We are Now in an ICD-10 World – But is Data Better?
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Prior to the implementation of ICD-10, the key selling point of the new coding set was that it provided the opportunity for more detailed data about the nature of each patient’s condition. In theory, this improved data would allow us
to...
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Why Employers Should Care About Medical Billing Errors
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Errors on medical bills are a more significant problem than you might think. Experts say as many as 80% of medical bills in the U.S. contain errors, according to Derek Fitteron, CEO of Medical Cost Advocate, a medical billing review and negotiation firm focused on helping employees navigate the complexity of medical billing. For 25% to 30% of those bills, the error
is...
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When an E/M Code Can Be Billed with a Physical on the Same Day
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Current procedural terminology guidelines for preventive medicine state: “If an abnormality is encountered or a preexisting problem is addressed in the process of performing this preventive medicine evaluation and management service and if the problem/abnormality is significant enough to require additional work to perform the key components of a problem oriented E/M
service...
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HHS Issues 6-Month Delay to Common Rule Implementation
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The Department of Health and Human Services, along with 15 other federal agencies, has issued a six-month delay to an Obama-era rule that provides health informatics researchers with greater access to EHR and patient-reported
data.
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CDI and Medical Necessity: Closing the Gap Could Prevent Denials
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Medical policies are based off of evidence-based medicine. Without proper documentation, however, most providers struggle to get services or procedures covered for patients.
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