CMS updates Program Integrity Manualb> On May 2, CMS released a change re
Testimony of b>>Gary Cantrell, Deputy Inspector General for Investigations, b>>
CMS releases July 2015 quarterly Medicare Part B drug pricing files and revisionsb>&n
CMS replaces transmittal for Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for s
Reporting laboratory tests with 2015's new CPT codes b> b>Q:
A step-by-step approach to systemwide ch
SEPTEMBER 1, 2014
President's FY 2016 Budget Includes Medicare Provisionsb> On F
Update to surety bond collection proceduresb> On May 16, CMS released a change request
Inpatient hospital claims and Medicare Secondary Payer (MSP) claims with Medicare Coins
Implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment
New pass-through items in 2016b> b>Q: Is CMS adding any items with pass-thr
Statistical sampling initiativeb> The Office of Medicare Hearings and App
Gary Cantrell, Deputy Inspector General for Investigations, testifies before Subcommittee on O
Correction notice to IPPS final ruleb> On March 18, CMS and HHS issued a
Q&A: Keep an eye on 'practice dr
Q: Did CMS grant pass-through status for any new devices in April? b>
Using new combination codes for myelography with injectionb> b>Q: A phys
ICD-10-CM/PCS Coordination and Maintenan
When credentialing AHPs, stick to specifics b>
Q: What happened to modifier –JF (compounded drug)? CMS added it in Apr
APRIL 9, 2014
JUSTCODING
APRIL 23, 2014
JUSTCODING
MAY 7, 2014
JUSTCODING
JUNE 4, 2014
JUSTCODING
JUNE 11, 2014
JUSTCODING
JUNE 25, 2014
JUSTCODING
MAY 28, 2014
JUSTCODING
JULY 16, 2014
JUSTCODING
AUGUST 13, 2014
JUSTCODING
SEPTEMBER 3, 2014
JUSTCODING
SEPTEMBER 10, 2014
JUSTCODING
OCTOBER 8, 2014
JUSTCODING
Correction made to Provider Reimbursement Manual b>  On October 24,
JULY 23, 2014
JUSTCODING
FEBRUARY 11, 2015
JUSTCODING
CMS updates billing instructions for TMVR b>On April 24, CMS rescinded and replaced Trans
MAY 6, 2015
JUSTCODING
Transcatheter Mitral Valve Repair (TMVR) NCDb>   On Apri
Q: We have started receiving an edit for our pain management procedures reported with C
JUNE 3, 2015
JUSTCODING
DECEMBER 2, 2015
JUSTCODING
1.    b   2.   &n
CMS releases July 2015 update of the hospital OPPSb>  On June 5, CMS
Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance
CMS updates interest rate for Medicare overpayments and underpaymentb> 
Leadership equation: 7C + 1 = successb> Part 3b: Increasing communication
NOVEMBER 1, 2013
Quarterly ASP Medicare Part B drug pricing files released b> On April 25,
Provider Reimbursement Manual update b> On May 23, CMS released
July 2015 quarterly Average Sales Price (ASP) Medicare Part B drug pricing files and re
Consolidated billing Q&A with Janet Potterb> Editor's n
DECEMBER 1, 2014
CMS updates billing instructions for TMVRb>  On April 24, CMS rescin
CMS offers five solutions to help address inadequate HIPAA Security Rule–requ
Medicare Advantage Q&A with Diane Brownb> b>QWe have chro
FEBRUARY 1, 2015
The Centers for Medicare & Medicaid Services (CMS) has announced the 2014 Part B premiu
NOVEMBER 22, 2013
Q:> My question is in regard to physician visits and certification. When a resident w
NOVEMBER 15, 2013
APRIL 2, 2014
JUSTCODING
APRIL 30, 2014
