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Wednesday, May 10, 2017

CE Articles

Deciphering documentation requirements for wound care coding

Wound care can be messy, but reimbursement and billing for wound care does not need to be as troublesome if coding and documentation are done correctly. One of the bedrocks in billing for wound care is ensuring medical necessity, and there are a few tricks and standards to learn about medical necessity in order to stay compliant.

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Embrace DSM-5 and ICD-10-CM in drug use, abuse, and dependency
As physicians and society debate the rising incidence and devastating effects of opioid dependency, neonatal abstinence syndrome, and the use and abuse of other mood-altering chemicals, James Kennedy, MD, CCS, CDIP, explains how providers must partner together to define, diagnose, document, and report drug-related events so that ICD-10-CM-dependent administrative data can accurately measure its epidemiology, responses to treatment, and consequences. 
External supports to achieve coding compliance
Coding plays a large role in claims and therefore is a key factor in reimbursement compliance. As such, coders have a responsibility to be as accurate and up-to-date on coding practices as possible. Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS, explores some of the organizations and regulatory bodies available to assist coders.
Healthcare News: CMS provides guidance on colorectal cancer screening claims payments
CMS released a change request April 28 which provides guidance for Medicare Administrative Contractors on how to ensure accurate program payment for moderate sedation services provided as part of screening colonoscopies. 
Q&A: Documenting continuous infusions for observation patients
Q: What are the documentation requirements for a continuous infusion for an observation patient, especially spanning the midnight hour? We often see rate change or rate verification notations during continuously running infusions, but would a start and stop time be required or expected for each bag change?
 

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Product of the week: Overcome 2017 OPPS Modifier Reporting Challenges  

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JustCoding News: Outpatient
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