Are You Ready to Code TeleHealth?

Erika Stevens, CPC - Senior Professional Physician Coding Specialist Medical Coding Leave a Comment

Making changes on the fly is never easy in any industry, especially healthcare - figuring out what platform to use, training staff and patients on how to operate video conferences, but more importantly, will you get paid? With the Corona Pandemic turning our revenue cycle upside-down due to the cancelling of most elective procedures, it’s more important than ever that we...

Three ways to deal with a coding surge from Corona

Charlie Saponaro - CEO Medical Coding Leave a Comment

In this environment it’s hard to know what tomorrow will bring. If you watch the news, all you’ll see is a lack of hospital beds and overwhelming patient volumes. Meanwhile, hospitals and clinics around the country are laying off staff because elective and non-emergent procedures have been cancelled to clear the decks for COVID patients. To add to the complexity, many...

Are you Charging Correctly for Infusions & Injections?

Marianne Loeffler, COC, CPC, CPC-I, CRCR - MRA Charge Audit Validator Medical Coding Leave a Comment

By Marianne Loeffler, COC, CPC, CPC-I, CRCR, MRA Charge Audit Validator Infusions & Injections are confusing – even on a good day. Facilities often leave money on the table – and a lot of it – simply because knowledge and resources may be limited.  This article will briefly discuss the key elements to be aware of when reviewing documentation to accurately code injections...

Coding Tips on TAVR Procedure

Carrie Pfeifle, BS, RHIT - Coding Audit Manager Auditing 1 Comment

By: Carrie Pfeifle, BS, RHIT | Coding Audit Manager @ MRA Transcatheter Aortic Valve Replacement (TAVR) is also known as Transcatheter Aortic Valve Implantation (TAVI). Medicare officially refers to this as TAVR/TAVI, but either single acronym is correct. TAVR is a transcatheter surgical procedure in which an aortic valve replacement is performed without removing the...

Top 5 Highlights FY 2020 Coding Changes

Cathie Wilde, RHIA, CCS - Director, Coding Services Education 1 Comment

The FY 2020 IPPS final rule was released by the Centers for Medicare and Medicaid (CMS) on August 2, 2019.[1] Below are five highlights to be aware of regarding changes to ICD-10-CM, ICD-10-PCS, and corresponding official guidelines in FY 2020. ICD-10-CM[2] Effective October 1, 2019 there are 273 new ICD-10-CM codes, 21 deleted ICD-10-CM codes and 30...

MRA and YES HIM Consulting®, Partner to Deliver Expert Coding Education

Charlie Saponaro - CEO Education Leave a Comment

MRA and YES HIM Consulting have partnered to delivery coding education to healthcare organizations across the United States. For over 30 years, MRA is known for delivering operational efficiency, service excellence to organizational integration to Revenue Cycle, HIM, Compliance and Cancer Registry areas in healthcare organizations. YES HIM Consulting is a premier Health...

Why Coding Update Education is Important and the Benefits

C. Matheson, RHIA, CCS CPT updates Leave a Comment

Do you ever feel like by the time your organization and coders get used to one regulation, the rules change?  These frequent changes and the rapid pace of healthcare technology and trends make it critically important to ensure compliance and ongoing training and education is provided for coding professionals.  Judging from the sheer volume of codes can be...

Back to the Basics: How to Do an Internal Coding Audit

Cathie Wilde, RHIA, CCS - Director, Coding Services Auditing 1 Comment

Internal coding audits are an important tool in any hospital’s compliance program. They illuminate potential areas for corrections prior to scrutiny by payers and regulators, which can help reduce payer denials and protect revenue. Additionally, performing regular, ongoing internal auditing can improve clinical documentation and coding initiatives, enhance data...

8 Facts To Get Your Team Ready For a Successful Coding Audit

C. Matheson, RHIA, CCS Auditing Leave a Comment

Simply mentioning a coding audit sends a shiver up a coder’s spine. The thought of scrutinizing their coding quality, as they strive to balance quality and productivity, can bring dread to even the most seasoned coder. But conducting internal or external coding audits are an important part of ensuring quality and regulatory compliance for hospitals and health systems....

Why Pro-Fee Coding Is the Next Great Risk to Your Revenue

C. Matheson, RHIA, CCS Profee Coding Leave a Comment

  As we discussed last week, over the past decade, there has been a tremendous amount of consolidation in healthcare. For hospital-owned physician practices specifically, we have seen the number  rise from 35,700 in July 2012 to 80,000 in January 2018. Over the same period, there was over a 70 percent increase in the number of physicians employed by hospitals or health...

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