Electronic Health Records - Advantages and Pitfalls of Documentation

Size: px
Start display at page:

Download "Electronic Health Records - Advantages and Pitfalls of Documentation"

Transcription

1 Electronic Health Records - Advantages and Pitfalls of Documentation Kansas City, KS HCCA Regional Conference September 25, :00 P.M. 2:00 P.M. Presented by: Cynthia A. Swanson, RN, CPC, CEMC, CHC, CPMA AAPC ICD-10-CM Proficient Senior Manager Healthcare Consulting Seim Johnson, LLP Burt Street, Suite 200 Omaha, NE Tel: Fax: cswanson@seimjohnson.com 2 1

2 Disclaimer A presentation can neither promise nor provide a complete review of the myriad of facts, issues, concerns and considerations that impact upon a particular topic. This presentation is general in scope, seeks to provide relevant background, and hopes to assist in the identification of pertinent issues and concerns. The information set forth in this outline is not intended to be, nor shall it be construed or relied upon, as legal advice. Recipients of this information are encouraged to contact their legal counsel for advice and direction on specific matters of concern to them. The information contained in this document is current at the time of preparation. For ongoing coding revisions and Medicare updates, refer to AMA publications, your local Medicare contractor and CMS notices. CPT is a registered trademark of the American Medical Association. All rights reserved. 3 Agenda Paper Chart to Electronic Health Record (EHR) Advantages and Pitfalls EHR Documentation Contradictions/Concerns Medicare Signature Requirements Practice Tips and References for: Medicare shared/split services Medical students, residents and teaching physician (TP) services Scribe services Prevention and Coding Compliance Questions/Discussion 4 2

3 Paper Chart to EHR Strengths/Advantages Legibility Easeof Search Information Granularity Misfilings Lost Charts Scheduling Billing Interface/Orders Weaknesses/Pitfalls Learning Curve (slower) Security Costs Upgradesand Depreciation 5 EHR Capabilities/Other Considerations E-prescribing Reduced testing, reduced medication errors, reduce waste and duplicate testing Shared record Templates Data extraction Software selected codes Automated inclusion of diagnosis information 6 3

4 EHR Capabilities/Other Considerations (continued) Automated reminders Preventive care Data for research Audit Legal defense Meaningful use - $ if using, $ if not using Hospitals Physicians 7 EHR - Code Selection/Documentation Billing Software Features Charge capture Evaluation and Management (E/M) code level assignments Who makes CPT/HCPCS code determination(s) in your organization? Documentation and election of other services Procedures Laboratory Tests (and venipunctures) Diagnostic Tests Injections/Medications 8 4

5 EHR -Auto Coding Auto Coding E/M Services CPT codes May be inaccurate May not follow AMA, CMS and/or Medicare Administrative Contactor (MAC) guidelines Does the physician free text? (not part of E/M calculation) Is all documentation flowing through to a printed page? Must understand your EHR and exactly how it determines the level for E/M codes if utilizing EHR functionality of auto-coding 9 EHR - Pitfalls Missing or Incomplete Documentation All documentation elements for the E/M visit are not provided for review Elements are documented on templates however do not print on the output documents or are found on separate documents Physician may refer to another document or flow sheet in the note Practitioners may neglect to generate additional notes Some EHR systems have separate notes for procedures and other types of services» The practitioner may neglect to generate and sign off on these notes 10 5

6 EHR - Pitfalls (continued) Copy and Paste Features and Cloning *How does the EHR appear to an outside reviewer? Copy forward -History, Review of Systems (ROS), Past, Family and Social History (PFSH) elements that may not be pertinent to the visit Many EHRs allow practitioners to bring forward a previous exam in addition to the assessment and plan Copy and paste features can lead to cloned notes and potential overbilling 11 EHR - Pitfalls (continued) Over-Documentation Over-documented ROS and exam elements solely to meet the requirements for a higher level of service when the nature of the presenting problem suggests a lower level Templates should be built based on the presenting problem and when built correctly they will only have the pertinent ROS and exam elements standard for the presenting problem Medical Necessity and Volume of Documentation Are multiple pages of EHR notes really necessary for a minor complaint or a stable diagnosis? Education with practitioners 12 6

7 Medical Necessity Medicare Claims Processing Manual, Chapter 12, Medical necessity of a service is the overarching criterion for paymentin addition to the individual requirements of a CPT code.it would not be medically necessary or appropriate to bill a higher level of evaluation and management service when a lower level of service is warranted.the volume of documentation should not be the primary influence upon which a specific level of service is billed. Documentation should support the level of service reported. The service should be documented during, or as soon as practicable after it is provided in order to maintain an accurate medical record. 13 Documentation Contradictions/Concerns Example of Questionable Notes Date of Service: 02/13/2015 Date of Birth: 05/06/1950 HPI: This 48 year old male is seen today for complaints of fever, runny nose, sore throat and cough for the past five days. Taking OTC medication although he does not believe it is helping. He also has right ankle pain due to missing the last step coming out of his apartment and falling two days ago, severity of pain 4/10. Exam: HEENT:normal, Lungs:normal, Heart:RSR, Musculoskeletal: normal and Skin: normal Diagnosis: URI, rt. ankle sprain Plan: Orders -CBC, Rt. ankle x-ray and RX antibiotic x 10 days Dictated by xxxxx, MD: 05/30/

8 Medicare Signature Requirements Medicare Program Integrity Manual, Chapter 3, Signature Requirements For medial review purposes, Medicare requires that services provided/ordered be authenticated by the author. The method used shall be a handwritten or electronic signature. Stamped signatures are not acceptable. 15 EHR -Medicare Signature Requirements Signature Authentication WPS Medicare has a statement regarding electronic signatures: For providers using EMR systems, it is crucial that the electronic signature is affixed to the records when corresponding to all Medicare requests for documentation. Although CMS has not published formal regulations regarding electronic signatures, we recommend that an electronic signature be accompanied by a statement indicating that the signature was applied electronically. We also recommend including the date and time the record was authenticated. Electronic signature notations can include the following (not all-inclusive): Electronically signed by Verified by Reviewed by Signed by Authenticated by Authorized by Confirmed by Finalized by Electronically approved by 16 8