JUSTCODING
MAY 7, 2014
JUSTCODING
JUNE 11, 2014
JUSTCODING
Update to surety bond collection proceduresb> b> >
CMS converting most MUEs to per-day editsb> On June 30, CMS released M
Medical Records Briefingb> is conducting a benchmarking survey on electroni
SEPTEMBER 10, 2014
JUSTCODING
SEPTEMBER 24, 2014
JUSTCODING
JustCoding’s Clinical Conditions Encyclopediab> is the perfect reso
OCTOBER 1, 2014
JUSTCODING
OCTOBER 8, 2014
JUSTCODING
JULY 30, 2014
JUSTCODING
The Hospital Case Management Orientation Manual b>is a comprehensive resource that
The Hospital Case Management Orientation Manualb> is a comprehensive resource that
A case manager shoulders enormous responsibilities. Often it's a battle, but it doesn't have to b
Semi-Annual Meeting of the Advisory Pane
The Hospital Case Management Orientation Manual Guideb> is a comprehensive resource
FEBRUARY 10, 2015
FEBRUARY 4, 2015
JUSTCODING
Semi-Annual Meeting of the Advisory Panel on Hospital Outpatient Payment (HOP Panel)
The Hospital Case Management Orientation Manual b>is a comprehensive resource that
The Hospital Case Management Orientation Manual b>is a comprehensive resource that
The Hospital Case Management Orientation Manual b>is a comprehensive resource that
1. b 2. a 3. c 4. e 5. d   Staff Trainer Quiz answer
CMS releases July update to Medicare Physician Fee Schedule databaseb> 
Don't expect a one-size-fits-all reentry program b>
AUGUST 1, 2014
Q: I’m in a little debate: Does documentation of the patient’s body mass in
MAY 7, 2014
JUSTCODING
Q: >Is there a mandated plan from CMS to complete PPS assessments on managed ca
Q: >If a patient is discharged to a behavior management unit that is hospital-b
HDI posts one new issue in one categoryb>   HealthDataInsight
Q: I work for general surgeons. Here is a common scenario: The surgeon is called in to
JUNE 25, 2014
JUSTCODING
Q: > Should a blood tranfusion received at an outpatient clinic be coded on the
Q: b>How do you bill for a patient that is admitted after a 3 day hospital stay that
Q: We know that we can look at the radiology report to get some specifics about a fract
JULY 30, 2014
JUSTCODING
Q: >If a patient uses part of a 100 day benefit for a G-Tube can we ever skill
AUGUST 1, 2014
Q: We're wondering about how to use CPT® code 73225 (magnetic resonance
AUGUST 20, 2014
JUSTCODING
Q:> Have time work studies been done to determine the average length of time taken to
AUGUST 21, 2014
Q:> Does an unstageable on spine qualify someone under Medicare A for a SNF?
SEPTEMBER 19, 2014
HIM-HIPAA Insiderb> wants to learn more about its subscribers and the daily challenges they
HIM-HIPAA Insiderb> wants to learn more about its subscribers and the daily challenges they
Q:> A patient came to the emergency department with shortness of breath (SOB). The admittin
Accreditation & Quality Advisorb> blog! The
MARCH 31, 2015
FEBRUARY 25, 2015
JUSTCODING
Q: A patient comes in with a malunion of a fracture. A different physician treated the patient
FEBRUARY 11, 2015
JUSTCODING
Q: A patient arrives at the interventional radiology department to have an inferior ven
JUNE 10, 2015
JUSTCODING
Q: Do providers need written permission to discuss a patient’s care with one another?
