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Carol Pohlig

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.

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Key Elements of Critical Care

Author:
Carol Pohlig

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...

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ICD-10 Flexibility Helps Transition to New Coding Systems, Principles, Payer Policy Requirements

Author:
Carol Pohlig

Effective October 1, providers submit claims with ICD-10-CM codes. As they adapt to this new system, physicians, clinical staff, and billers...

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Billing, Coding Documentation to Support Services, Minimize Risks

Author:
Carol Pohlig

[caption id="attachment_11470" align="alignright" width="295"] Image Credit: ILLUSTRATION/PAUL JUESTRICH; PHOTOs shutterstock.com[/caption] The...

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ICD-10 Medical Coding System Likely to Improve Documentation, Reimbursement

Author:
Carol Pohlig

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...

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Medicare Standard Practical Solution to Medical Coding Complexity

Author:
Carol Pohlig

In the article “Common Coding Mistakes Hospitalists Should Avoid” in the August 2014 issue of The Hospitalist, the author states: “For inpatient...

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Service Distinction Crucial for Medical Claim Submissions

Author:
Carol Pohlig

[caption id="attachment_8700" align="alignright" width="295"] Image credit: SHUTTERSTOCK.COM[/caption] Hospitalists often are tasked with...

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Time-Based Physician Services Require Proper Documentation

Author:
Carol Pohlig

Providers typically rely on the “key components” (history, exam, medical decision-making) when documenting in the medical record, and they often...

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Avoid Billing, Coding Discrepancies When Documenting Patient History

Author:
Carol Pohlig

Avoid Billing, Coding Discrepancies When Documenting Patient History

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Common Coding Mistakes Hospitalists Should Avoid

Author:
Carol Pohlig

Unclear planning, relevant data, undervaluing patient complexity among common coding errors

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Medical Decision-Making: Avoid These Common Coding & Documentation Mistakes

Author:
Carol Pohlig

Tips to prevent medical coding, documentation errors frequently made by hospitalists

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How to Handle Medicare Documentation Audits

Author:
Carol Pohlig

Providing comprehensive, timely responses is crucial to preventing claims denial

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How To Avoid Medicare Denials for Critical-Care Billing

Author:
Carol Pohlig

The basic principles of documentation for services provided to critical-care and injured hospital patients

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Documentation, CMS-Approved Language Key to Getting Paid for Hospitalist Teaching Services

Author:
Carol Pohlig

The teaching physician is paid for their personal and medically necessary service in providing patient care

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Medicare Billing Regulations for Nonphysician Providers Vary by State, Facility

Author:
Carol Pohlig

State laws determine Medicare services that can be billed, provided by nurse practitioners and physician assistants

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Host of Factors Play Into Hospitalist Billing for Patient Transfers

Author:
Carol Pohlig

Know your role in patient tranfers and avoid common billing mistakes

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