9 EHR - Medicare Signature Requirement Pitfalls Pitfalls: -The electronic signature statement on the document does not meet Medicare requirements or is non-existent -The physician electronic signature is signed and dated long after the service was provided and billed Example: Date of service: 12/06/2013. Electronic physician signature 01/22/2015. DO: Maintain current signature logs -Change of staff, new, retired, termed employment, etc. Utilize signature attestation statement when necessary 17 EHR -Authentication by Author Who Did What? Pitfalls: Authentication of nursing and other ancillary staff is missing This can be troublesome when you consider there are only certain parts of E/M documentation that ancillary staff can actually perform Not all systems show the authentication of the author within the note When the note prints, the RN could have documented the entire visit, yet all you see is the practitioner s electronic signature Caution: Inability of a practitioner to use ancillary staff to record the History of Present Illness (HPI) of an E/M encounter Systems have audit logs that track who did it in the metadata 18 9

10 EHR - Templates Medicare Program Integrity Manual, Chapter 3, Progress Notes and Templates A. Definitions For the purposes of Section , the following definitions apply: 1. "Progress Notes" --visit notes, encounter notes, Evaluation and Management documentation, office notes, face-to-face evaluation notes or any other type of record of the services provided by a physician or other licensed/certified medical professional (LCMP) in the medical record. Progress notes may be in any form or format, hardcopy or electronic. 19 EHR - Templates (continued) 2. "Template" -a tool/instrument/interface that assists in documenting a progress note. Templates may be paper or electronic. Electronic records may involve any type of interface including but not limited to: -simple electronic documents, -sophisticated graphical user interfaces (GUIs) with clinical decision and documentation support prompts, or -electronic pen capture devices

11 EHR - Templates (continued) B. Guidelines Regarding Which Documents Review Contractors Will Consider The review contractor shall consider all medical record entries made by physicians and Licensed/Certified Medical Professional (LCMPs). See PIM regarding consideration of Amendments, Corrections and Delayed Entries in Medical Documentation The amount of necessary clinical information needed to demonstrate that all coverage and coding requirements are met will vary depending on the item/service See the applicable National and Local Coverage Determination for further details 21 EHR - Templates (continued) CMS does not prohibit the use of templates to facilitate record-keeping CMS also does not endorse or approve any particular templates A physician/lcmp may choose any template to assist in documenting medical information Some templates provide limited options and/or space for the collection of information such as by using check boxes, predefined answers, limited space to enter information, etc

12 EHR - Templates (continued) Physicians/LCMPs should be aware that templates designed to gather selected information focused primarily for reimbursement purposes are often insufficient to demonstrate that all coverage and coding requirements are met. This is often because these documents generally do not provide sufficient information to adequately show that the medical necessity criteria for the item/service are met. If a physician/lcmp chooses to use a template during the patient visit, CMS encourages them to select one that allows for a full and complete collection of information to demonstrate that the applicable coverage and coding criteria are met. 23 EHR - Shared/Split E/M Services Shared/Split E/M Services Who did what? Does documentation support Medicare s shared/split service rules? Medicare Claims Processing Manual, Chapter 12, Office/Clinic Setting When an E/M service is a shared/split encounter between a physician and a non-physician practitioner (NP, PA, CNS or CNM), the service is considered to have been performed incident to if the requirements for incident to are met and the patient is an establishedpatient. If incident to requirements are not met for the shared/split E/M service, the service must be billed under the NPP s UPIN/PIN, and payment will be made at the appropriate physician fee schedule payment

13 EHR - Medicare Teaching Physician Rules Medical Students, Residents and Teaching Physician (TP) Services Who did what? Does the medical record documentation meet Medicare s Teaching Physician (TP) documentation guidelines? Medicare Claims Processing Manual, Chapter 12, EHR - Medicare Teaching Physician Rules (continued) Documentation -Notes recorded in the patient's medical records by a resident, and/or teaching physician or others as outlined in the specific situations below regarding the service furnished. Documentation may be dictated and typed or handwritten, or computer-generated and typed or handwritten. Documentation must be dated and include a legible signature or identity. Pursuant to 42 CFR (b), documentation must identify, at a minimum, the service furnished, the participation of the teaching physician in providing the service, and whether the teaching physician was physically present. In the context of an electronic medical record, the term 'macro' means a command in a computer or dictation application that automatically generates predetermined text that is not edited by the user

14 EHR - Medicare Teaching Physician Rules (continued) When using an electronic medical record, it is acceptable for the teaching physician to use a macro as the required personal documentation if the teaching physician adds it personally in a secured (password protected) system. In addition to the teaching physician s macro, either the resident or the teaching physician must provide customized information that is sufficient to support a medical necessity determination. The note in the electronic medical record must sufficiently describe the specific services furnished to the specific patient on the specific date. It is insufficient documentation if both the resident and the teaching physician use macros only. 27 EHR - Scribe Services Scribe Services (Mobile Transcriptionist for the Practitioner) Impact to EHR and appropriate physician attestations WPS -Guidelines for the Use of Scribes in Medical Record Documentation "Scribe" situations are those in which the physician utilizes the services of his, or her, staff to document work performed by that physician, in either an office or a facility setting. In Evaluation and Management (E/M) services, surgical, and other such encounters, the "scribe" does not act independently, but simply documents the physician's dictation and/or activities during the visit. The physician who receives the payment for the services is expected to be the person delivering the services and creating the record, which is simply "scribed" by another person

15 OIG Comments/Concerns -E/M Services OIG Work Plan 2012 Addresses: Evaluation and Management Services: Potentially Inappropriate Payments OIG will assess the extent to which CMS made potentially inappropriate payments for E/M services and the consistency of E/M medical review determinations Review multiple E/M services for the same providers and beneficiaries to identify electronic health records (EHR) documentation practices associated with potentially improper payments Medicare contractors have noted an increased frequency of medical records with identical documentation across services Medicare requires providers to select the code for the service based upon the content of the service and have documentation to support the level of service reported OIG Work Plan 2013 E/M Services OIG Work Plan 2014 E/M Services 29 OIG References Related to E/M services May 2012 OEI Coding Trends of Medicare Evaluation and Management Services May 2014 OEI Improper Payments for Evaluation and Management Services Cost Medicare Billions in

16 EHR - Other Considerations for Compliance EHR decision makers -who is sitting at the table in your organization? Appropriateness of E/M codes and levels Medical necessity and appropriate medical record documentation for all services billed Medical abbreviations list Consider Medicare incident-to rules Consider Medicare guidelines for the supervision of diagnostic tests 31 Ongoing and Effective Compliance Program OIG recommends to be effective, both the coding compliance program and the corporate compliance programs should be continually assessed and monitored Effectiveness of program is the measurement of various outcome indicators May include billing and coding error rates, audit results, overpayments and underpayments Crucial activity that examines the underlying structure, process and outcomes of the program 32 16

