Coding & Documentation

Eight areas that require your thought and attention at the beginning of the year.

Providers will benefit most from well-tailored RPM programs designed within the current requirements that also have the means to be flexible as requirements inevitably shift.

Computational resources are catching up with all of the healthcare data that’s been accumulating.

Waiting to change could negatively affect business

Scott LaRoque, CEO of MPOWER Health, discusses why some physician practices are hesitant to adopt value-based care models and how practices can get started with them.

Coding expert Bill Dacey, principal of The Dacey Group, answers viewers questions in this second installment of our Coding Q&A podcast series.

2021 EM guidelines turn some traditional 99213s into 99214s.

Bill Dacey, president and CEO of The Dacey Group, pens the popular Coding Columns on Physician's Practice. In our first podcast version of this column, we answer contributed questions on provider types, protocols, and patient behavior.

This month’s Coding Q&A features questions from a physician coding for time spent with hospital patients, and another wondering if there is another way to code for medical reconciliation outside of Transitional Care management codes.

The time for PCPs to focus on improving documentation, coding, and value-based care initiatives is now.

CDI can be a critical initiative that not only increases reimbursement revenue but also enhances the patient experience.

Answers to your latest coding questions

Will physicians lose credit for assessing problems when a specialist is involved in their care? Also, documentation required to support AWV's and problem visits in the same encounter.

HIPAA settlement and new guidelines shed light on government enforcement policies.

Why practices should not fear new coding requirements

John Harrison, CCO of Concord Technologies, discusses how physicians can begin to implement document automation and data extraction technologies in the practice.

Find out how document automation and data extraction comply with HIPAA regulations.

Should providers should include notes in an EMR so insurance companies see CC statement? CMS vs CPT Code Book hospital admission coding. Plus, a clarification on guidelines when coding for telehealth visits.

Here are the tools available for the three main categories of document automation.

Can multiple services from different providers be mixed or combined and billed together? Also, what are the rules for adding HCC codes at the end of your note?

Can provider types be mixed or combined and billed together? And does standard advice exist for determining telepsychiatry codes for various providers?

A generalized checklist for your planning. 

How his experience contracting and recovering from the disease has shaped his perspective.

Remote visits and online E&M services.

Why has Medicare separated depression and alcohol screenings, and will patients incur cost-sharing with new patient portal E&M codes?