The Centers for Medicare and Medicaid Services recently released revisions to the State Operations Manual Appendix PP for Phase 2, F-Tag revisions and related issues. This index will help providers easily navigate the 696-page Appendix for quick reference of F-Tags.
Whether your medical record is electronic, paper-based, or a combination of the two, accurate and complete coding is critical to care delivery, appropriate reimbursement and compliance. It's important you understand and adhere only to the codes supported by the clinical documentation.

There are many pitfalls to coding compliance that could jeopardize your hospital or physician practice. Incident to billing is one of those areas many physician groups and hospitals struggle to get right.

As a healthcare professional, we're sure your health system or physician practice provides many annual wellness and preventive visits for Medicare patients. However, are you certain your Initial Preventive Physical Examination (IPPE) documentation meets the necessary requirements?
Documentation has been under increased scrutiny as the role of the medical record has substantially changed over the past several years. Managed Care, Health Care Reform and the implementation of Electronic Health Records have made chart documentation vital for every service that is being submitted for payment.
Are your physicians and coders ready for October 1, 2017 when the new diagnosis codes and coding changes take effect? The 2018 ICD-10-CM codes are to be used for discharges occurring from October 1, 2017 through September 30, 2018 and for patient encounters occurring from October 1, 2017 through September 30, 2018.

Now that more medical practices and health care facilities are utilizing electronic medical records (EMRs), regulators are finding that many records look identical in wording and elements. This can be cause for suspicion, leading to audits and claim denials. Are your medical records cloned? You should be on the look out for these documentation shortcuts and avoid them at all costs.

It’s that time of year again when patients are coming in for their annual flu vaccines. Before selecting the proper code administration of a vaccine, make sure your practice knows what to check for.

It's that time of year again, when the new CPT codes become effective. Make sure to get the current year’s CPT book or you could be coding inappropriately since this year, among other changes, observation codes have been revised and five new evaluation and management codes were added.

As with so many forms of healthcare delivery, coding for a new vs. an established patient can be confusing. In this month's CodingAlert, we will review how to properly code for each type of patient visit.

In calendar year 2010, the Centers for Medicare and Medicaid Services (CMS) made revisions to the payment policies under the physician fee schedule (CMS-1413-FC), eliminating the use of all consultation codes for office/outpatient (99241-99245) and inpatient (99251-99255).

LW Consulting, Inc. (LWCI) has identified that within the components of Evaluation and Management (E&M) leveling, there are those that are more difficult than others to understand and apply. One component that, in our experience, has the most difficulty is in medical decision-making.