17 Ongoing and Effective Compliance Program (continued) Coding Compliance Department Code of Conduct Organization of department and qualifications of staff Sufficient resources, training, authority to carry out mission Relationship between departments Regular reporting of audit results Necessary and ongoing educationis performed to address compliance issues Prevention Auditing and monitoring have improved results and/or processes 33 Wrap-Up Questions/Discussion 34 17

8/28/2014. Compliance and Practical Challenges When Using Scribes: Just What the Doctor Ordered? Objectives of the Presentation

8/28/2014. Compliance and Practical Challenges When Using Scribes: Just What the Doctor Ordered? Objectives of the Presentation Compliance and Practical Challenges When Using Scribes: Just What the Doctor Ordered? Jerry Williamson MD. MJ. CHC. LHRM Objectives of the Presentation Definition of a Scribe Duties of a Scribe Regulatory

More information

Evaluation and Management Auditing Back to the Basics. Objectives. Audit Start with the benchmarks CMS MEDPAR by specialty 4/22/2013

Evaluation and Management Auditing Back to the Basics. Objectives. Audit Start with the benchmarks CMS MEDPAR by specialty 4/22/2013 Evaluation and Management Auditing Back to the Basics E&M Audit Sonda Kunzi, CPC, CPMA, CPPM, CPC-I Associate Director, Cohen Healthcare Consulting Ltd. Objectives Discuss good basic audit techniques Review

More information

Cloning and Other Compliance Risks in Electronic Medical Records

Cloning and Other Compliance Risks in Electronic Medical Records Cloning and Other Compliance Risks in Electronic Medical Records Lori Laubach, Partner, Moss Adams LLP Catherine Wakefield, Vice President, Corporate Compliance and Internal Audit, MultiCare 1 AGENDA Basic

More information

Advanced E/M Auditing: Secrets to Success

Advanced E/M Auditing: Secrets to Success Advanced E/M Auditing: Secrets to Success Presented by Carrie Severson CPC, CPC-H, CPMA, CPC-I Senior Auditor, AAPC Client Services Why We Are Here OIG Report (OEI-04-10-00180) Coding Trends of Medicare

More information

Advanced Evaluation and. AAPC Regional Conference Chicago 10/27/12

Advanced Evaluation and. AAPC Regional Conference Chicago 10/27/12 Advanced Evaluation and Management AAPC Regional Conference Chicago 10/27/12 Jaci Johnson, CPC,CPMA,CEMC,CPC H,CPC I President, Practice Integrity, LLC jaci@practiceintegrity.com Disclaimer Information

More information

Jill M. Young, CPC, CEDC, CIMC Young Medical Consulting, LLC East Lansing, MI 4883

Jill M. Young, CPC, CEDC, CIMC Young Medical Consulting, LLC East Lansing, MI 4883 Jill M. Young, CPC, CEDC, CIMC Young Medical Consulting, LLC East Lansing, MI 4883 This material is designed to offer basic information for coding and billing. The information presented here is based on

More information

Payment Policy: High Complexity Medical Decision-Making Reference Number: CC.PP.051 Product Types: ALL

Payment Policy: High Complexity Medical Decision-Making Reference Number: CC.PP.051 Product Types: ALL Payment Policy: High Complexity Medical Decision-Making Reference Number: CC.PP.051 Product Types: ALL Effective Date: 6/2017 Last Review Date: See Important Reminder at the end of this policy for important

More information

1/21/2011. Cindy C. Parman, CPC, CPC H Coding Strategies, Inc.

1/21/2011. Cindy C. Parman, CPC, CPC H Coding Strategies, Inc. Cindy C. Parman, CPC, CPC H Coding Strategies, Inc. www.codingstrategies.com The format and/or content of this presentation is copyright 2011 by Coding Strategies, Inc. (CSI), Powder Springs, GA. This

More information

Compliant Documentation for Coding and Billing. Caren Swartz CPC,CPMA,CPC-H,CPC-I

Compliant Documentation for Coding and Billing. Caren Swartz CPC,CPMA,CPC-H,CPC-I Compliant Documentation for Coding and Billing Caren Swartz CPC,CPMA,CPC-H,CPC-I caren@practiceintegrity.com Disclaimer Information contained in this text is based on CPT, ICD-9-CM and HCPCS rules and

More information

Lessons Learned in the EHR

Lessons Learned in the EHR Lessons Learned in the EHR Lori Laubach, Partner Health Care Consulting Group 1 The material appearing in this presentation is for informational purposes only and is not legal or accounting advice. Communication

More information

Addressing Documentation Insufficiencies

Addressing Documentation Insufficiencies Objectives Addressing Documentation Insufficiencies ICAHN June 9,2015 Glenn Krauss, BBA, RHIA, CCS, FCS, PCS,CCS-P, CPUR, C-CDI, CCDS, C- DAM Understand and appreciate physician frustrations with the EHR

More information

Jaci Johnson, CPC,CPMA,CEMC,CPC H,CPC I President, Practice Integrity, LLC Disclaimer

Jaci Johnson, CPC,CPMA,CEMC,CPC H,CPC I President, Practice Integrity, LLC Disclaimer Advanced Evaluation and Management More than a roll of the dice? History Exam Medical Decision Making Jaci Johnson, CPC,CPMA,CEMC,CPC H,CPC I President, Practice Integrity, LLC jaci@practieintegrity.com

More information

Electronic Medical Record (EMR) How to Audit the Risks. Schawn Pedersen, CPC, CPC-E/M Manager Moss Adams LLP

Electronic Medical Record (EMR) How to Audit the Risks. Schawn Pedersen, CPC, CPC-E/M Manager Moss Adams LLP Electronic Medical Record (EMR) How to Audit the Risks Schawn Pedersen, CPC, CPC-E/M Manager Moss Adams LLP Health Care Compliance Association 6500 Barrie Road, Suite 250, Minneapolis, MN 55435 888-580-8373

More information

The World of Evaluation and Management Services and Supporting Documentation

The World of Evaluation and Management Services and Supporting Documentation The World of Evaluation and Management Services and Supporting Documentation Presented by Cahaba Government Benefit Administrators, LLC Provider Outreach and Education May 14, 2009 Disclaimers Disclaimer