Q: What types of records are covered entities permitted to share through a health informatio
Q: If IV fluid such as sodium chloride is given in the ED, should the revenue code be 250 (p
Q: Our business office wants us to start using modifier -PO (services, proced
Q: We have been providing lung cancer screening using a low-dose computed tomography (LDCT)
Q: Is there guidance on reviewing a record, such as an operative note, that has not been sig
NOVEMBER 4, 2015
JUSTCODING
NOVEMBER 25, 2015
JUSTCODING
Q: How many times should Glasgow Coma Scale information be captured? If you have the ambulance
DECEMBER 9, 2015
JUSTCODING
STAFF TRAINING QUIZ: ANSWER KEY 1. a 2. b 3. e 4. b
Notice of new interest rate for Medicare overpayments and underpaymentb>
Notice of new interest rate for Medicare overpayments and underpaymentb>
Q:> Is there a new way to report MIST Therapy® in 2014?&
Q: >Our reimbursement department says that we are no longer being paid for APCs 8002 a
Q: I read that CPT® code 20680 (removal of implant; deep, e.g., buried w
MAY 28, 2014
JUSTCODING
CMS posts July update to Medicare Physician Fee Schedule Databaseb> On June 6, CMS rel
CMS updates Chapter 3 of the Program Integrity Manual (PIM) b>  
Update to Chapter 3, Program Integrity Manual (PIM), Verifying Potential
Presented on September 17, 2014, 1–2:30 p.m.b> b>Presented by Janet Pot
Q: My physicians perform procedures in the office such as angioplasties, catheter inser
AUGUST 6, 2014
JUSTCODING
Presented on September 17, 2014, 1–2:30 p.m.b> b>Presented by Janet Potter,
AUGUST 7, 2014
Presented on September 17, 2014, 1–2:30 p.m. b>>Presented by Janet Potter, CPA, MAS
AUGUST 21, 2014
OCTOBER 1, 2014
JUSTCODING
OCTOBER 22, 2014
JUSTCODING
NOVEMBER 5, 2014
JUSTCODING
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
b>It’s my pleasure to introduce myself
JULY 18, 2014
Long-term care ICD-10 coding specificsb>
OCTOBER 1, 2014
Q: We are receiving rejections for HCPCS codes J0365 (injection, aprotonin, 10,000 kiu)
Q: We have been reporting skin substitutes with the appropriate procedure codes (either
Editor’s Note:b> >The following job posting is an excerpt
Q: When coding a drop in hematocrit (790.01, precipitous drop in hematocrit), does it need to
MARCH 25, 2015
JUSTCODING
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
Q: An auditor recently told us to code two CPT® codes for a breast biopsy with plac
Editor’s Note:b> >The following job posting is an excerpt from the&n
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aid
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aid
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
Q: We have been receiving rejections of our claims with HCPCS code C1300 (hyp
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
Medicare Trustees Report shows continued slow cost growthb> On July 22, C
Q: We had a patient come into our ED with a severe head injury. To protect his airway,
AUGUST 5, 2015
JUSTCODING
Q: Will CMS be adding any new drugs or biologicals to its pass-through list in i
CMS updates National Coverage Determination Manual for speech generating devicesb>
Q>: How can our CDI team prepare for potential productivity losses post-ICD-10 implementati
Q:> Is there guidance on reviewing a record, such as an operative (OP) note, that has
Q: Are we still required to report value code FD (credit received from the manufacturer for
Q: Our doctors have started prescribing a form of filgrastim that the pharmacy tells me is c
By Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDIb> &nb
JULY 30, 2014
JUSTCODING
CMS provides front-end updates for Julyb> On March 26, CMS released a cha
CMS updates CERT treatment of power mobility devices and ambulance transport claims b
April 2015 Integrated OCE (I/OCE) specifications version 16.1b>  
April 2014 update of the OPPS b>On February 28, CMS issued a recurring update
