CMS Medical Student Documentation

CMS Allows Medical Student Documentation for Billable Services—But Proceed With Caution

Analysts See Risk and Reward: Less Paperwork, but Increased Potential Liability

The Centers for Medicare and Medicaid Services (CMS) recently issued a revision to the Medicare manual that everyone should be familiar with: Teaching physicians can use student documentation for billable services. But the ruling, which was quietly made, comes with plenty of caveats, so if More..

Non-Surgical Urology Services

Let 4 Coding Scenarios Shine a Light on Non-Surgical Urology Services

You Don’t Always Need to Forfeit Payment Due to Global Billing

Non-surgical hospital services often go undocumented or under-billed for urologists. Why? Many coders, both new and seasoned, have little experience in properly coding these services, which leads to loss of deserved reimbursement. Critical: You need to understand the special coding rules and clinical scenarios for More..

CMS Nursing Home Residents

Beyond Bingo & Board Games: Tailor Nursing Home Activities to Meet Residents’ Real Needs

To comply with CMS, you’ll have to avoid the 3 plagues: loneliness, helplessness & bordeom

“It’s not the years in your life that count, but the life in your years,” goes the saying, one that could very well be the motto for the Centers for Medicare & Medicaid Services (CMS) in their new survey process instituted last November. Using “f-tags” More..

Inpatient and Observation Coding

Coding for Inpatient or Observation Status: More Than Just the Two-Midnight Rule

Hint: Look at physician’s order, not services provided

Incorrectly coding a patient’s hospital status could cost your physicians significantly, even years down the road. The Centers for Medicare & Medicaid Services (CMS) has been aggressively reviewing inpatient and observation claims to reduce the amount of improper payments. When you’re under such scrutiny, thorough More..