More information

EMR Issues with Documentation, Coding and Audits

EMR Issues with Documentation, Coding and Audits Financial Disclosure EMR Issues with Documentation, Coding and Audits Donna McCune, CCS-P, COE, CPMA Vice President Corcoran Consulting Group The instructor is a consultant for Corcoran Consulting Group

More information

E/M Auditing: History is the Key

E/M Auditing: History is the Key E/M Auditing: History is the Key By Brandi Tadlock CPC, CPC-P, CPMA, CPCO CPC, CPMA, CEMC, CPC-H, CPC-I SUMMARY Review the history component in your E/M documentation to make sure it tells the patient

More information

Responsibility and Liability of Compliance Officer

Responsibility and Liability of Compliance Officer Responsibility and Liability of Compliance Officer Cheryl Forino Wahl, VP, Chief Compliance Officer, University Hospitals Lori Oberholzer, JD, MS, RT(R), Director, Compliance and Risk Management, OSUPhysicians

More information

1:35. NPP April Young Medical Consulting, LLC. Non-Physician Practitioner Coding and Billing. Disclaimer

1:35. NPP April Young Medical Consulting, LLC. Non-Physician Practitioner Coding and Billing. Disclaimer Non-Physician Practitioner Coding and Billing Jill Young - CPC, CEDC, CIMC, East Lansing, Michigan 1 Disclaimer This material is designed to offer basic information for coding and billing. The information

More information

601-Audit Plan for Medicare s Shared Visit Rule

601-Audit Plan for Medicare s Shared Visit Rule 601-Audit Plan for Medicare s Shared Visit Rule Elin Baklid-Kunz, MBA, CPC, CCS Health Care Compliance Association 6500 Barrie Road, Suite 250, Minneapolis, MN 55435 888-580-8373 www.hcca-info.org Presentation

More information

Coding, Corroboration, and Compliance How to assure the 3 C s are met

Coding, Corroboration, and Compliance How to assure the 3 C s are met Coding, Corroboration, and Compliance How to assure the 3 C s are met Sue Roehl, RHIT, CCS sroehl@eidebailly.com 701-476-8770 OIG 1996 - $23.2 Billion errors Figure 1 Insufficient/No documentation 46.76%

More information

Certified Ophthalmic Executive (COE) Review Day

Certified Ophthalmic Executive (COE) Review Day Certified Ophthalmic Executive (COE) Review Day Compliance Plan & Chart Audits Financial Disclosure The instructor acknowledges a financial interest in the subject matter of this presentation. Presented

More information

Compliance Advisory 3 A Challenge for the Electronic Health Record s of Academic Institutions : Purpose Background

Compliance Advisory 3 A Challenge for the Electronic Health Record s of Academic Institutions :  Purpose Background Compliance Advisory 3 A Challenge for the Electronic Health Records of Academic Institutions: Physicians combining documentation or using information documented by others when billing for a professional

More information

The Electronic Medical Record: Auditing the Copy and Paste Function

The Electronic Medical Record: Auditing the Copy and Paste Function The Electronic Medical Record: Auditing the Copy and Paste Function Presented by: Kathleen Enniss CPC CHC Compliance Analyst UW Medicine Compliance University of Washington kenniss@uw.edu The EMR: Positive

More information

General Documentation Compliance. Review for Provider Reappointment

General Documentation Compliance. Review for Provider Reappointment U N C U H N E C A L H T E H A L C T A H R E C A S R Y E S T E M General Documentation Compliance Review for Provider Reappointment May 2018 Objectives 1 2 Review the principles of compliant billing and

More information

Managing Towards Compliance

Managing Towards Compliance Managing Towards Compliance Presented by Bruce Rappoport, MD, CPC, CPCO AAPC National Conference April 14, 2014 Disclaimer This presentation is designed to provide educational information in regard to

More information

The EHR says it s a 99215

The EHR says it s a 99215 The EHR says it s a 99215 Angela Jordan, CPC, COBGC, AAPC Fellow Senior Managing Consultant AAPC National Advisory Board, Southwest AAPCCA BOD Chair 2012-2013 Leveling E/M services in an EHR can be perilous.

More information

Physician Providers include any attending physicians (MD, DO, DPM or dentists).

Physician Providers include any attending physicians (MD, DO, DPM or dentists). TITLE: ELECTRONIC HEALTH RECORD (EHR) DOCUMENTATION STANDARDS AND GUIDELINES MANUAL: MEDICAL STAFF POLICIES AND PROCEDURES Page 1 of 5 Effective Date: 6/28/2016 Reviewed/Revised: Approval /s/ Jeannette

More information

EVALUATION AND MANAGEMENT: GETTING PAID FOR WHAT YOU DO

EVALUATION AND MANAGEMENT: GETTING PAID FOR WHAT YOU DO EVALUATION AND MANAGEMENT: GETTING PAID FOR WHAT YOU DO Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO Sandy Giangreco, RHIT, CCS, CCS-P, CHC, CPC, COC, CPC-I, COBGC Agenda 2014 OIG Report CMS Documentation

More information

Incident to Billing. Incident-To. Charla Prillaman, CPC, CPCO, CPMA, CPC-I,CCC, CEMC, CHCO Breakout B4, Friday, 9/7/12

Incident to Billing. Incident-To. Charla Prillaman, CPC, CPCO, CPMA, CPC-I,CCC, CEMC, CHCO Breakout B4, Friday, 9/7/12 Incident to Billing Incident-To SING REVENUES IN THE BUSINESS OFFICE Charla Prillaman, CPC, CPCO, CPMA, CPC-I,CCC, CEMC, CHCO Breakout B4, Friday, 9/7/12 Today s Objectives Increase understanding of the

More information

Doris V. Branker, CPC, CPC-I, CEMC

Doris V. Branker, CPC, CPC-I, CEMC Doris V. Branker, CPC, CPC-I, CEMC 1 Identify the common sources for missed reimbursement in the specialty practice Identify the common sources for reduced reimbursement in the specialty practice Identify

More information

CODING vs AUDITING Does it all boil down to Medical Necessity?

