Medical Necessity in 2022
January 21, 2022 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC While I am sure you have heard it several dozen times by now, I want…
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Should Your 2022 Audit Plan Include Paid Claims?
January 14, 2022 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT In 2022, when we sit down to configure an audit plan, we often consider whether we will perform…
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Mastering Remote Monitoring Compliance in 2022
January 7, 2022 | By Toni Elhoms, CCS, CPC, CPMA, CRC It’s our favorite time of the year again – coding and regulatory compliance update season! As I’m sure…
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Auditing Time-Based E/Ms Under 2021 Guidelines
December 24, 2021 | By Grant Huang, CPMA, CPC The 2021 E/M guidelines’ more permissive rules for time-based coding is a potential watershed moment for physicians who want to…
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Pre-Op Visits: Are They Medically Necessary?
December 17, 2021 | By Stephanie Moore, CPC, CPMA Many facilities will require a preoperative history and physical within 30 days of a procedure. Does this requirement from the…
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Don’t Sleep On Small Claims Denials
December 10, 2021 | by Kelley Chappell Larkins, CPMA, CPC Are you ever tempted to just sweep those small claim denials under the rug? Do you sometimes wonder if…
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Cracking The Code: How To Get Paid From The HRSA Uninsured COVID-19 Portal
December 3, 2020 | By Holly Cassano, CPC, CRC There are not many positives that are generally born out of a Pandemic, but for the COVID 19 Pandemic, there…
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What To Do When a Provider Reports All E/M Levels Solely Based On Time
November 26, 2021 | By Toni Elhoms, CCS, CPC, CPMA, CRC As I am sure many of my colleagues can relate, I have frequently heard statements like, “All my…
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Prospective, Retrospective, Random, Comprehensive, Focused…Oh My!
November 19, 2021 | By Susan O’Loughlin, CPC, CPMA, CRC Director of Professional Coding and Provider Education – UVM Health Network CVPH Prospective, Retrospective, Random, Comprehensive, Focused… Which one…
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Revenue Cycle Analysis Presents Multiple Ways to Improve Compliance
November 17, 2021 | By Scott Kraft, CPMA, CPC A physician practice revenue cycle analysis is really driven by that old saying “Follow the Money.” Along the journey, however,…
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