Medical Billing : Online Health Care Degree
Health care degrees online can be earned in several different disciplines, but one of the most often overlooked is actually
Read moreAccurate medical coding, medical transcription, medical claims services from India.
Accurate medical coding, medical transcription, medical claims services from India. Offshore Medical Billing has provided numerous medical health care and
Read moreThe Future of Leadership in a Remote-Work World
By Thea Campbell When I first started talking about leadership in the remote or virtual workspace, it was pre-COVID-19. Imagine
Read moreHow to Use Patient Journey Mapping to Provide Better Experiences
By Rachel Neely Today’s patients are demanding more from their local health systems. A presence in their local community is
Read moreHealthcare Data: Navigating the Untapped Clinical Resource
By Kelly Canter, MHA, RHIT, CCS In today’s environment, data is collected across everything we do. For every click, swipe,
Read moreAMA Issues More COVID-19 Vaccine Codes
The American Medical Association’s (AMA’s) CPT® Editorial Panel has released eight new COVID-19-related codes to report a new formulation of
Read moreThe AHIMA21 Virtual Conference Is Here
By Wylecia Wiggs Harris, PhD, CAE The AHIMA21 Virtual Conference finds the health information profession at an inflection point. The
Read moreHas The Time Come For Records Standardization?
By Karly Rowe The financial cost of duplicate and outdated patient files has been a chronic condition in the healthcare
Read moreHow Data Governance Is Like Fitting a New Window
By Jeannine Cain, MSHI, RHIA, CPHI When you hear the phrase “data governance,” what is the first thing that comes
Read moreCare For Caregivers: Assimilating the Caregiver Needs in the Health Data Ecosystem
By Kapila Monga, MBA Family caregivers are people who fill the role of caregiver for an ailing family member, relative,
Read moreHighlights of FY 2022 IPPS Final Rule
By Matt Kerschner, MPA, and Sue Bowman, MJ, RHIA, CCS, FAHIMA The Medicare Hospital Inpatient Prospective Payment System (IPPS) final
Read moreFederal Price Transparency Requirements: In Mid-Build
By Chantal Worzala, PhD In his July 9 Executive Order on promoting competition, President Biden directed the Department of Health and
Read moreMedical Coders Gather for Day 2 of AAPC’s RISKCON
Attendees spend two days learning about risk adjustment in a value-based healthcare system. Following Day 1 of Riskcon, Day 2
Read moreRISKCON 2021 Daily Wrap-Up: Day 1
The first day of RISKCON was a hit, leaving attendees wanting more. The past two years have brought a whirlwind
Read moreKeeping the VLab Vital
By Lauren Liacouras Mecredi Cruder, RHIA, CPC, has rooted her professional career in service. From assisting with the AHIMA VLab™
Read moreHow HIEs Can Help Improve Care in Rural Communities
By Laurie Peters Imagine a patient living in a rural community managing multiple chronic conditions— from Type 2 diabetes, kidney
Read moreField Notes: My Life, My Story EHR Integration
By Mara Feingold-Link, MD The My Life, My Story (MLMS) program is a narrative medicine initiative originally developed at the
Read morePrior Authorization for Non-Emergent Ambulance Transports Back on Track
Find out what you’ll need to do to get these claims paid. Expansion of the Prior Authorization Model for Repetitive,
Read moreFeds and U.S. Attorneys Continue to Crack Down on Telemedicine Fraud
Medical practitioners in Michigan are held responsible for their role in Medicare fraud scheme. On Aug. 24, U.S. Attorney Andrew
Read moreDeclaration of PHEs and Flexibilities Following Hurricane Ida
CMS is taking steps to ensure those impacted by Ida don’t have a lapse in health coverage or lack access
Read moreICD-10-PCS Updates for FY 2022
