Spelling Out Medical Necessity; Duplicative Coding
Answers from our coding expert on questions regarding medical necessity; using the ROS for history of presenting illness; and duplicative coding.
Upcoding vs. Downcoding: Know the Difference
"Upcoding" means reporting a higher-level service or procedure or a more complex diagnosis, than is supported by medical necessity, medical facts, or the provider's documentation.
Wrongful Payer Denials: How to Handle Them Quickly
When you are wrongfully denied for a single code or entire claim, do you know what to do?
When the EHR Becomes a Handheld Technology
Recently, I downloaded my EHR iPhone app. While the app can provide a level of convenience, it isn’t ready for prime time.
Modifier 58 vs. Modifier 79; Coding from Fourth-Year Residents
Answers from our coding expert on questions regarding bronchoscopy; modifier 58 vs. modifier 79; and fourth-year residents.
ICD-10 Poll Reveals Few Problems in Transition
Despite all the hoopla surrounding ICD-10, nearly half the practices polled by Physicians Practice had no problems in transitioning to the new code set.
Frustration Prevails with ICD-10, Meaningful Use in 2015
In a two-part series, Physicians Practice looks back at the top health IT issues of the year. Part one focuses on meaningful use and ICD-10.
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