Carol Pohlig
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News
Key Elements of Critical Care
February 29, 2016
Code 99291 is used for critical care, evaluation, and management of the critically ill or critically injured patient, first 30–74 minutes.1 It is to be reported only once per day per physician or group member of the same specialty. [caption id="attachment_13454" align="alignright" width="300"] Im
News
ICD-10 Flexibility Helps Transition to New Coding Systems, Principles, Payer Policy Requirements
December 1, 2015
Effective October 1, providers submit claims with ICD-10-CM codes. As they adapt to this new system, physicians, clinical staff, and billers should be relying on feedback from each other to achieve a successful transition.
News
Billing, Coding Documentation to Support Services, Minimize Risks
October 6, 2015
[caption id="attachment_11470" align="alignright" width="295"] Image Credit: ILLUSTRATION/PAUL JUESTRICH; PHOTOs shutterstock.com[/caption] The electronic health record (EHR) has many benefits: Improved patient care; Improved care coordination; Improved diagnostics and patient outcomes;
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News
ICD-10 Medical Coding System Likely to Improve Documentation, Reimbursement
July 6, 2015
ICD-10 is the system that will replace ICD-9 for all parties covered by the Health Insurance Portability and Accountability Act (HIPAA). ICD-10 contains a code set used for inpatient procedural reporting and a code set used for diagnosis reporting.
News
Medicare Standard Practical Solution to Medical Coding Complexity
April 4, 2015
In the article “Common Coding Mistakes Hospitalists Should Avoid” in the August 2014 issue of The Hospitalist, the author states: “For inpatient care, an established problem is defined as one in which a care plan has been generated by the physician (or same specialty group practice member) during
News
Service Distinction Crucial for Medical Claim Submissions
April 3, 2015
[caption id="attachment_8700" align="alignright" width="295"] Image credit: SHUTTERSTOCK.COM[/caption] Hospitalists often are tasked with coordinating and overseeing patient care throughout a hospitalization.
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Time-Based Physician Services Require Proper Documentation
February 2, 2015
Providers typically rely on the “key components” (history, exam, medical decision-making) when documenting in the medical record, and they often misunderstand the use of time when selecting visit levels.
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News
Avoid Billing, Coding Discrepancies When Documenting Patient History
November 3, 2014
Avoid Billing, Coding Discrepancies When Documenting Patient History
News
Common Coding Mistakes Hospitalists Should Avoid
August 1, 2014
Unclear planning, relevant data, undervaluing patient complexity among common coding errors
News
Medical Decision-Making: Avoid These Common Coding & Documentation Mistakes
August 1, 2014
Tips to prevent medical coding, documentation errors frequently made by hospitalists
