Split-Shared Billing Challenges in Critical Care Service Written by: Shannon O. DeConda, CPC, CPMA, CEMC, CEMA, CPA-EDU, CRTT Effective collaboration between healthcare providers is vital in the fast-paced environment of Intensive Care Units (ICUs). Split shared services—where a physician (MD) and an Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) jointly manage patient care—are…
Ensuring Compliance with Medicare’s Pain Management G Code Written by: Shannon O. DeConda, CPC, CPMA, CEMC, CEMA, CPA-EDU, CRTT Medicare has been actively enhancing care management services to better support patients with chronic conditions. According to the U.S. Pain Foundation, over 50 million people in the United States are affected by chronic pain, so the…
November 22, 2024 | By Jordan Johnson, MSHA Coding for oncology services is an intricate task, requiring attention to detail, a deep understanding of clinical workflows, and the ability to navigate multiple systems and payer requirements. In radiation oncology, services often span multiple months, with a patient’s treatment involving 30-50 Current Procedural Terminology (CPT)…
Preventative Testing – Unique Risk Stories – Listening to your patients By Jill Young CEMC, CPC, CEDC, CIMC September 27, 2024 I am going to tell you a story about my family and their journey with Preventive Testing and colon cancer. Names have been changed to protect the innocent and some facts may have been…
Getting it right: HCC in Primary Care Rhonda Buckholtz CPC, CPMA, CDEO, CRC, CHC, COPC September 20, 2024 Many of us have a love/hate relationship depending on your role in healthcare. From a provider standpoint, most often we think of these as an administrative burden with no upside. However, a shift in thinking is needed…