CODING vs AUDITING Does it all boil down to Medical Necessity? PERFORM REGULAR AUDITS You provide routine maintenance for your car- but what about your documentation? CODING vs AUDITING Does it all boil down to Medical Necessity? EDUCATE WISELY Be sure and discern

More information

Understanding Your Non-Physician Practitioners. Healthcon Stacy Harper, JD, MHSA, CPC

Understanding Your Non-Physician Practitioners. Healthcon Stacy Harper, JD, MHSA, CPC Understanding Your Non-Physician Practitioners Healthcon 2017 Stacy Harper, JD, MHSA, CPC sharper@lathropgage.com Disclaimer This presentation is for general education purposes only. The information contained

More information

COMPLIANCE ALERT. Department Chairs, Compliance Leaders, and UFJPI Management

COMPLIANCE ALERT. Department Chairs, Compliance Leaders, and UFJPI Management UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE - JACKSONVILLE Office of Physician Billing Compliance 653-1 West 8 th Street, LRC-3 Jacksonville, Florida 32209 Phone: (904) 244-2158 Fax: (904) 244-5323 COMPLIANCE

More information

9/17/2018. Critical to Practices

9/17/2018. Critical to Practices Critical to Practices Provides: Reviewing quality of care provided to patients. Education to providers on documentation guidelines. Ensuring all services are supported, and revenue captured. Defending

More information

May Non-Physician Practitioner (NPP) Nurse Practitioners and Physician Assistants. Collaborating Together as a Team

May Non-Physician Practitioner (NPP) Nurse Practitioners and Physician Assistants. Collaborating Together as a Team May 2015 Non-Physician Practitioner (NPP) Nurse Practitioners and Physician Assistants Collaborating Together as a Team What is a Non-Physician Practitioner (NPP) or Physician Extender } Physician Assistant

More information

Procedure Code Job Aid

Procedure Code Job Aid Procedure Code 99211 Job Aid Definition for 99211: Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician. Usually,

More information

How To Document and Select Outpatient Levels of Evaluation and Management (E&M) Service in RHC

How To Document and Select Outpatient Levels of Evaluation and Management (E&M) Service in RHC How To Document and Select Outpatient Levels of Evaluation and Management (E&M) Service in RHC John F. Burns, CPC, CPC-I, CPMA, CEMC Vice President, Audit and Compliance Services jburns@ruralhealthcoding.com

More information

Medical Review and Appeals 3/25/2010

Medical Review and Appeals 3/25/2010 The Medical Review and Appeals Show Presented by Cahaba Government Benefit Administrators Provider Outreach and Education March 25, 2010 2 1 Disclaimer This resource is not a legal document. This presentation

More information

Care360 EHR Frequently Asked Questions

Care360 EHR Frequently Asked Questions Care360 EHR Frequently Asked Questions Table of Contents Care360 EHR... 4 What is Care360 EHR?... 4 What are the current capabilities of Care 360 EHR?... 4 Is Care 360 EHR an EMR?... 5 Can I have Care360

More information

Shared and Incident To Billing of E/M Services in Radiation Oncology Updated November 2017

Shared and Incident To Billing of E/M Services in Radiation Oncology Updated November 2017 ASTRO Guidance on Shared and Incident To Billing of Evaluation and Management Services in Radiation Oncology The Centers for Medicare and Medicaid Services (CMS) establishes Medicare policy for the payment

More information

Are they coming to get you! Todd Thomas, CCS-P

Are they coming to get you! Todd Thomas, CCS-P Are they coming to get you! Todd Thomas, CCS-P Who is coming for you? Medicare Administrative Contractors (MACs) Recovery Audit Contractors (RACs) Medicaid Recovery Audit Contractors (MACs) Comprehensive

More information

3/16/2016. No Treble. OIG Reports. Highlights OIG Report Coding Trends. Presented by Maggie Mac CPC, CEMC, CHC, CMM, ICCE

3/16/2016. No Treble. OIG Reports. Highlights OIG Report Coding Trends. Presented by Maggie Mac CPC, CEMC, CHC, CMM, ICCE It s All About That E/M No Treble Presented by Maggie Mac CPC, CEMC, CHC, CMM, ICCE OIG Reports Coding Trends of Medicare Evaluation and Management Services ~ May 2012 Improper Payments for Evaluation

More information

Compliance Risks with EHR implementation and how to minimize them

Compliance Risks with EHR implementation and how to minimize them Compliance Risks with EHR implementation and how to minimize them *Donald Romano Esq. *Abby Pendleton Esq. *Jessica L. Gustafson Esq. Health Care Compliance Institute 2011 Ranjan Sachdev MD,MBA,CHC Philadelphia,

More information

Auditing and Monitoring in Clinics and Physician Practices

Auditing and Monitoring in Clinics and Physician Practices Auditing and Monitoring in Clinics and Physician Practices Dawnese Kindelt, CPC System Compliance Director Clinics Catholic Healthcare West Health Care Compliance Association 6500 Barrie Road, Suite 250,

More information

Documenting & Coding for Compliance

Documenting & Coding for Compliance Documenting & Coding for Compliance Department of Family and Community Medicine October 17, 2012 UNMMG Compliance Documentation Documentation Why is it important? Enables the physician and other health

More information

The E/M Essentials Pocket Guide

The E/M Essentials Pocket Guide The E/M Essentials Pocket Guide Peggy S. Blue, MPH, CPC, CCS-P, CEMC The E/M Essentials Pocket Guide Peggy S. Blue, MPH, CPC, CEMC, CCS-P The E/M Essentials Pocket Guide is published by HCPro, a division

More information

Evaluation and Management Services

Evaluation and Management Services Evaluation and Management Services Print 1. If a physician sees a patient in the morning and again in the afternoon for a new or worsened condition, do we report modifier 25 for the second visit? 2. When

More information

Quanum Electronic Health Record Frequently Asked Questions

Quanum Electronic Health Record Frequently Asked Questions Quanum Electronic Health Record Frequently Asked Questions Table of Contents... 4 What is Quanum EHR?... 4 What are the current capabilities of Quanum EHR?... 4 Is Quanum EHR an EMR?... 5 Can I have Quanum

More information

Basic Teaching Physician Presence and Documentation

Basic Teaching Physician Presence and Documentation Basic Teaching Physician Presence and Documentation Welcome to the Children s University Medical Group (CUMG) training on the Teaching Physician Presence and Documentation. The goal of this module is to

More information

Presented for the AAPC National Conference April 4, 2011

Presented for the AAPC National Conference April 4, 2011 Presented for the AAPC National Conference April 4, 2011 Penny Osmon, BA, CPC, CPC-I, CHC, PCS Director of Educational Strategies - Wisconsin Medical Society penny.osmon@wismed.org CPT codes, descriptions

