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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 …

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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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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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The Basics of Anesthesia Billing.

WebAnesthesiology is a practice of medicine specializing in: The management of patients who are rendered unconscious and/or insensible to pain and emotional stress during surgical, …

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The Basics of HIPAA Privacy and Security and HITECH

Web4 Covered Entities • A covered entity is a –healthcare provider, –a health plan, –healthcare clearing house …..who transmits any health information in electronic form 7 Covered …

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Top 50 Codes Family Practice

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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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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Top 50 Codes Internal Medicine

WebInternal Medicine. Page 1. Top 50 CodesFast Forward2014. 401.9Essential hypertension, unspecified. I10 Essential (primary) hypertension. 250.00Diabetes mellitus without …

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Billing Incident-to Services

WebNon-Institutional Requirement. 8. •Incident to a physician’s professional services means that the services or supplies are furnished as an integral, although incidental, part of the …

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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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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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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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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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“Prompt Pay” Statutes And Regulations

Web1 “Prompt Pay” Statutes And Regulations State Status/Terms of Law State Contact Website Address (If Available) Alabama Clean claims paid within 45

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Understanding RVU’s and How to Effectively Use Them In …

WebThe Department of Physician Payment Policy and Systems American Medical Association 515 N. State Street, Chicago, IL 60654 Phone: (312) 464-4736 Fax: (312) 464-5849 …

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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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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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2021 E/M Office or Other Outpatient (99202-99215) Audit …

WebA clinical laboratory panel (e.g., basic metabolic panel [80047]) is a single test. The differentiation between single or multiple unique tests is defined in accordance with the …

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