Tag Archives: medical necessity

What We’re Reading – Boost Reimbursement through Improved Documentation: 5 Tips

Physicians and coders/billers need to be on the same page when it comes to getting claims processed and reimbursed correctly. The key to this – and you’re probably sick of hearing it – is documentation. Especially with ICD-10 coming around … Read Full Post

Tagged current procedural terminology, documentation, e&m, e&m level, ehr, electronic health record, evaluation and management, highest level of specificity, improving documentation, medical necessity, physician documentation, reimbursement |

Medicare ACOs: The Basics of Financing (Part 3)

In the first two parts of this five-part series, we looked at some background information on ACOs as well as the assignment of Medicare beneficiaries and the limitations on their choices. In essence, there are no limitations on provider choice … Read Full Post

Tagged aco financing, aco's model, center for medicare and medicaid services, cms, health care services, managed care contracts, medical necessity, medicare acos, medicare beneficiaries and the aco, the basics of financing for medicare acos |

What We’re Reading – Sometimes physician query is imperative

A staff member’s role is one of supporting the clinician. However, in the area of coding and billing, the perspective is more of collaboration as the employee must appropriately transfer the practitioner’s documentation into correct codes, advise him/her on the … Read Full Post

Tagged appendicitis, coding and billing, coding guidelines, medical documentation, medical necessity, pericarditis, query the physician, reimbursement |

Tag Archives: medical necessity

What We’re Reading – Boost Reimbursement through Improved Documentation: 5 Tips

Medicare ACOs: The Basics of Financing (Part 3)

What We’re Reading – Sometimes physician query is imperative

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