Part 2, Provider Cost Reporting Forms and Instructions, Chapter 11, Provider Reimbur
MARCH 4, 2015
JUSTCODING
Semi-Annual Meeting of the Adv
Note:> Local chapters are accepting nominations for leadership positions. This is
Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) Fi
CMS issues change request for lumbar decompression coverageb> On May 16,
Health Professional Shortage Area (HPSA) Post-payment Review Processb>
Health Professional Shortage Area (HPSA) Post-payment Review Processb> On March 25, CM
Health Professional Shortage Area post-payment review processb> On March
Q: A patient is admitted with a high white blood count, tachycardia, tachypnea, and chi
APRIL 23, 2014
JUSTCODING
Q:> The primary physician documented subacute cerebral infarction and I am wondering whe
NOVEMBER 5, 2014
JUSTCODING
CMS releases April 2015 I/OCE specifications b> On March 13, CMS released
Q: Would it be appropriate to report CPT® code 75984 (change of percutan
FEBRUARY 18, 2015
JUSTCODING
Semi-Annual Meeting of the Advisory Panel on Hospi
Q: Is it correct to append modifier -52 (reduced services) to a procedure code when the
FEBRUARY 4, 2015
JUSTCODING
Correction to the April CY 2015 quarterly update to the Medicare Physician Fee Schedule
Q:> If the physician says “concerning for,” “considering,” &ld
The more credentialing changes... b>
CMS releases July 2015 quarterly update for DMEPOS competitive bidding programb>
Medically Unlikely Edits (MUE) and Bilateral Proceduresb> b> >
Virginia> Meets Saturday, April 5, 10 a.m. to 2 p.m., at Chippenham Hospital, in Ro
HOP Panel summer meeting scheduledb> CMS announced the summer meeting of
Prep your medical staff leaders with a pre-survey boot campb>
Use of modifiers -KK, -KG, -KU, and -KW limited under the DMEPOS Competitive Bidding Pr
CMS releases the Medicare fee-for-service 2013 improper payments reportb>
FEBRUARY 1, 2015
Q: >I have a patient with Stage 4 lung cancer that presented with fatigue, cough, an
The challenges of employed physicians b>
DECEMBER 1, 2014
The MEC meeting will come to order ... hopefully b> What's
OCTOBER 1, 2014
Ready for ICD-10?b> Ensure your facility's training is on t
Q: We are receiving denials for many of the new CPT® codes in
Semi-Annual Meeting of the Advisory Panel on Hospi
HCPCS codes subject to and excluded from CLIA editsb>  On January 30
Q:> CMS released guidance this summer about not auditing or counting errors for the specifi
Q: Did something change with the observation services Composite APC in 2016? The director of p
CMS releases National Coverage Determination for single and dual chamber permanent card
Q&A: Long-term care ICD-10 coding specificsb> Editor's
NOVEMBER 1, 2014
Updates of MS-DRGs to the list subject to IPPS replaced devices offered without cost or
CMS updates contractor instructions for enrollment and re-enrollment applications b>
Puerto Ricob>> b>Carmen Y. Ibarrondo and Sandra E. Cruz host the first CDI networ
NCCI guidelines for Part B Billingb> New coding requirements r
Coordination of Benefits Contractor (COBC) to remove and no longer apply federal tax informati
Part 2, Provider Cost Reporting Forms and Instructions, Chapter 11, Provider Reimbur
2015 annual update of HCPCS codes for SNF consolidated billing (CB) updateb>
CMS releases April 2015 I/OCE specifications b>On March 13, CMS released a notification to p
Greenland is part of the kingdom of which country? a. Denmark b. Norway c
What is the Fahrenheit equivalent of -40 degrees Celsius? a. 0 b.
Q&A: Finance and budgetingb> Editor's note: This month'
AUGUST 1, 2014
A panophobe is afraid of what?   a. Cookware b. E
Semi-Annual Meeting of the Advisory Panel on Hospi
The first Memorial Day observance was held May 30, 1868, at Arlington National Cemetery. B
Georgia> The Georgia ACDIS Chapter meets June 12, 8:30 a.m. to 2:30 p.m. at John D.