More information

101: The Dirty Dozen of Coding Documentation Compliance

101: The Dirty Dozen of Coding Documentation Compliance 101: The Dirty Dozen of Coding Documentation Compliance HCCA: Clinical Practice Compliance Conference 10/13/14 Maggie Mac, CPC CEMC CHC CMM ICCE maggie@maggiemac.com ekunz@bellsouth.net Disclaimer This

More information

Melody S. Irvine CPC, CPMA, CEMC, CFPC, CPC-I, CCS-P, CMRS

Melody S. Irvine CPC, CPMA, CEMC, CFPC, CPC-I, CCS-P, CMRS Melody S. Irvine CPC, CPMA, CEMC, CFPC, CPC-I, CCS-P, CMRS This presentation is for general education purposes only. The information contained in these materials, lecture, ideas and concepts presented

More information

Alabama Rural Health Conference 03/25/2010

Alabama Rural Health Conference 03/25/2010 1 This resource is not a legal document. This presentation was prepared as a tool to assist our providers. This presentation was current at the time it was created. Although every reasonable effort has

More information

Policy No: Page Number: 1 of 5 Effective Date: 08/12/15 ATTACHMENT II

Policy No: Page Number: 1 of 5 Effective Date: 08/12/15 ATTACHMENT II Page Number: 1 of 5 ATTACHMENT II TITLE: PURPOSE: USE OF CLONED DOCUMENTATION IN THE ELECTRONIC HEALTH RECORD The purpose of the health record is to provide a basis for planning patient care and for the

More information

Quarterly CERT Error Findings Report WPS GHA Part B J8 MAC ~ Indiana and Michigan ~

Quarterly CERT Error Findings Report WPS GHA Part B J8 MAC ~ Indiana and Michigan ~ Quarterly CERT Error Findings Report WPS GHA Part B J8 MAC ~ Indiana and Michigan ~ This report provides details of Comprehensive Error Rate Testing (CERT) errors assessed April 1, 2017, through June 30,

More information

2019 Evaluation and Management Coding Advisor. Advanced guidance on E/M code selection for traditional documentation systems

2019 Evaluation and Management Coding Advisor. Advanced guidance on E/M code selection for traditional documentation systems 2019 Evaluation and Management Coding Advisor Advanced guidance on E/M code selection for traditional documentation systems POWER UP YOUR CODING with Optum360, your trusted coding partner for 32 years.

More information

Documentation for ED Visits with "Additional Work-Up" Planned. Presented by Rae Jimenez, CPC, CDEO, CPB, CPMA, CPPM, CPC-I, CCS

Documentation for ED Visits with Additional Work-Up Planned. Presented by Rae Jimenez, CPC, CDEO, CPB, CPMA, CPPM, CPC-I, CCS Documentation for ED Visits with "Additional Work-Up" Planned Presented by Rae Jimenez, CPC, CDEO, CPB, CPMA, CPPM, CPC-I, CCS Course Objectives Discuss gray areas for E/M selection for the professional

More information

LESSONS LEARNED FROM THE PROBE AND EDUCATE AUDIT K. CHEYENNE SANTIAGO, RN

LESSONS LEARNED FROM THE PROBE AND EDUCATE AUDIT K. CHEYENNE SANTIAGO, RN LESSONS LEARNED FROM THE PROBE AND EDUCATE AUDIT K. CHEYENNE SANTIAGO, RN Created on 6/2/2014 DISCLAIMER DISCLAIMER: WPS Medicare has produced this material as an informational reference. Every reasonable

More information

8/19/2017. The OIG Report

8/19/2017. The OIG Report This presentation was created by me with the best intentions and believable resources. I however am not a lawyer, doctor or self-proclaimed expert, but I have watched plenty on TV. The information and

More information

Presenting Audit Results. How are your results received? 12/4/2013. Shannon DeConda, CPC, CPC I, CEMC, CMSCS, CPMA, CPMN, CMPM

Presenting Audit Results. How are your results received? 12/4/2013. Shannon DeConda, CPC, CPC I, CEMC, CMSCS, CPMA, CPMN, CMPM Presenting Audit Results Shannon DeConda, CPC, CPC I, CEMC, CMSCS, CPMA, CPMN, CMPM How are your results received? Are you the Cop or the Educator? Are your recommendations put into a plan of action and

More information

Coding for the Practitioner

Coding for the Practitioner Coding for the Practitioner Prepared for Coalition of State Rheumatology Organizations National Rheumatology Fellows Conference February 2018 Presented by: Jean Acevedo, LHRM, CPC, CHC, CENTC Disclaimer

More information

Chiropractic Record Keeping

Chiropractic Record Keeping Chiropractic Record Keeping (DeskBook Chapter 4.1) Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CCCPC CPC-I MCS-P CPMA Vice President 1 Dr. Evan Gwilliam Education Bachelor s of Science, Accounting

More information

Chronic Care Management. Sharon A. Shover, CPC, CEMC 2650 Eastpoint Parkway, Suite 300 Louisville, Kentucky

Chronic Care Management. Sharon A. Shover, CPC, CEMC 2650 Eastpoint Parkway, Suite 300 Louisville, Kentucky Chronic Care Management Sharon A. Shover, CPC, CEMC 2650 Eastpoint Parkway, Suite 300 Louisville, Kentucky 40223 502.992.3511 sshover@blueandco.com Agenda Chronic Care Management (CCM) History Define Requirements

More information

Start with the Problem

Start with the Problem Start with the Problem Jen Godreau, BA, CPC, CPEDC Director of Development & Operations Supercoder.com jenniferg@supercoder.com December 2011 Phone: (866)-228-9252 E-Mail: customerservice@supercoder.com

More information

Patient Age Group: ( ) N/A (X) All Ages ( ) Newborns ( ) Pediatric ( ) Adult

Patient Age Group: ( ) N/A (X) All Ages ( ) Newborns ( ) Pediatric ( ) Adult Title: Documentation of Clinical Activities by UNMH Medical Staff and House Staff Applies To: UNM Hospitals Responsible Department: Office of Clinical Affairs Updated: 05/2016 Policy Patient Age Group:

More information

Jurisdiction Nebraska. Retirement Date N/A

Jurisdiction Nebraska. Retirement Date N/A If you wish to save the PDF, please ensure that you change the file extension to.pdf (from.ashx). Local Coverage Determination (LCD): Independent Diagnostic Testing Facilities (IDTFs) (L31626) Contractor

