Carol Pohlig is a billing and coding expert with the University of Pennsylvania Medical Center, Philadelphia. She is also on the faculty of SHM’s inpatient coding course.
News
Key Elements of Critical Care
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...
News
ICD-10 Flexibility Helps Transition to New Coding Systems, Principles, Payer Policy Requirements
Effective October 1, providers submit claims with ICD-10-CM codes. As they adapt to this new system, physicians, clinical staff, and billers...
News
Billing, Coding Documentation to Support Services, Minimize Risks
[caption id="attachment_11470" align="alignright" width="295"] Image Credit: ILLUSTRATION/PAUL JUESTRICH; PHOTOs shutterstock.com[/caption] The...
News
ICD-10 Medical Coding System Likely to Improve Documentation, Reimbursement
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...
News
Medicare Standard Practical Solution to Medical Coding Complexity
In the article “Common Coding Mistakes Hospitalists Should Avoid” in the August 2014 issue of The Hospitalist, the author states: “For inpatient...
News
Service Distinction Crucial for Medical Claim Submissions
[caption id="attachment_8700" align="alignright" width="295"] Image credit: SHUTTERSTOCK.COM[/caption] Hospitalists often are tasked with...
News
Time-Based Physician Services Require Proper Documentation
Providers typically rely on the “key components” (history, exam, medical decision-making) when documenting in the medical record, and they often...
News
Avoid Billing, Coding Discrepancies When Documenting Patient History
Avoid Billing, Coding Discrepancies When Documenting Patient History
News
Common Coding Mistakes Hospitalists Should Avoid
Unclear planning, relevant data, undervaluing patient complexity among common coding errors
News
Medical Decision-Making: Avoid These Common Coding & Documentation Mistakes
Tips to prevent medical coding, documentation errors frequently made by hospitalists
News
How to Handle Medicare Documentation Audits
Providing comprehensive, timely responses is crucial to preventing claims denial
News
How To Avoid Medicare Denials for Critical-Care Billing
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
The teaching physician is paid for their personal and medically necessary service in providing patient care
News
Medicare Billing Regulations for Nonphysician Providers Vary by State, Facility
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
Know your role in patient tranfers and avoid common billing mistakes