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Health Maintenance Exams: What's covered and What is …

We have a handout that is given to all patients when they check in for their yearly exam. We advise what is covered in their visit and give examples of what is … See more

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ICD-10-CM Overview and Coding Guidelines

WebICD-10 has almost twice as many categories as ICD-9. Minor changes have been made in the coding rules for mortality. ICD-10-CM consists of: Tabular lists containing cause-of …

Category:  Health Go Health

The Basics of Outpatient Claims and OPPS

WebProvider, Physician and Supplier Defined. Provider - A clinic, rehabilitation agency, or public health agency including: hospitals, skilled nursing facilities (SNFs), home health …

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5E-Medical Necessity

WebMedicare, for example, defines medically necessary as: “Services or supplies that are needed for the diagnosis or treatment of your medical condition and meet accepted …

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Billing Incident-to Services

WebHawaii Pacific Health, 490 F. Supp. 2d 1062 (D. Hawaii 2007) In a physician directed clinic setting, any one of multiple physicians who are available in the office suite may be …

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Evaluation and Management (E/M) Training

WebCPT® copyright 2012 AMA. All rights reserved. Page 1 E/M Training Module 1 Module 4 Determining the Medical Decision Making (MDM) The most subjective component to E

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Don’t Go Crazy Mental Health Services!

WebMental Health Diagnosis in Medical Offices. • Be aware that if Primary Care Providers (non‐. P sychi at ri st s) are t reati ng “ ment al h ealth” patients in their offices. They, most …

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Practical Application Workbook—Instructor

Webii 2012 Medical Coding Training: CPC Practical Application Workbook—Instructor CPT® copyright 2011 American Medical Association. All rights reserved. Disclaimer

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Understanding Insurance Models For Risk Adjustment

WebPayment of a fixed amount of money that is paid in advance, usually on a monthly rate, to the MCO to cover the delivery of all care and health services. PMPM = per member, per …

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Concepts in Wound Care

Web6 Debridement (11042-11047) Removal by a physician or non-physician provider (NPP) Excision into the viable tissue Excision of the wound edge or removal of necrotic/

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Medicare Screening Services

WebScreening Mammography. Medicare covers one screening mammogram for women aged 40 years or older once every 12 months. CPT code 77057 (screening mammography, …

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Ten Steps to Coding Anesthesia Services

WebAssign the appropriate modifier to identify the anesthesia provider. 10 Steps (cont.) 6. Assign the appropriate modifier to identify MAC services, when appropriate. 7. Assign …

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Coding and Billing Pediatric Services

WebSports/Camp Physicals. AAP recommends use preventive medicine codes 99381-99397. If not covered due to previous preventive visit in same year, will be billed to parent. Office …

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The Integrated Outpatient Code Editor I/OCE V15

WebCommon Working File (CWF) - The Common Working File is a Medicare tool which handles benefit coordination and claims validation. It is used to verify entitlement, maintain …

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Breakout Session 2B Telling a Better Story: Making the Case …

Web3/24/2014 1 Breakout Session 2B Telling a Better Story: Making the Case for Ethical Coding Brad Hart, MBA, MS, CMPE, CPC, COBGC President, Reproductive Medicine …

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Eliminating Infusion Confusion

WebIV Infusion – a continuous introduction of a solution intravenously (same for IA Infusion only administered intra-arterially) IV Push - also known as a Bolus, is the administration of a …

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Top 50 Codes Behavioral Health

WebICD-9-CM Code ICD-10-CM Code(s) ICD-9-CM Code ICD-10-CM Code(s) Copyright © 2013 AAPC all rights reserved — 2480 S. 3850 W. Suite B. Salt Lake City, Utah, 84120

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Top 50 Codes Internal Medicine

WebICD-9-CM Code ICD-10-CM Code(s) ICD-9-CM Code ICD-10-CM Code(s) Copyright © 2013 AAPC all rights reserved — 2480 S. 3850 W. Suite B. Salt Lake City, Utah, 84120

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Compliance Programs for Physician Practices

WebCompliance should be part of the culture. Leadership by governing body, physician management. Integrate compliance with operating systems. Focus on core processes …

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5I-Sample Auditing Compliance Plan

WebA committee for processing of external reviews will consist of employees in the organization to identify the requests, copying of medical records, deadlines for submission of requests …

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