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Coding Review

2020: Year in Review | Coding Education

2020: Year in Review | Coding Education

In January, new CPT codes were released.  There were 248 new CPT codes added, 71 deleted and 75 revised.  Most of the surgery section changes were in the musculoskeletal and cardiovascular subsections. These included procedures such as skin grafting, breast biopsies, deep drug delivery systems, tricuspid valve repairs, aortic grafts and repair of iliac artery.

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Client X: Let’s Talk Numbers

Client X: Let’s Talk Numbers

A higher CMI corresponds to increased consumption of resources and increased cost of patient care, resulting in increased reimbursement to the facility from government and private payers, like CMS. We know that documentation directly impacts coding.

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Part 1: Top 3 CM Chapters 2019 from ProFee Reviews

Part 1: Top 3 CM Chapters 2019 from ProFee Reviews

In 2019, we reviewed over 50,000 diagnosis codes from many different specialties for our Professional Fee clients. Here are the top three ICD-10-CM chapters where HIA identified coding opportunities: Z00-Z99 – Factors influencing health status and contact with health services; I00-I99 – Circulatory system and; R00-R99 – Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified.

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What’s the Best Defense? A Good Offense

What’s the Best Defense? A Good Offense

The official definition from the Centers for Medicare & Medicaid Services (CMS) states that a Medicare overpayment is a payment that exceeds amounts properly payable under Medicare statutes and regulations. When Medicare identifies an overpayment, the amount becomes a debt you owe the Federal government.

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OIG Takes Notice of Coding Errors

OIG Takes Notice of Coding Errors

Back in April, the Office of the Inspector General (OIG) published a report detailing its findings from a review of two groups of high-risk diagnosis codes, acute stroke and major depressive disorder. The objective was to determine whether selected diagnosis codes submitted to the Centers for Medicare and Medicaid Services for use in CMS’s risk adjustment program complied with Federal requirements.

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