Carol Pohlig
News
How to Handle Medicare Documentation Audits
November 1, 2013
Providing comprehensive, timely responses is crucial to preventing claims denial
News
How To Avoid Medicare Denials for Critical-Care Billing
October 1, 2013
The basic principles of documentation for services provided to critical-care and injured hospital patients
News
Documentation, CMS-Approved Language Key to Getting Paid for Hospitalist Teaching Services
May 1, 2013
The teaching physician is paid for their personal and medically necessary service in providing patient care
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News
Medicare Billing Regulations for Nonphysician Providers Vary by State, Facility
March 1, 2013
State laws determine Medicare services that can be billed, provided by nurse practitioners and physician assistants
News
Host of Factors Play Into Hospitalist Billing for Patient Transfers
January 1, 2013
Know your role in patient tranfers and avoid common billing mistakes
News
Medical Coding: Hospice Care vs. Palliative Care
November 1, 2012
Knowing how to appropriately code for each of these costly services will ensure reimbursement
News
Response: Properly Coding an Uncertain Diagnosis
August 28, 2012
Confusion arises because there are two mechanisms for reporting facility-based claims
News
Know Surgical Package Requirements before Billing Postoperative Care
July 31, 2012
With the growth of HM programs and the admission/attending role expansion, involvement in surgical cases comes under scrutiny for medical necessity.
News
Efficacy, Diagnoses, Frequency Play Parts in Coverage Limitations
May 25, 2012
Medicare may only pay for items and services that are “reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member,” unless there is another statutory authorization for payment.
News
HHS Delays ICD-10 Compliance Date
May 25, 2012
HHS to announce a new compliance date.