HIPAA EDI front end updates for July 2015b>   On March 2
BALTC Q&Ab> Editor's note: This month's "Q&A&q
Comprehensive Error Rate Testing (CERT) Program treatment of power mobility device (PMD
CMS posts final decision on HIV screening  b> On April 13, CMS posted a final dec
National Coverage Analysis (NCA) for screening for the Human Immunodeficiency Virus (HI
The Advisory Panel on Hospital Outpatient Payment (HOP Panel) summer meeting b>
2015 annual update of HCPCS codes for SNF consolidated billing (CB) updateb>
Simulation training is taking flight in medical learning and practitioner ­comp
CMS updates contractor instructions for enrollment and re-enrollment applications b>
NOVEMBER 6, 2013
JUSTCODING
Improve your patients’ health with the Initial Preventive Physical Examination (IPPE) an
CMS issues 2014 annual update for Clinical Laboratory Fee Schedule and Laboratory Servi
Q: A few days into the patient’s stay, an order for a Foley catheter was placed f
JUNE 18, 2014
JUSTCODING
CMS rescinds and replaces Transmittal 166 for technical correctionb> On M
CMS releases overview of Physician Feedback and Value-Based Modifier Programsb>
OIG releases report on drugs commonly used by dual-eligible beneficiariesb>
October CY 2015 quarterly update to the Medicare physician fee schedule datab
Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens
Q: If the clinical impression is physical assault, vomiting, blunt injury to abdomen, a
JUNE 11, 2014
JUSTCODING
Q: A patient comes into the ED with sickle cell crisis and is in a lot of pain. The phy
JULY 23, 2014
JUSTCODING
Q: If the physician does not perform a formal myelography and just administer
DECEMBER 23, 2014
JUSTCODING
Q&A: Long-term care ICD-10 coding specificsb> Editor's
JANUARY 1, 2015
Physician certifications and recertificationsb> by Janet Po
NOVEMBER 1, 2014
Evaluating MDS data quality will improve b
OCTOBER 1, 2014
Q: If a patient is given Reglan® intravenously at 12:20, 13:00, and 13:2
APRIL 15, 2015
JUSTCODING
Q: We use a lot of skin substitutes. Where do we find a list of the new HCPCS code
Q: We have a patient with chronic severe low back pain, etiology unknown, on MS C
MAY 27, 2015
JUSTCODING
Q: Where can I go to find out if the word “excisional” must be written by the doct
MAY 6, 2015
JUSTCODING
Q:> When I started as a CDI specialist, I learned that when a complication code, such as 99
Q: Are there any new pass-through devices or changes for July under the OPPS?b>
CMS issues correction to the April 2015 update to the Medicare Physician Fee Schedule D
Q: Did CMS add any new codes for drugs that have pass-through status this mon
Q:> We recently had attending physicians send back queries with responses by the physician
Q:> Can you code strictly from emergency room (ER) documentation? Can you code from test re
Q: Our radiology department is requesting that we add a new modifier to their charge descrip
Q:> We are having trouble determining how to assign a code for a pressure ulcer that begins
Q:> Is a diagnosed and treated condition during the first 24 hours considered present on ad
Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) Fi
National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Car
NOVEMBER 13, 2013
JUSTCODING
To receive AAPC and/or AHIMA credits, take the quiz after reading the following articles
NOVEMBER 20, 2013
JUSTCODING
Q: My question is about the time interval requirement of the CPT® add-on
APRIL 2, 2014
JUSTCODING
Friday, April 11b> is the deadline to apply for the Certified Clinical Documentation Specia
Q: I have been told to use the general surgery CPT® codes in the 20000 series for r
APRIL 30, 2014
JUSTCODING
Overview> On May 1, 2014, the Centers for Medicare & Medicaid Serv
HDI posts one new issue in one categoryb>   HealthDataIn
Q: >We have a resident that was discharged to the acute hospital  and, due
“>What we have seen in our work with physicians as we report data on their performan
Q: >The resident is on their Part A benefit and is scheduled for dialysis 3 day
Q: b>I am looking for help on reviewing a neonatal intensive-care unit (NICU) death chart for
Q: We perform electrophysiology (EP) studies in our catheterization lab for outpatients
Q: > How do you bill for a patient that is admitted after a 3 day hospital stay
October 2014 update of the ASC payment systemb> released> On A
Q:> Regarding the COT count: Is it correct that once a rehab RUG is no longer ach
SEPTEMBER 11, 2014
Advanced CDI Boot Campb> is designed for established clinical documentation depar
Q: b>We’re having a lot of discussions with physicians right now and need to g
Myth 1: ICD-10 includes too many codesb>  
