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Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding, ICD, HIPAA and practice management functions.
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A healthcare organization is looking for a new electronic medical record, secure messaging application or any other solution. It compares a number of vendors, product features and gets close to choosing one. Just before making the ultimate decision, someone asks, what about HIPAA? As this question enters the discussion, another person says that the chosen product is HIPAA “certified.” Hearing that the product is certified, everyone is satisfied and thinks that HIPAA obligations are all set. Unfortunately, HIPAA “certification” does not settle any issue. The question of certification is one that has been around almost as long as HIPAA itself. From the legal perspective, certification is not even worth the …
Published By: Melissa Clark, CCS-P on March 29, 2017
Less than a decade ago, nine out of ten doctors in the U.S. updated their patients’ records by hand and stored them in color-coded files. By the end of 2017, approximately 90% of office-based physicians nationwide will be using electronic health records (EHRs). Health records are changing quickly — here’s a snapshot of the current EHR landscape: Support for EHR adoption The annual healthcare spending of the country reached ~$2.9 trillion in 2011. It’s expected to soar to $3.5 trillion by 2015. Medical errors cost $19.5 billion a year, and maybe as much as $1 trillion a year when accounting for lost productivity. Medical errors are the third leading cause of death …
Published By: Melissa Clark, CCS-P on March 28, 2017
SCENARIO: So, you are working at a multi-specialty practice that recently employed a urologist. As the Lead Medical Auditor and a member of the Corporate Compliance Team, you begin to worry about the chart audits as you have no members on your team that have worked within this specialty before. Take a deep breath – and remember that the largest volume of claims that the urologist will bill are E&M services. Regardless of the specialty of any medical practice, each will utilize Evaluation and Management (E&M) services in greater volumes than surgical services. Specialty-specific trained medical auditors are well versed in trudging through records to note the disease processes and …
Published By: Shannon DeConda on February 18, 2017
When to use Modifier 91? Modifier 91 is used for the reporting of repeat laboratory tests or of studies that are performed on the same patient on the same day. You will only add Modifier 91 when additional tests results are to be subsequently obtained to the initial administration or the performance of the tests done on the same day. When Not to Use Modifier 91 Modifier 91 is not used when laboratory studies or tests are rerun as a result of equipment or specimen malfunction or error. It is also not used when a test is repeated to confirm the results that the initial test reported. In addition, based …
Published By: Melissa Clark, CCS-P on January 11, 2017
We are hiring again. Outsource Management Group, LLC, is seeking an experienced orthopedic coder to work in our office and closely with our numerous orthopedic clients. This position is to be full-time with all benefits, however, a part-time position is possible for a candidate that fits perfectly, but is unable to be full-time. This position is to be filled in our office at the address below, if you are unable to work in our office in Bloomington, Indiana, please do not submit a resume for this position. Acceptable candidates possess either 1 or more of the following: 1. Currently holds a coding certification through AHIMA or AAPC 2. Has 2-3 …
Published By: Kathryn Etienne, CCS-P on January 7, 2016
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