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    JustCoding Outpatient

    April is Alcohol Awareness Month: Review diagnosis coding for substance abuse

    April 25, 2018
    One in 12 adults suffer from alcohol abuse or dependence, and more than half of adults have a family history of alcoholism or problem drinking. Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, outlines ICD-10-CM rules for substance use, abuse, and dependence, and diagnosis coding for alcohol-related conditions.
    JustCoding Outpatient

    The coder’s role in value-based care

    April 25, 2018
    Coders and clinical documentation improvement specialists play a key role in the success of quality payment programs such as MIPS. This article describes the financial impact that hierarchical condition category coding has on provider reimbursement and the coder’s role in ensuring complete, accurate, and timely documentation. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
    JustCoding Outpatient

    Don’t lose sight of Medicare telehealth billing requirements

    April 25, 2018
    Telehealth services continue to expand and claims for these services may already be under scrutiny by Medicare contractors. Debbie Mackaman, RHIA, CPCO, CCDS, writes about the differences between originating site and distant site services in addition to coding, billing, and reimbursement for telehealth services.
    JustCoding Outpatient

    Q&A: Reporting wound care procedures and office visits for diabetic patients

    April 25, 2018
    Q: If a patient is seen for a pressure ulcer on the foot related to diabetes, would you report a diabetes diagnosis code? If surgical debridement is performed and the patient receives treatment for their diabetes, can you charge for both an office visit and debridement?
    JustCoding Outpatient

    Healthcare News: AHA advises providers to file redeterminations for 340B drug claims

    April 25, 2018
    While oral arguments in the American Hospital Association’s (AHA) lawsuit against CMS for its cuts to 340B drug payments in the 2018 OPPS final rule don’t begin until May 4, providers may want to take steps now to preserve their appeal rights if the AHA’s lawsuit is successful.
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