Revisions to State Operations Manual (SOM), Appendix A&ndash
Q>:    If a resident used 100 days with the peg tube at another facil
OCTOBER 9, 2014
Q:> Should I query for chronic respiratory failure if the documentation indicates the patient
Q: How specific does the physician have to be for the location of the acute myocardial infarct
OCTOBER 22, 2014
JUSTCODING
Q:> I have a resident who was readmitted to the hospital on his 60th day of his spel
OCTOBER 24, 2014
Q:  b>What are the rules regarding a qualifying hospital stay at a hos
DECEMBER 12, 2014
Update to Medicare Claims Processing Manualto provide language-only changes for updatin
New final rule refines and redefines medical staff b>
AUGUST 1, 2014
by Roger Schindell b>   It's one of the
Q: A patient came to the ED with shortness of breath (SOB). The admitting diagnosis was possib
APRIL 22, 2015
JUSTCODING
Q: Which root operation would we use in ICD-10-PCS for a polypectomy when a biopsy is done on
APRIL 8, 2015
JUSTCODING
MARCH 25, 2015
JUSTCODING
ICD-10-CM/PCS Coordination and Maintenance Committ
Q: I have a question regarding a National Correct Coding Initiative (NCCI) edit. I repo
MARCH 4, 2015
JUSTCODING
>Q: I have been told by our billers that infusion codes reported in the ED
Q: Do you have any tips for coding fractures in ICD-10-CM? We’re a little worried
AUGUST 26, 2015
JUSTCODING
Q: We received a denial for services based on medical necessity. A Comprehens
Q: I have been told by our billers that infusion codes reported in the ED along with an
SEPTEMBER 16, 2015
JUSTCODING
OIG posts Medicare Compliance Review of Saint Luke's Hospital b> On Augus
Sp
SEPTEMBER 16, 2015
JUSTCODING
Case studies in b style
OCTOBER 14, 2015
JUSTCODING
Q: In terms of coding blood transfusions, does the documentation of which intravenous (IV) s
NOVEMBER 18, 2015
JUSTCODING
Q: We recently had attending physicians send back queries with responses by the physician as
DECEMBER 2, 2015
JUSTCODING
Q: Can you code strictly from emergency department (ED) documentation? Can you code from tes
DECEMBER 16, 2015
JUSTCODING
Q:> I have seen documentation of oliguric renal failure and non-oliguric renal failure. Wha
Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQA Part A Provider Querie
Standardization isn't 'just an exercise in change
NOVEMBER 1, 2014
Continuation of systematic validation of payment group codes for PPS based on patient assessme
Continuation of systematic validation of payment group codes for PPS based on patient a
Implementation of NACHA operating rules for healthcare electronic funds transfers b>
CMS updates contractor instructions for enrollment and re-enrollment applications  
CMS releases October 2014 OPPS updateb>  On August 1, CMS relea
CMS posts final decision on HIV screening b>  On April 13, CMS poste
Change in July 2015 update of quarterly HCPCS drug/biological codeb>  
Clarification to Medicare Benefit Policy Manual regarding antigens and deletion of Sect
Contractors given discretion to deny 'related' claimsb> On August 8, CMS
ICD-10 coding: What to expectb> On July 31, HHS issued a rule
OCTOBER 1, 2014
CMS announces final regulatory changes affecting Medicare Parts C and Db>
AUGUST 1, 2014
AHA posts letter on 2-midnight policy and potential short-stay payment solutionsb>&nb
MAY 6, 2015
JUSTCODING
Transcatheter aortic valve replacement (TAVR) hospital program volume requirementsb>
Transcatheter aortic valve replacement (TAVR) hospital program volume requirementsb>
CMS issues National Coverage Determination (NCD) for single chamber and dual chamber permanent
Customizing criteria-based core privileges for your o
AUGUST 1, 2014
Include diagnosis codes on the HIPAA Eligibility Transaction System (HETS) 270/271 Tran
Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQ
CMS revises Medicare systems to accurately process inpatient hospital claims, MSP claimsb>
Influenza vaccine payment allowance updateb> On September 3, CM
Q:> I live in Ohio. For a couple of years now we have completed our HMO residents in
NOVEMBER 22, 2013
MARCH 26, 2014
JUSTCODING
Tennessee b>The Tennessee Chapter meets Friday, March 14, 8:30 a.m. to 3 p.m., at Erl
What color is a polar bear's skin? a. Black b. Brown
APRIL 9, 2014
JUSTCODING
APRIL 23, 2014
JUSTCODING
Q: Did CMS issue any new HCPCS codes for drugs and biologicals for April 2014?b>
Q: One of our ophthalmologists orders mitomycin after his surgeries. We have a cha
Clarifications made to the Medicare Benefit Policy Manual and Medicare Progra
MAY 28, 2014
JUSTCODING
MAY 21, 2014
JUSTCODING
JUNE 4, 2014
JUSTCODING
Pogonophobia is the fear of what?   a. Beards b.