More information

Medical Decision Making

Medical Decision Making Medical Decision Making Jen Godreau, BA, CPC, CPMA, CPEDC Director of Development & Operations Supercoder.com jenniferg@supercoder.com February 2012 What s he thinking? What Is the Table of Risk? 1 of

More information

HA, A, CFE, E, CHC,, CPC P,, CPC P -H

HA, A, CFE, E, CHC,, CPC P,, CPC P -H Using a Page from the Government s Play Book: Using Data to Monitor Physician Practices Andrei M. Costantino, MHA, CFE, CHC, CPC, CPC-H Director, Organizational integrity & Audit Services Compliance Institute

More information

CDx ANNUAL PHYSICIAN CLIENT NOTICE

CDx ANNUAL PHYSICIAN CLIENT NOTICE CDx ANNUAL PHYSICIAN CLIENT NOTICE - 2018 CDX Diagnostics is providing this annual notice in accordance with the recommendations made by the Office of Inspector General (OIG) as part of our CDx Compliance

More information

Chapter 15. Medicare Advantage Compliance

Chapter 15. Medicare Advantage Compliance Chapter 15. Medicare Advantage Compliance 15.1 Introduction 3 15.2 Medical Record Documentation Requirements 8 15.2.1 Overview... 8 15.2.2 Documentation Requirements... 8 15.2.3 CMS Signature and Credentials

More information

Inpatient Psychiatric Facility (IPF) Coverage & Documentation. Presented by Palmetto GBA JM A/B MAC Provider Outreach and Education September 7, 2016

Inpatient Psychiatric Facility (IPF) Coverage & Documentation. Presented by Palmetto GBA JM A/B MAC Provider Outreach and Education September 7, 2016 Inpatient Psychiatric Facility (IPF) Coverage & Documentation Presented by Palmetto GBA JM A/B MAC Provider Outreach and Education September 7, 2016 1 Disclaimer This information is current as of August

More information

Evaluation & Management

Evaluation & Management Evaluation & Management Shannon O. DeConda CPC, CPC-I, CPMA, CEMC, CEMA, CRTT President, NAMAS Partner, DoctorsManagement Evaluation and Management Components We will now look at the each of the components

More information

The Slippery Slope of Electronic Health Record Systems. Presented by: Maryann C. Palmeter, CPC, CENTC. Learning Objectives

The Slippery Slope of Electronic Health Record Systems. Presented by: Maryann C. Palmeter, CPC, CENTC. Learning Objectives The Slippery Slope of Electronic Health Record Systems Presented by: Maryann C. Palmeter, CPC, CENTC Learning Objectives Identify key benefits of an electronic health record system (EHR) Define note cloning,

More information

Medicare Part B Updates and Changes 2016/2017. Presented by Tammy Ewers, CPC Education and Outreach Representative

Medicare Part B Updates and Changes 2016/2017. Presented by Tammy Ewers, CPC Education and Outreach Representative Medicare Part B Updates and Changes 2016/2017 Presented by Tammy Ewers, CPC Education and Outreach Representative DISCLAIMER This information release is the property of Noridian Healthcare Solutions, LLC.

More information

Grow Your Own Coders: Training Options for the Modern HIM World

Grow Your Own Coders: Training Options for the Modern HIM World Grow Your Own Coders: Training Options for the Modern HIM World Healthcon 2016 April Date 13, 2016 Presentation by Pamela Haney, MS, RHIA, CCS, CIC, COC Director of Presentation Training and byeducation

More information

Meaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 1

Meaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 1 Meaningful Use Hello Health v7 Guide for Eligible Professionals Stage 1 Table of Contents Introduction 3 Meaningful Use 3 Terminology 5 Computerized Provider Order Entry (CPOE) for Medication Orders [Core]

More information

Critical Care What Makes this so Difficult

Critical Care What Makes this so Difficult Critical Care What Makes this so Difficult Presented by Angela Jordan, CPC Senior Managing Consultant AAPC National Advisory Board, Southwest September 2016 Disclaimer The speaker has no financial relationship

More information

CREATING AN AUDIT PLAN FOR PHYSICIAN OFFICES. Katherine Abel, CPC, CPB, CPMA, CPPM, CPC-I, AAPC Fellow Director of Curriculum AAPC

CREATING AN AUDIT PLAN FOR PHYSICIAN OFFICES. Katherine Abel, CPC, CPB, CPMA, CPPM, CPC-I, AAPC Fellow Director of Curriculum AAPC CREATING AN AUDIT PLAN FOR PHYSICIAN OFFICES Katherine Abel, CPC, CPB, CPMA, CPPM, CPC-I, AAPC Fellow Director of Curriculum AAPC OIG Compliance Guidance Implementing written policies, procedures and standards

More information

Calculating E&M codes & 2018 Medicare Physician Fee Schedule Proposed Rule. Grace Wilson, RHIA

Calculating E&M codes & 2018 Medicare Physician Fee Schedule Proposed Rule. Grace Wilson, RHIA Calculating E&M codes & 2018 Medicare Physician Fee Schedule Proposed Rule Grace Wilson, RHIA Objectives 2018 Medicare Physician Fee Schedule E/M Coding Overview Documentation Examples Proposed Documentation

More information

9/11/15. Reimbursement for Non- Physician Providers Real Life Practice Objectives

9/11/15. Reimbursement for Non- Physician Providers Real Life Practice Objectives Reimbursement for Non- Physician Providers Real Life Practice 2015 John F. Bishop, PA, CPC, CPMA, CGSC, CPRC AAPA National Chair Reimbursement and ICD-10 Work Groups Principle, John Bishop and Associates,

More information

Meaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 2

Meaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 2 Meaningful Use Hello Health v7 Guide for Eligible Professionals Stage 2 Table of Contents Introduction 3 Meaningful Use 3 Terminology 4 Computerized Provider Order Entry (CPOE) for Medication, Laboratory

More information

IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY

IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY Global Surgery Policy Number GLS03272013RP Approved By UnitedHealthcare Medicare Committee Current Approval Date 04/09/2014 IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This policy is applicable to UnitedHealthcare

More information

Preventive and Sick Visits Same Day. Objectives

Preventive and Sick Visits Same Day. Objectives Preventive and Sick Visits Same Day Brenda Chidester-Palmer CPC, CPC-I, CEMC, CCS-P AAPC National Conference June 8, 2010 Nashville, Tennessee Objectives Preventive visit definition Services included in

