Top Challenges, Opportunities of Medical Coding and Billing
Published: Mon, 03/29/21
Top Challenges, Opportunities of Medical Coding and Billing By April of last year, seemingly every news station in American was featuring the heroic…
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Medical Coding practice exams and exam preparation tools and information
A Novel Approach to Defending Technical Denials
Published: Tue, 03/23/21
A Novel Approach to Defending Technical Denials For years, providers have been plagued with defending claims for medically necessary services that…
Integrating COVID-19 into Coding and Clinical Documentation Integrity
Published: Mon, 03/15/21
Integrating COVID-19 into Coding and Clinical Documentation Integrity Understanding how to clinically validate sepsis and differentiate between sepsis…
Skilled Nursing Facility Staffing Impacted by New Payment Rules
Published: Wed, 03/10/21
Skilled Nursing Facility Staffing Impacted by New Payment Rules Skilled nursing facility (SNF) staffing levels across several provider types have…
OIG: Hospitals are upcoding severity levels for Medicare patients
Published: Tue, 03/02/21
OIG: Hospitals are upcoding severity levels for Medicare patients A new report from the Department of Health and Human Services' Office of the…
Death of the Inpatient-Only List is NOT the Death of Medical Necessity
Published: Fri, 02/26/21
Death of the Inpatient-Only List is NOT the Death of Medical Necessity For readers of and listeners to RACmonitor and Monitor Mondays, overthinking…
Payer Split-Bill Requirement: Separate Claims to Avoid Edit
Published: Thu, 02/25/21
Payer Split-Bill Requirement: Separate Claims to Avoid Edit In December 2020, the Centers for Disease Control and Prevention (CDC) announced si new…
COVID-19 CPT coding and guidance
Published: Wed, 02/24/21
COVID-19 CPT coding and guidance New Current Procedural Terminology (CPT®) codes have been created that streamline the novel coronavirus testing…
Two Common Knee Ligament Injuries and Their ICD-10 Codes
Published: Tue, 02/16/21
Two Common Knee Ligament Injuries and Their ICD-10 Codes Knee ligaments connect the bones and cartilage, and hold and support the knee joint. Any mild…
Medical Coding Guidelines for COVID-19 Treatment and Vaccinations
Published: Mon, 02/08/21
Medical Coding Guidelines for COVID-19 Treatment and Vaccinations With COVID-19 vaccinations now being administered across the United States, we have…