Q: We have been watching our payments from Medicare since all the lab bundling was
JUNE 18, 2014
JUSTCODING
JULY 16, 2014
JUSTCODING
AUGUST 13, 2014
JUSTCODING
Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-day course that wi
SEPTEMBER 11, 2014
 Long-Term Care Regulatory Compliance Boot Camp b>is an
SEPTEMBER 25, 2014
Medical Environment Updateb>, our experts tell ghoulish tal
SEPTEMBER 24, 2014
Q: Are there any new HCPCs codes for procedures beginning October 1?b> &n
Q: Our charge description master (CDM) manager wants to remove the code for denileukin
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
OCTOBER 3, 2014
Q: Now that October has arrived, has CMS made any corrections to the information effect
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
OCTOBER 9, 2014
OCTOBER 22, 2014
JUSTCODING
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
OCTOBER 24, 2014
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
NOVEMBER 7, 2014
What was the last letter added to the English alphabet? a. J b. Q
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
OCTOBER 31, 2014
Medical Records Briefing (MRB)b> is conducti
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-day co
OCTOBER 17, 2014
AUGUST 27, 2014
JUSTCODING
Q&A: Finance and budgetingb> Editor's note: This month'
SEPTEMBER 1, 2014
Q: Will any new items receive pass-through payment beginning in July?b
Medical Records Briefing (MRB)b> is conduc
Medical Records Briefing (MRB)b> is conduc
Author: Kelly Smith Papa, MSN, RNb> There are many talented long-ter
MARCH 20, 2015
CMS releases overview of Physician Feedback and Value-Based Modifier Programsb> On Feb
Tips from the March issue of Briefings on HIPAA:b> As health information tech
Author: Kelly Smith Papa, MSN, RNb> There are many talented long-ter
MARCH 13, 2015
Physician Feedback, Quality and Resource Use Reports (QRURs) and Value-Based Modifier P
Semi-Annual Meeting of the Advisory Panel on Hospi
Semi-Annual Meeting of the Advisory Panel on Hospital Outpatient Payment (HOP
Editor’s Note:b> >The following job posting is an excerpt
Medical Records Briefing (MRB)b> is conduc
Medical Records Briefing (MRB)b> is conduc
Editor’s Note:b> >The following job posting is an excerpt from the&n
Editor’s Note:b> >The following job posting is an excerpt from the&n
Provider-Based Entities: A Guide to Regulatory and Billing Complianceb> is a comprehensive
Editor’s Note:b> >The following job posting is an excerpt from the&n
CGI posted one new issue in one category to its CMS list for providers in Region B. (See link for
Medical Records Briefing (MRB)
Editor’s Note:b> >The following job posting is an excerpt from the&n
CMS releases 2015–16 influenza resources for healthcare professionalsb>
Editor’s Note:b> >The following job posting is an excerpt from the&n
Editor’s Note:b> >The following job posting is an excerpt from th
Editor’s Note:b> >The following job posting is an excerpt from th
A:> CMS is not going to resurrect or reinstate the device-to-procedure edits for all
Who was once given a key to the city of Detroit? a. Augusto Pinochet b. Jos
Editor’s Note:b> >The following job posting is an excerpt from th
Editor’s Note:b> >The following job posting is an excerpt from th
In 2016, those sitting for the Certified Clinical Documentation Specialist (CCDS) exam face the b
Editor’s Note:b> >The following job posting is an excerpt from th
Editor’s Note:b> >The following job posting is an excerpt from th
Editor’s Note:b> >The following job posting is an excerpt from th
Trainer quiz answer key 1. d 2. b 3. e 4. a 5. c 6. Tru
1. c   2. b, c, e  
Long-Term Care Billing Webcast b>is a 90-minute webcast where expert 
APRIL 25, 2014
Update to Medicare Claims Processing Manual, Chapters 12, 20, 32, and 35 to prov
To clarify and correct existing instructionsb> On September 19, CMS relea
DECEMBER 16, 2015
JUSTCODING
