September 25, 2019 Documentation in every setting begins and ends with the physician/advanced practitioner. It is not the quantity but the quality of the documentation that counts. Documentation is supported in the detail. When I work with physicians on clinical documentation, the question that always comes up is: “What do I need to document to...
Does My Documentation Tell the Story in Critical Care? SCCM Critical Connections – August 2019 by Deborah Grider The initial and subsequent hospital codes 99221-99233 require specific documentation of the key components: history, examination, and medical decision-making. Read Full Article Copyright© 2019 The Society of Critical Care Medicine.
Revisiting Neonatal and Pediatric Critical Care Services SCCM Critical Connections – February 2019 by Deborah Grider Neonatal and pediatric critical care coding guidelines have been modified over the years, but the definitions remain the same. Read Full Article Copyright© 2019 The Society of Critical Care Medicine.
2019 Billing and Coding Changes for Peripherally Inserted Venous Catheters SCCM Critical Connections – February 2019 by Deborah Grider Central venous access procedures, commonly performed in critical care, have undergone a change in CPT 2019. Read Full Article Copyright© 2019 The Society of Critical Care Medicine.
Understand CMS Advanced Billing Practitioner Professional Billing ICD-10 Monitor – January 2019 by Deborah Grider Not billing the APP service can result in serious revenue cycle errors. Many providers are still struggling with the non-physician practitioner (NPP) billing rules from the Centers for Medicare & Medicaid Services (CMS). Most facilities are now referring to NPPs as...
Major Challenges Face Coders in 2019 and Beyond ICD-10 Monitor – December 10, 2018 by Deborah Grider CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP ddress documentation and coding issues up front, rather than correct them later. Coders have had many challenges throughout the years. When I started in the industry, we did not submit...
Highlights of the Medicare Physician Fee Schedule Final Rule RAC Monitor – November 14, 2018 by Deborah Grider CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP Highlights of the 2019 Medicare Physician Fee Schedule, released on Nov. 1, are provided by the author. There will be no change in E&M payment levels for 2019, as...
Wound Care Coding SCCM Critical Connections – December 2018 by Deborah Grider The wound care (97597-97598) and debridement codes (11042-11047) are used for debridement of wounds that are intended to heal by secondary intention. Some conditions that support medical necessity include infections, chronic venous ulcers, and diabetic ulcers, to name a few. Many insurance carriers, including...
2019 CPT® Coding for Skin Biopsies ICD10 Monitor – September 2018 by Deborah Grider, CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP Skin biopsy codes are changing. EDITOR’S NOTE: This is the second installment in a two-part series on the 2019 CPT® codes released recently by the American Medical Association. For many years we have used two...
