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Overcoding and undercoding are two coding mistakes that can have damaging results on the medical office. Medical coding is not just about receiving reimbursements for services provided. Coding claims accurately lets the insurance payer know the illness or injury of the patient and the method of treatment. Overcoding is Fraud: Overcoding leads to insurance companies making much higher…
Practices that bill Medicare incorrectly create newsworthy events. If you don’t want to see your practice on the front page for the wrong reasons, you’ll need to check your E/M coding conventions to be sure you aren’t miscoding E/M services. The lowdown: In 2014 Medicare Fee-for-Service improper payment rate was 12.7 percent.…
The US Centers for Medicare and Medicaid Services (CMS) has announced that the use of the International Classification of Diseases, 10th revision ICD 10 codes will begin on October 1, 2015, which according to CMS is the soonest possible date allowed in a law passed by Congress earlier this year. The…
Outsourcing is today a commonly used term with most medical practices opting to outsource their services due to the problems faced by them as a result of the ever changing healthcare changes. The add-ons have been the changing billing requirements and rules with ACA and of course the ICD-10 coding…
The conventional wisdom is that we need to wait a few weeks to tell if the ICD-10 transition is successful. It seems that physicians aren’t willing to wait. There has been a significant amount of complaints published in the first week of ICD-10 implementation. The beginning of the new coding…