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Tag Archives: physicians
Most Physicians Not on Par with Medicare PQRS Quality Reporting Standards
Fewer than one-in-five providers can claim compliance with Medicare Physician Quality Reporting System (PQRS) requirements, according to a recent Harvey L. Neiman Health Policy Institute report. Unto those few who currently align themselves with the reporting policies, .5 percent Medicare … Continue reading
Posted in Medicare, News
Tagged advice, assistance, auditor, billing, claim, CMS, compliance, education, EHR, EMR, healthcare, help, medicaid, medicare, physician, physicians, PQRS, practice, quality, reimbursement
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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
Posted in Audio Conferences, Events, Medicare, News, RMC
Tagged advice, answers, assistance, audio, auditor, CMS, coder, codes, coding, compliance, CPT, documentation, E/M, education, EHR, Evaluation and Management, medicare, noridian, OIG, physician, physicians, practice
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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
Posted in Medicare, News, RMC E-Alerts
Tagged advice, assistance, auditor, billing, claim, coder, codes, coding, compliance, documentation, E/M, Evaluation and Management, medicare, OIG, physician, physicians, practice, reimbursement
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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
Posted in Medicare, News, RMC E-Alerts
Tagged advice, assistance, auditor, billing, claim, CMS, coder, codes, coding, compliance, documentation, E/M, Evaluation and Management, medicare, physician, physicians
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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
Posted in How-To, News, Q & A, Q & A with RMC, RMC
Tagged advice, answers, assistance, CMS, coder, codes, coding, compliance, component, CPT, documentation, E/M, education, element, Evaluation and Management, history, HPI, medical coding, medicare, physician, physicians, practice, questions, reimbursement, support
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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
Posted in Q & A, Q & A with RMC, RMC
Tagged advice, answers, assistance, billing, chiropractor, coder, codes, coding, compliance, consult, consultation, documentation, E/M, Evaluation and Management, insurance companies, lawyer, nurse practitioner, occupational therapist, physical therapist, physician, physician assistant, physicians, practice, psychologist, questions, social worker, speech-language pathologist
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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!
Posted in Conferences, Events, News, RMC
Tagged coding, compliance, conference, CPT, documentation, E/M, education, Evaluation and Management, medicare, onsite, Oregon, physician, physicians, questions, services, support
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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
Posted in Q & A, Q & A with RMC
Tagged advice, answers, billing, CMS, coder, codes, coding, compliance, CPT, documentation, E/M, education, Evaluation and Management, medicare, noridian, physician, physicians, questions
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RMC’s May Audio Conference – Physician Modifiers: When to Use Them
Dial in anytime on May 19, 2011 and tune into our Audio Conference on “Physician Modifiers: When to Use Them.” Presented by Angela Harrington, CPC. Email Kristin@rmcinc.org or call 800-538-5007 for more details and pre-registration.
Posted in Audio Conferences, Uncategorized
Tagged advice, answers, assistance, audio, coder, codes, coding, compliance, conference, education, May, modifiers, physician, physicians, questions, reimbursement, RMC, use
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Excision of Benign (CPT 11400-11446) versus Malignant (CPT 11600-11646) Lesions
by Connie Eckenrodt, RHIT, CHC A skin lesion is a superficial growth or patch of skin that is dissimilar from the area surrounding it. The vast majority of skin lesions are non-cancerous, or benign. The physician will determine whether or … Continue reading
Posted in Q & A
Tagged answers, benign, codes, coding, compliance, CPT, excision, lesions, malignant, medical, physicians, procedures, questions, reimbursement, tumors
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