Submitting Clean Claims: Updates from Indiana Medicaid, WPS Medicare, Anthem
Several recent policy changes and updates by major insurance payers require tweaks in the submission of medical claims for reimbursement. READ MORE
Higher E&M Levels, Cloned EHRs Garner Feds Attention – Part 2
This two-part series focuses on the recent report by the Center for Public Integrity which revealed a growing trend in billing for higher level Medicare patient visits among doctors. READ MORE
Higher E&M Levels, Cloned EHRs Garner Feds Attention – Part 1
A recent report by the Center for Public Integrity released in mid-September revealed that there is a growing trend in billing for higher level Medicare patient visits among doctors. READ MORE
Submitting Claims Reopenings and Appeals to WPS Medicare
Updating WPS’s records by requesting a reopening or appeal is simple, especially when the most effective method for submitting the correction is selected. READ MORE
Electronic Prescriptions for DME Included in CMS eRx Incentive Program
Reporting electronic prescriptions (eRx) to Medicare for 2012 dates of service can earn medical providers a one percent incentive payment as well as help them avoid a two percent payment adjustment in 2014. READ MORE
WPS Overpayment and Recoupment Process
Wisconsin Physician Services hosted their final Ask-the-Contractor Implementation Call on Monday, August 27, so that Indiana Part B providers and staff could submit any final questions related to the recent transition to WPS as the Jurisdiction 8 Medicare Administrative Contractor. One topic that several callers asked about was the overpayment notification and immediate recoupment process. READ MORE
ICD-10-CM Coding for Symptoms, Signs, and Abnormal Clinical Findings – Part 3
Consistent with all definitive diagnoses in other chapters of ICD-10-CM, the codes for symptoms, signs, abnormal laboratory results, and other ill-defined conditions and investigative procedures, are going to require more granular, specific documentation to code to the highest level of specificity, as well as strict adherence to guidelines specific to the chapter. READ MORE
ICD-10-CM Coding for Symptoms, Signs, and Abnormal Clinical Findings – Part 2
As we continue to look at the ICD-10-CM Chapter 18 codes for symptoms, signs, and ill-defined conditions, in this article we will consider particular ICD-9-CM codes that are used regularly in the Emergency Department setting, and the changes that ICD-10-CM will bring for those codes. READ MORE
ICD-10-CM Coding for Symptoms, Signs, and Abnormal Clinical Findings – Part 1
In this new series of articles, we will look at chapter 18 in ICD-10-CM representing Symptoms, Signs, and Abnormal Clinical Findings, Not Otherwise Specified. READ MORE
Examining ICD-10-CM Codes for Mental, Behavioral and Neurodevelopmental Disorders – Part 5
ICD-10-CM codes F70-F79 have a new note at the category level pertaining to the sequencing of associated physical or developmental disorders that directs the coder to code first the associated condition. READ MORE
