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    JustCoding Outpatient

    A little outside knowledge goes a long way in ICD-10-CM fracture coding

    April 12, 2017
    A benefit of the switch to ICD-10-CM is the ability to be as specific as possible about a patient’s condition, but the downside of this is that it can make coding fractures time-consuming and confusing. Knowledge of bone anatomy and how fracture codes work is therefore an invaluable asset in fracture coding.
    JustCoding Outpatient

    Q&A: How to apply modifier -59 for knee arthroscopies

    April 12, 2017
    Q: The CPT Assistant advice on how to apply modifier -59 to CPT code 29874 (knee arthroscopy with removal of loose/foreign body) seems to conflict with NCCI edits. Do the NCCI edits override the advice in CPT Assistant ?
    JustCoding Outpatient

    Healthcare News: OIG audit shows 92% of hospitals billed modifier -59 incorrectly for right heart catheterizations

    April 12, 2017
    Audited hospitals generally applied modifier -59 (distinct procedural service) incorrectly when billing for outpatient right heart catheterizations and heart biopsies provided during the same encounter, leading to overpayments totaling approximately $7.6 million, according to a March report from the Office of Inspector General.
    JustCoding Outpatient

    Defining clinical documentation and coding standards in the revenue cycle

    April 12, 2017
    Accurate clinical documentation is the bedrock of the legal medical record, billing, and coding. It is also the most complex and vulnerable part of revenue cycle because independent providers must document according to intricate and sometimes vague rules.
    JustCoding Outpatient

    Confronting unspecified codes after the end of the ICD-10-CM grace period

    April 12, 2017
    Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS, discusses the use of unspecified codes after the ICD-10-CM grace period and advises providers on how to decrease the use of those codes.
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