8 Medical Coding Mistakes That Could Cost You
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Government and private insurers’ audits have revealed unfortunate cases of fraudulent or abusive medical billing practices. You deserve to be paid for the medical care you provide, but it is essential that you avoid improper billing practices to steer clear of trouble and maintain a flourishing practice. When it comes to medical coding errors, they fall
into... Click Here to Read More
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CMS Strengthens Decentralization Push, Gives States More Medicaid Authority
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Aiming to cut down on regulatory burdens and give more power to states, the Centers for Medicare & Medicaid Services is making notable changes to the Medicaid program, the biggest source of payment for nursing homes. CMS issued a bulletin late
Thursday... Click Here to Read More
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Is it Patients over Paperwork, or Providers over Patients?
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Has my entire career been based on a lie? For 33 years, I have been espousing the party line that good documentation positively impacts patient care. I have taught documentation to providers who have gotten in trouble with their medical boards for six years, including appropriate evaluation and management (E&M) levels of service. As I see it, the problem is not that
following guidelines is excessively burdensome; it is that the guidelines were... Click Here to Read More
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CMS Gives $925M Payment Boost to Post-Acute Providers
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CMS issued final rules July 31 that increase payments to inpatient rehabilitation facilities and skilled-nursing facilities by $925 million. Here are six things to know about the
rules: Click Here to Read More
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Are HIM Coding Professionals Qualified to Query for Clinical Validity? Part II
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I want to highlight some of the comments, opinions, and questions shared with me after people listened to Talk-Ten-Tuesdays and/or read Part I of this series. It is important to note that this is not a fight between nurses and coding professionals, but an issue of competency, focusing on whether the necessary qualifications and skills
exist. Click Here to Read More
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