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2 / 25 / 2021

Managing Corporate Compliance in “Hybrid” Healthcare Organizations

Establishing an effective corporate compliance program, then managing and maintaining the program, is a complex and often difficult proposition for the traditional health care provider or health system.  When the...
3 / 3 / 2021

Social Determinants of Health (SDOH)

This article covers the definition and examples of social determinants of health (SDOH) and secondary ICD-10-CM codes that may be reported. For more information, contact Lori Carlin, Director of Professional...
3 / 8 / 2021

True Telehealth vs. Telephone Services

By
Alysia Delozier
Since the start of the COVID-19 Public Health Emergency (PHE) the term telehealth has been used as an umbrella term for any type of telemedicine visit.  However, everyone should be...
3 / 30 / 2021

Evaluation and Management Office/Clinic Visit Documentation Detour: A Bumpy Road Ahead (Medicare and Medicaid)

By
Kelly Loya
Autumn Hull and Kelly Loya published an article for the MiMGMA Spring 2021 Newsletter. MiMGMA March Spring 2021 Newsletter
5 / 20 / 2021

Critical Care/Intensive Care Coding from Neonates to Adults

By
Lori Carlin
Critical care requires a provider to make highly complex medical decisions for patients who are critically ill or have suffered a critical injury such as multiple traumas. Both critical...
8 / 13 / 2021

Catheterization Coding Basics – Untangling Interventional Radiology Rules

I often hear that interventional radiology coding is intimidating.  It can be confusing when you don’t know the rules.  One of the basics is knowing whether the catheter selection...
10 / 2 / 2019

Clarifying Screening vs. Diagnostic Testing

If you have questions regarding the difference between a screening and a diagnostic test and when to bill for them separately-You are not alone! Let’s start by going over...
9 / 8 / 2021

Put Your Best Foot Forward When Determining Whether Foot Care is Covered

By
Leah Fuller
Routine foot care is excluded from coverage by the Medicare program, meaning they will not pay for these services; however, exceptions to this exclusion exist. They include: Routine foot...
1 / 11 / 2022

CY 2022 OPPS Final Rule

By
Arlene Baril &
Amy Crenshaw-Pritchett
The Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2022 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) Payment System final rule on...
2 / 1 / 2022

Split/Shared 2022 and 2023 Changes

By
Alysia Delozier
Split/Shared 2022 and 2023 Changes Definition The CY2022 Final Rule defines a split/shared visit as “an E/M visit in a facility setting that is performed in part by a...