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
News
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