Posts Tagged ‘medical coding’
Mentorship Program for Medical Coders: Why You Need It To Develop Your Coding Team
A mentorship program for medical coders is a quality improvement process where an experienced medical auditor reviews a new HIM professional’s work and guides them through the process. The mentor helps the learner understand the selection process based on the provided documentation.
Read MoreHow to Improve the DNFB Benchmark for a Positive Impact on Revenue Cycle
One of the biggest revenue-killers for healthcare providers is DNFB accounts. DNFB (DNFB meaning “discharged, not final billed”) – defines unbilled accounts where the patient has been discharged from the healthcare facility, but the final bill from the encounter has not been submitted. The cost effects of outstanding DNFB accounts and claims denials are staggering, and can negatively impact the providers’ cash flow and potential net revenue. So, what are the best practices to reduce DNFB days and claims denials?
Read MoreReview the CMS Final Rule 2023 for IPPS: Payment Increases & NTAP Updates
Final details for FY 2023 changes were made available with the release of the CMS Final Rule 2023 for IPPS on August 1, 2022. The rule includes information on overall reimbursement adjustments and updates to MS-DRGs, NTAP, MCE, and many other changes.
Read MoreNew Monkeypox CPT Codes Released for Testing and Vaccination
The American Medical Association (AMA) has developed and released new monkeypox CPT codes from the regular schedule to address a public health concern and track and report monkeypox testing and vaccinations.
Read MoreCMS Releases 2023 OPPS Proposed Rule: New Payment Rates & Other Changes
The Centers for Medicare & Medicaid Services (CMS) has released its annual proposed Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services. There will be a 60-day comment period for the 2023 OPPS proposed rule.
Read MoreMonkeypox: Disease Breakdown & Diagnosis Code for Monkeypox Virus
Monkeypox is coded in the first chapter of ICD-10-CM, Certain infectious and parasitic diseases, and the code is B04. Read further for a summary of the symptoms, transmission, treatments and vaccinations for this rare viral disease.
Read MoreMore Changes Ahead For E/M: Review 2023 E/M Codes & Guidelines Here
January 2021 brought significant changes to the Evaluation and Management (E/M) codes for Office and Other Outpatient Services. AMA released a detailed document describing the 2023 E/M changes that will take effect on January 1.
Read MoreBypass, Dilation & Replacement RWY Learning Series Teaches Root Operations in ICD-10-PCS
The Refresh With YES: PCS Root Operations – Bypass, Dilation and Replacement Learning Path teaches learners how to apply ICD-10-PCS codes for bypass, dilation and replacement procedures.
Read MoreDive into Synopsis of FY 2023 ICD-10-PCS Codes & Guidelines
CMS released the FY 2023 ICD-10-PCS codes and guidelines, effective on October 1, 2022. The update summary notes that there are 331 new and 64 deleted codes, totaling 78,496 ICD-10-PCS codes for 2023.
Read MoreReview Summary of FY 2023 ICD-10-CM Codes & Guidelines Updates
CMS has released the 2023 ICD-10-CM codes and guidelines. The 2023 ICD-10-CM codes are to be used for discharges and patient encounters from October 1, 2022, through September 30, 2023.
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