Auditing and monitoring

October 5, 2022
Auditing and monitoring, Hospital outpatient

Coding professionals who work in ASC may be familiar with anesthesia modifiers -73 (discontinued outpatient hospital/ambulatory surgery center [ASC] procedure prior to the administration of anesthesia) and -74 (discontinued outpatient hospital/ambulatory surgery center [ASC] procedure after administration of anesthesia). This resource form clarifies instances when these modifiers are appropriate to append.

August 3, 2022
Auditing and monitoring, Hospital inpatient

The attached is an excerpt on POA indicators from the book, JustCoding’s Guide to Medical Necessity Denials (Pack of 5) by Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC. 

March 10, 2021
Auditing and monitoring

Coders managers can use this point system tool to conduct E/M coding audits. 

March 3, 2021
Auditing and monitoring, Health information management, Training

Platinum members can access the webinar “2021 IPPS Final Rule: Navigating Medicare's Changing Reimbursement.” If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.

February 24, 2021
Auditing and monitoring

Coders managers can use this chart to guide their decision-making when conducting an E/M coding audit. 

December 5, 2018
Auditing and monitoring, Clinical documentation, Hospital outpatient

The following is an excerpt on selecting an audit sample from The Essential Guide to Coding Audits by Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS.

November 13, 2018
Auditing and monitoring, Hospital inpatient
June 26, 2018
Auditing and monitoring, Hospital inpatient

This auditor guide was created by Mary Phelps, RHIA, CCS, courtesy of First Class Solutions, Inc. 2018 and was excerpted from the appendix of The Essential Guide to Coding Audits.

September 27, 2017
Auditing and monitoring, Hospital outpatient, Physician practice, Training

As a coder, have you been wondering what you should do if you hit an NCCI or medically unlikely edit? This infographic will help you learn to manage the edit process, master modifiers to use to bypass edits, and make sense of all of the acronyms used in conjunction with edits. 

 

May 24, 2017
Auditing and monitoring, Hospital outpatient, Physician practice

Platinum members can access this excerpt on coding and billing for provider-based services from HCPro’s Provider-Based Entities: A Guide to Regulatory and Billing Compliance, Second Edition. If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.

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