Computer Assisted Coding

Chart Conundrums: Queries: Moving Beyond Business as Usual to Identify Learning Opportunities

By Clarissa Barnes, MD for For The Record While often said in jest, my dislike of getting queries delivered to my inbox is (at least indirectly) 100% responsible for my work as a physician advisor. Queries were an intrusion in my otherwise organized workflow. It seemed like my only option was to keep answering them…

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How CMS final rule will impact E/M coding and documentation requirements

By Ben Howard for Med City News This year ushered in many changes affecting reimbursement for healthcare providers, but few are as important as the new Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) and the updated coding guidelines for Evaluation and Management (E/M) services from the American Medical Association. For…

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CMS identifies billing codes for Eli Lilly’s COVID-19 antibody therapy

By Katie Adams for Becker’s Hospital Review CMS published specific codes for billing Medicare for Eli Lilly’s COVID-19 antibody cocktail. The FDA granted emergency use authorization Feb. 9 to the antibody cocktail, a combination of antibodies bamlanivimab and etesevimab. The agency granted emergency use authorization to bamlanivimab Nov. 9. The new approval is based on phase…

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It’s Time for Coders to Get ‘With’ It

By Lori Amende, RHIA for For the Record Starting in October 2016, coders began to see a shift in how the key word “with” should be applied in the ICD-10-CM classification system. Since then, additional guidance has been provided to help further clarify this coding convention, including some exceptions to be aware of. In this…

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AMA adds CPT codes for J&J COVID-19 vaccine

Katie Adams for Becker’s Hospital Review The American Medical Association on Jan. 19 published three Current Procedural Terminology codes for the COVID-19 vaccine being developed by Johnson & Johnson. The codes allow for better tracking and data reporting by distinguishing the vaccine from others. The AMA published the new CPT codes so that electronic systems throughout the…

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Cover the Revenue Cycle From All Corners

By Susan Chapman for For the Record Health care organizations are increasingly adopting revenue integrity (RI) programs, which, as defined by the National Association of Healthcare Revenue Integrity, are valuable to “prevent recurrence of issues that can cause revenue leakage and/or compliance risks through effective, efficient, replicable processes and internal controls across the continuum of…

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A Tangled Mess

By Monique Griffin for For the Record From sequencing to recognizing manifestations, coding  for COVID-19 is no easy task. When the pandemic emerged, the World Health Organization (WHO), the American Medical Association (AMA), and the Centers for Medicare & Medicaid Services (CMS) scrambled to update codes for the diagnosis, testing, and tracking of COVID-19. Prior…

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Compensation for physician practice billers & coders — 9 survey insights

By Angie Stewart for Becker’s Hospital Review Nearly one-third of full-time billers and coders at physician practices make between $40,001 and $50,000 a year in direct monetary compensation, according to Physician’s Practice’s “2020 Staff Salary Survey.” The survey’s 295 respondents specified how much the average non-physician provider earns annually: Note: Percentages do not add up…

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