Peggy S. Blue, MPH, CPC, CCS-P, CEMC, takes a look at scleroderma diagnoses and helps coders to break down the disease components and treatment to better identify it in documentation and improve coding.
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A half-dozen changes to the adjudication of Medicare claims-denial appeals are designed to ease a festering backlog of cases.
Tip of the week
"The real story of the Quality Payment Program proposed rule isn't that CMS made it a little easier for people. The real story is, who is going to see this for what this is? The goal is to transition to alternative payment models, so why would you want to not get into the game and start developing these proficiencies?"
Mary, a medical case manager, was comforting Susan, the daughter of one of her patients, who was distressed because her mother was hospitalized with a broken hip. Susan, an only child, was the primary caregiver for both her parents. After visiting her mother in the hospital, Susan would run home to provide evening care for her father, who had a home-care technician during the day.
Q: We use an electronic system at our hospital and find it is difficult to query a physician since we all have our own processes. Would you recommend having a set format for a query that is used electronically?
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This toolkit combines a book-length PDF, full-length webinar, and other essential tools and sample forms to provide coders with the training they need on properly coding while staying compliant with medical necessity requirements. This combined resource accommodates all styles of learning and provides valuable tools to help ensure ongoing compliance.
Compiled by HCPro regulatory specialists, this is a collection of links for healthcare professionals researching coding, billing, compliance, and Medicare.
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