More information

*OB/Gyn. Hospital Billing. April 2, 2014 Erika Bloomquist, CPC

*OB/Gyn. Hospital Billing. April 2, 2014 Erika Bloomquist, CPC OB/Gyn Hospital Billing April 2, 2014 Erika Bloomquist, CPC Initial Date Diagnoses Billing Level Code Patient Label ZK 3/1 1,2 A1 Or two patient identifiers BB 3/2 1,2 S2 TS 3/3 1,2 D1 Inpt. Obs Transfer

More information

Anthem Blue Cross and Blue Shield Commercial Professional Reimbursement Policy

Anthem Blue Cross and Blue Shield Commercial Professional Reimbursement Policy Subject: Documentation and Reporting Guidelines for Evaluation and Management Services IN, KY, MO, OH, WI Policy: 0024 Effective: 10/01/2016 Coverage is subject to the terms, conditions, and limitations

More information

A Guide to Compliance at New York City s Health and Hospitals Corporation Resident Orientation

A Guide to Compliance at New York City s Health and Hospitals Corporation Resident Orientation A Guide to Compliance at New York City s Health and Hospitals Corporation Resident Orientation 1 General Principles of Documentation 2 7 General Principles of Documentation 1. Medical record should be

More information

Payment Policy: Assistant Surgeon Reference Number: CC.PP.029 Product Types: ALL

Payment Policy: Assistant Surgeon Reference Number: CC.PP.029 Product Types: ALL Payment Policy: Reference Number: CC.PP.029 Product Types: ALL Effective Date: 01/01/2014 Last Review Date: 03/01/2018 Coding Implications Revision Log See Important Reminder at the end of this policy

More information

Payment Policy: Visits On Same Day As Surgery Reference Number: CC.PP.040 Product Types: ALL Effective Date: 03/01/2018

Payment Policy: Visits On Same Day As Surgery Reference Number: CC.PP.040 Product Types: ALL Effective Date: 03/01/2018 Payment Policy: Visits On Same Day As Surgery Reference Number: CC.PP.040 Product Types: ALL Effective Date: 03/01/2018 Revision Log See Important Reminder at the end of this policy for important regulatory

More information

follow-up for pneumonia

follow-up for pneumonia Questions How long can I access the on demand version. Where can I ask questions after the webinar? Can the CC be used as an element of HPI? I have a co-worker who believes it cannot be used at all towards

More information

Reimbursement Update MAPA Tricia Marriott, PA-C, MPAS, DFAAPA AAPA Director of Reimbursement on Twitter

Reimbursement Update MAPA Tricia Marriott, PA-C, MPAS, DFAAPA AAPA Director of Reimbursement on Twitter Reimbursement Update MAPA 2012 Tricia Marriott, PA-C, MPAS, DFAAPA AAPA Director of Reimbursement Advocacy tmarriott@aapa.org @TriciaPAC on Twitter Disclaimer This presentation was current at the time

More information

2014 Hospital Admission Criteria

2014 Hospital Admission Criteria 2014 Hospital Admission Criteria Created on 11/20/2013 Audio and/or Video Recording of this Educational Session is Prohibited Agenda Inpatient vs. observation 2-midnight benchmark and presumption Admission

More information

CHAPTER 5: SUBMISSION AND CORRECTION OF THE MDS ASSESSMENTS

CHAPTER 5: SUBMISSION AND CORRECTION OF THE MDS ASSESSMENTS CHAPTER 5: SUBMISSION AND CORRECTION OF THE MDS ASSESSMENTS Nursing homes are required to submit MDS records for all residents in Medicare- or Medicaidcertified beds regardless of the pay source. Skilled

More information

A Unique Approach to Auditing the Primary Care Exception

A Unique Approach to Auditing the Primary Care Exception A Unique Approach to Auditing the Primary Care Exception HCCA 2014 Compliance Institute San Diego March 31, 2014 Christine Anusbigian, MBA, CHC Specialist Leader, Health Sciences, Governance, Risk and

More information

A Unique Approach to Auditing the Primary Care Exception

A Unique Approach to Auditing the Primary Care Exception A Unique Approach to Auditing the Primary Care Exception HCCA 2014 Compliance Institute San Diego March 31, 2014 Christine Anusbigian, MBA, CHC Specialist Leader, Health Sciences, Governance, Risk and

More information

The New Medicare DME Face-To- Face Rule: What Referral Sources Need to Know

The New Medicare DME Face-To- Face Rule: What Referral Sources Need to Know The New Medicare DME Face-To- Face Rule: What Referral Sources Need to Know What is the Face-to-Face Rule? Section 6407(b) of the 2009 Health Care Reform law (Affordable Care Act) mandates that there must

More information

Professional Practice Medical Record Documentation Guidelines

Professional Practice Medical Record Documentation Guidelines Professional Practice Medical Record Documentation Guidelines INTRODUCTION Consistent and complete documentation in the medical record is an essential component of quality patient care. All Participating

More information

Readying the Compliance Department for ICD-10 HCCA Regional Annual Conference Orlando, Florida

Readying the Compliance Department for ICD-10 HCCA Regional Annual Conference Orlando, Florida Readying the Compliance Department for ICD-10 HCCA Regional Annual Conference Orlando, Florida February 6, 2015 Agenda Getting Re-Engaged for ICD-10 Systems & Tools Provider Training Case Studies Coder

More information

Payment Policy: Problem Oriented Visits Billed with Preventative Visits

Payment Policy: Problem Oriented Visits Billed with Preventative Visits Payment Policy: Problem Oriented Visits Billed with Preventative Visits Reference Number: CC.PP.052 Product Types: ALL Effective Date: 11/1/2017 Last Review Date: Coding Implications Revision Log See Important

More information

Technicians & Nurses Program

Technicians & Nurses Program ASCRS ASOA Symposium & Congress Technicians & Nurses Program May 6-10, 2016 New Orleans Technician s Role in Internal Chart Audits Financial Disclosure Kirk A. Mack is a consultant for Corcoran Consulting

More information

CCT Exam Study Manual Update for 2018

CCT Exam Study Manual Update for 2018 CCT Exam Study Manual Update for 2018 This document reflects updates made to the instructional content from the CCT Exam Study Manual 2017 to the 2018 version of the manual. This does not include updates

More information