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Medical Coding COVID-19 Challenges and Answers

Posted by David Fong on Mar 25, 2020 8:00:00 AM

The medical coding industry before COVID-19 made it easy for you. If you were outsourcing it was simply domestic versus global. Fast forward to this COVID-19 pandemic, the healthcare industry has been flipped on its head. Hospitals are expecting a surge in demand with an increasing number of testing, triage and positive COVID-19 patients needing hospitalization. This in the face of a short supply of hospital beds, ICUs, and ventilators, as well as temporary facilities being added as fast as possible. Medical coding is facing similar challenges to meet this growing demand.

 

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Topics: ICD-10, Medical Coding, Pro-Fee Coding, Facility Coding, Outpatient Coding

National Coding Contest Indicates Outpatient Coding Quality Challenges

Posted by David Fong on Feb 13, 2020 5:15:00 PM

A recent article in ICD10 Monitor reported that a national coding contest held annually found outpatient coding in 2019 had the worse coding accuracy in the past three years. Central Learning has held this coding contest since 2016.

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Topics: ICD-10, Medical Coding, Pro-Fee Coding, Outpatient Coding

People-Centered RCM to Bend the Healthcare Cost Curve

Posted by David Fong on Dec 18, 2019 8:00:00 AM

A recent Becker's Hospital Review article highlighted healthcare's significance in the American economy. In that, healthcare accounts for more than 17 percent of the nation's gross domestic product, employs more people than any other industry in the nation, and venture capital alone invested more than $23 billion in healthcare in 2018. The article points out that despite these massive investment and the efforts of a talented workforce, many of the nation's hospitals and health systems operate on razor-thin operating margins and face the dual challenge of achieving fiscal sustainability while delivering high quality care to patients.

 

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Topics: ICD-10, Revenue Cycle Management, Medical Coding, Pro-Fee Coding, Facility Coding

Physician Documentation and Coding Can Have Significant Provider Impact

Posted by David Fong on Nov 27, 2019 2:55:00 PM

A recent Forbes article entitled “Physician Documentation And Coding: The Third Rail? showcased the potential missed opportunities to fully understanding the correlation between physician documentation and coding and their resulting effects. Whereas patients may interpret documentation as a doctor providing an account of your visit in your medical record, providers have a far greater impact with documentation. Documentation and coding can affect revenue, quality of care, and potentially expose providers to legal compliance consequences.

 

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Topics: ICD-10, Medical Coding, Coding Compliance, Pro-Fee Coding, Facility Coding

CMS Latest Final Rule Updates Office/Outpatient E/M Coding and Documentation Policies

Posted by David Fong on Nov 15, 2019 6:00:00 AM

The Centers for Medicare & Medicaid Services (CMS) issued a final rule earlier this month that includes updates to payment policies and rates for services provided under the Medicare Physician Fee Schedule (PFS) effective on or after January 1, 2020, as well as updates to its E/M coding starting on January 1, 2021.

 

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Topics: ICD-10, Medical Coding, Coding Compliance, Pro-Fee Coding, Facility Coding

Healthcare Waste Eclipses U.S. National Defense Budget, Study Finds

Posted by David Fong on Oct 31, 2019 3:00:00 PM

The annual U.S. national defense spending budget represents a massive hard-to-imagine number. Now consider the amount of waste in the country’s healthcare system. Likely a large amount, but it must be less than national defense—right? According to a recent article on CBSNews.com titled “Wasted health care spending in the U.S. tops annual defense budget, study finds,” the healthcare waste actually exceeds the FY2019 national defense budget, and is estimated at $760 to $935 billion per year. This is waste on a scale that’s difficult to imagine. It’s about a quarter of the sum total of healthcare spending. The study referenced in the article is from the Journal of the American Medical Association, and details the immense scale of the problem.

 

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Topics: ICD-10, Medical Coding, Pro-Fee Coding, Facility Coding

Mammography Coding Changes Highlighted During Breast Cancer Awareness Month

Posted by David Fong on Oct 17, 2019 7:00:00 AM

October is Breast Cancer Awareness Month.  As part of the overall push for mammogram screening and self-checks, there are also calls for practices to ensure they are coding properly for Medicare-provided mammograms. According to a recent AAPC blog post written by Barbara Aubry, RN, AAPC fellow, there are several important ICD-10-CM updates, recently deleted codes, and updates for 2020. These updates began on October 1st for FY 2020.

 

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Topics: ICD-10, Medical Coding, Pro-Fee Coding

Be Prepared for the ICD-10-CM Coding Changes for FY 2020

Posted by David Fong on Jul 31, 2019 6:00:00 PM

The Centers for Medicare & Medicaid Services recently announced updates for ICD-10-CM coding. Managing and keeping abreast of these codes are a complex undertaking, as there will be 72,184 codes in FY 2020. Healthcare organizations should strongly consider utilizing outside coding assistance to effectively understand the changes and benefits of the changes to ICD-10-CM.

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Topics: ICD-10, Medical Coding

Medical Coding Certifications

Posted by Ben Castleberry on Jun 4, 2016 6:30:00 AM

 

If you are considering having a serious career in medical coding, the first thing you need to do to gain credibility is to get certified. There are several different types of certifications for medical coders so make sure you know which one would be best for you. The certifications are split into two different levels: entry- level certifications and advanced certifications. Here are some of the most popular certifications:

 

Entry-level Certifications

 

Certified Coding Associate (CCA)

This is offered through AHIMA and is one of the most basic certifications that they offer. The program is designed to give medical coders a general understanding of coding principles. It will create coding competency in both hospitals and physician practices.

            Eligibility Requirements:

  • High School Diploma

            Eligibility Recommendations:

  • 6 months of medical coding experience
  • Completion of an AHIMA approved coding program

 

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Topics: ICD-10, Medical Coding, HIM

3 Ways to Prevent Revenue Leakage in Healthcare

Posted by Ben Castleberry on May 31, 2016 8:57:26 AM

Your practice will experience revenue leakage starting the moment a patient schedules an appointment with you. Some of these leaks typically start out small but overtime they will make large dents within your practice. Below are some tips to help improve your rev cycle management system and prevent those leaks.

 

  1. Patient Information: Acquiring accurate patient information will help reduce claim rejections due to ineligibility, patient not found, or service not authorized. Implement a checklist at your practices registration office to help insure accuracy. The staff member registering a patient should verify the patient’s information, take a photocopy of the patient’s insurance card, and review the patient’s insurance (optimally, this would be done before the physician sees the patient in order to avoid performing services that are not covered).

 

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Topics: ICD-10, Medical Coding, HIM