Use of claim adjustment reason (CARC) code 23b> On November 14, CMS issued a transmi
CMS extends coverage of aprepitant for chemotherapy-induced emesis b>
Q: We’re having a lot of discussions with physicians right now and need to get so
SEPTEMBER 10, 2014
JUSTCODING
CMS updates Medicare Claims Processing Manual to provide language-only changes f
CMS issues changes regarding Defense of Marriage Act and ICD-10 b> On Oct
The upsides of change (yes, there are some!)b> Change. It's a
Q: >What information do you have about physician response to ICD-10-PCS? I am g
Q:> b>When I started as a coder, I learned that the complication code, such as from ICD-9-
JUNE 3, 2015
JUSTCODING
CMS posts quarterly listing of program issuances b> On August 3, CMS post
Q: I am having trouble with ICD-10-PCS coding for a perineal laceration repair. Some so
OCTOBER 7, 2015
JUSTCODING
Cost Containment Overcoming Challenges: New HealthLeaders Media Intelligence Report Available
NOVEMBER 17, 2011
CMS releases October 2015 quarterly update of HCPCS drug/biological code changesb>
After missing a proposed fall start date, CMS has announced last week that its Medicare Part B dr
DECEMBER 27, 2016
CMS provides examples of claims that are relatedb> On August 8, CMS released a change
SNF therapy contracts: Your risks and what you need to know Q&Ab>
AUGUST 1, 2015
CMS details changes to reimbursement manualb> On September 19, CMS releas
CMS revises signature requirementsb> On July 24, CMS released a change re
Medicare Shared Systems modifications necessary to capture various HIPAA comp
Conference confidence b> b>
FEBRUARY 1, 2014
CMS and AMA announce efforts to ease transition to ICD-10 for providersb>
NPDB Guidebook changes could mean shifts in reportable actions b>
CMS revises travel allowance fees for collection of specimensb>  On
APRIL 9, 2014
JUSTCODING
CMS extends coverage for aprepitant for chemotherapy-induced emesisb> On
CMS releases 2015 annual update for HPSA bonus paymentsb>  On Octobe
Business office refresher: Five steps for tracking a SNF leave of absence b>
SEPTEMBER 1, 2014
CMS releases coverage criteria for TAVR volume requirementsb> 
Privileging physician assistants in urologyb> Editor's note
Disclosing medical errors, Part 2: Some additional practical tips b> by
AUGUST 1, 2014
Transitions of care: What’s your policy? b>
FEBRUARY 1, 2014
Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, O
Taking the mystery out of consolidated billingb> In the Balanc
DECEMBER 1, 2014
Q: b>An observationpatient received an IV push on the first day (9/28) and an infusion the n
Calendar year (CY) 2014 Annual Update for clinical laboratory fee schedul
CMS issues revision of calendar year (CY) 2014 Annual Update for clinical laboratory fe
CMS releases revised 2014 update for clinical laboratory fee schedule and laboratory se
Q: Our physicians document a diagnoses of pneumonia but do not normally make a specific
APRIL 9, 2014
JUSTCODING
Joan L. Usher, BS, RHIA, COS-C, ACEb> is one of the preeminent coding train
Q: My office often has denials of evaluation and management (E/M) visits with our OB pa
MAY 14, 2014
JUSTCODING
Q: An auditor recently reviewed our outpatient ED claims and told us that we canno
Q:> The primary physician documented subacute cerebral infarction and I am wondering whethe
Q:> Although I understand that a coder cannot code from a previous encounter’s docume
Q: b>What is ACDIS’ stance on physicians cutting and pasting the entire radiology repo
Q: What if the provider states that diabetes is due to the adverse effects of a drug, but does
SEPTEMBER 17, 2014
JUSTCODING
Q: b>If a patient has hypertensive heart disease or cerebrovascular accident (CVA) with hemi
Q: ICD-9-CM includes Pott’s fracture as an alternate term for a bimalle
AUGUST 13, 2014
JUSTCODING
Q:> Is the statement “please document in a progress note to capture the severity of i