In January 2013, CMS introduced 42 therapy functional reporting G codes (nonpayable), but instituted a six-month trial period. That grace period ended July 1. This quick reference sheet shows the new G codes and the functional modifiers.
Use this document to compare 2014 CPT® endoscopy codes to the updated 2015 codes, as well as the corresponding G codes. A mapping of 2014 CPT codes for radiation therapy and new G codes is also included. This list was prepared by Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, and Peggy Blue, MPH, CPC, CCS-P, CEMC, for HCPro's annual CPT update webcast.
Gloria MillerCPC, CPMA, vice president of reimbursement services at Comprehensive Healthcare Solutions, Inc. in Tacoma, Wash, provides a quick look at some of diagnoses codes for conditions that qualify for hyperbaric oxygen therapy.
The HIM team at Cheshire Medical Center/Dartmouth-Hitchcock Keene (N.H.) produces Coding Commentary, a monthly newsletter dedicated to coding and documentation. View a sample of the newsletter and a Q&A with Chris Simons, MS, RHIA, director of HIM and privacy officer at Cheshire. The interview and newsletter originally appeared in the August 2012 issue of Medical Records Briefing.
When coding guidelines are murky and open for interpretation, coders can sometimes feel as though they're pinned between a rock and a hard place. Discussing the gray areas of coding during a coding roundtable not only helps relieve this tension, but it also helps to establish policies that ensure consistency and continuity. Use this sample charter to build your own coding roundtable.
Use this flow chart to help determine whether process changes are necessary to reach your goal of a 24-hour history and physical turnaround time. Gather baseline data (a good starting sample is 30 medical records) and pull together a team (per- haps consisting of the transcription manager and transcriptionists) to “flow out” the process.
R.A. Bobrowski, MD, and Lori-Lynne A. Webb,CPC, CCS-P, CCP, CHDA, COBGC, provide operative report examples to distinguish the correct degree of laceration to report during deliveries, according to CPT® and American Congress of Obstetricians and Gynecologists guidelines.
Kathy L. Dorale, RHIA, CCS, CCS-P, Susan E. Garrison, CHCA, CHCAS, CHC, CCS-P, CPC, CPC-H, and Monica Lenahan, CCS, provide analysis and commentary on the results of the 2014 JustCoding Salary Survey in this special report.
On January 4, 2013, CMS updated the three-day payment window section of the inpatient chapter of the Claims Processing Manual. Kimberly Anderwood Hoy,JD, CPC, director of Medicare and compliance for HCPro, Inc, in Danvers, Mass, reviews thenew sections which clarify two outstanding questions regarding services in the three-day payment window. She also discusses the update the CPT codes for cardiology procedures considered diagnostic.
