Tag Archives: documentation

Noridian Medicare Part B Update re: ICD-10, posted 1/02/13

ICD-10: Simple Steps to Improve Clinical Documentation On October 1, 2014, your practice and the clearinghouses, payers, and billing companies that you work with will need to use ICD-10 codes. One way to help your practice prepare for ICD-10 is … Continue reading

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RMC presents at OrHIMA Coding Roundtable Today

Connie Eckenrodt, RHIT, CHCA, CHC, Director of Physician Coding & Compliance at RMC, will be presenting the last session in a 3-part series on advanced E/M coding today for the Oregon Health Information Management Association’s monthly Coding Roundtable.  The topic … Continue reading

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OIG Report on Coding Trends of Medicare E/M Services

In May 2012, the HHS Office of the Inspector General (OIG) issued a report on the Coding Trends of Medicare Evaluation and Management Services.  Medicare payments for E/M services increased 48% between 2001 and 2010 whereas payments for other part … Continue reading

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E/M Audits Hit Center Stage in RAC Region C

CMS has approved the Medicare Region C Recovery Auditor (RAC) Connolly to begin conducting audits of coding for E/M services in physician offices, specifically for CPT codes 99214 and 99215, with dates of service after October 1, 2007.  The following … Continue reading

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U.S. Warning to Hospitals on Medicare Bill Abuses

The Obama administration cited “troubling signs” of abuse from the use of electronic records and vowed to prosecute fraud cases. http://www.nytimes.com/2012/09/25/business/us-warns-hospitals-on-medicare-billing.html?smid=pl-share

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HPI Element: Modifying Factor

A modifying factor is something that is being done to help or alleviate the problem.  In order to qualify this element, there should be some notation of the patient’s response to that which was done.  For example: patient has knee … Continue reading

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Exam Finding: Extraocular Movements (EOM)

Normally, the eyes move together in concert: when the left eye moves left, the right eye moves left, too.  The brain takes the input from each eye and puts it together to form a single image. This coordinated movement depends … Continue reading

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Pro Fee Coding Question: Consult Requests

Q.  Can a physical therapist initiate a consult to a physician for one of their patients?.  A.  CPT clarifies that a consultation may be requested by another physician or other “appropriate source.”  CPT lists examples of appropriate sources to include physician assistants, … Continue reading

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Attention COIPA Membership!

RMC is working with COIPA to bring a live coding education presentation to Bend, Oregon!  Save the date: July 11, 2012.  More info to follow!

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Pro Fee Coding Question: Preoperative Exam Diagnosis

Q.  Can diagnosis code V72.8 (pre-op exam) be used by a general physician or just a surgeon?  If used by a general physician would the secondary diagnosis be the reason for the surgery or the condition the physician is actually … Continue reading

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