By Cari Greenwood, RHIA, CCS, CPC, CICA The updates to ICD-10-PCS for fiscal year 2022 were released by the Centers
Read moreDiving into the FY 2022 ICD-10-CM Diagnosis Code and Guideline Updates
By Christi LeBlanc, MBA, RHIA The fiscal year 2022 ICD-10-CM diagnosis code update was officially released by the Centers for
Read moreUnderstanding Patient Requests for Access to Hospital Health Records Globally
By Kay Nicol, BBus, MBA, BSc; Kerryn Butler-Henderson, BSc, MBA, MPH, PhD, FAIDH, CHIA; Joan Carlini, BBus, MMark, PhD; and
Read moreIt Pays to Participate in AAPC’s Annual Salary Survey
Legitimize your worth to employers and enter to win a prize. It’s that time of year when AAPC surveys its
Read more2021 E/M Guidelines FAQ – September
AAPC’s senior VP of products answers more of your questions about coding for office and other outpatient services. Ever since
Read moreCoding Ovarian and Other Gynecological Cancer Treatments
Start by asking the right questions. Coding for gynecologic oncology procedures can be complicated. Procedure codes differ depending on whether
Read more10 Topics on Everyone’s Mind
About Renee Dustman Has 737 Posts Renee Dustman, BS, AAPC MACRA Proficient, is managing editor – content & editorial at
Read moreBrush Up on Outpatient Billing and Coding Basics
The shift to outpatient services puts billers and coders with an understanding of the OPPS in demand. Hospital outpatient services
Read moreCapture SDOH Using 2021 E/M Guidelines
EMRs are not the end-all for capturing essential MDM. As of Jan. 1, 2021, we have been given new evaluation
Read moreCoding Maternal-Fetal Medicine
With understanding comes passion for this ob-gyn niche. Obstetrics and gynecology (ob-gyn) coding is one of those specialties you either
Read moreGain Insight Into Billing an E/M With OMT
Reducing denials starts with understanding osteopathic manipulation as well as coding and coverage guidelines for this therapy. Is it appropriate
Read moreBreathe Easy When Coding Acute Bronchiolitis
Put your diagnosis coding skills to the test with this ED patient encounter. CHIEF COMPLAINT: Increased work of breathing HISTORY
Read morePsychotherapy Documentation Tips From an Auditor
Know what auditors want to see in documentation in support of mental health claims. As a solo practitioner providing mental
Read moreEnterprise-Wide Disclosure Management: An ROI Outsourcing Journey
Sponsored content from: This presentation explores the real-life experience and multi-year journey one large healthcare system took to change ROI
Read moreTake 5 – Medical Coding News – August 2021
What are the latest code changes? Get the facts, fast. This month, there’s new billing guidance for a COVID-19 vaccine;
Read more2022 IPPS Final Rule Boosts Hospital Reimbursement
CMS estimates a $2.3 billion increase in hospital payments next year due, in part, to a 2.5 percent bump in
Read moreField Notes: Small-Town Critical Access Facility Goes Big with Technology Upgrade
By Jason Thomas, PhD; Michelle Martin, MBA, RHIA, FAHIMA; Joanna Ward, MA, RHIA; and Brad Coody, RN, MSN Jackson Parish
Read moreE/M 2021 Guidelines and the Importance of SDOH
By Cheryl A. Cyrus, RHIT, CPMA, CDEO, CRC As of January 1, 2021, there are new Evaluation and Management (E/M)
Read moreAppeals, Denials, HIM, and Utilization Review: A Winning Combination
By Ronald Hirsch, MD, FACP, CHCQM, CHRI Many claim that people in the United States have access to the best
Read moreCMS Seeks to Improve Healthcare Outcomes and Drive Down Costs
CMS’ proposed actions are intended to increase price transparency, access to care, patient safety, positive healthcare outcomes, and health equity.
Read moreCOVID-19 Vaccine Boosters Covered by Medicare
Make sure claims and documentation support medical necessity. Healthcare providers have been given the go-ahead to provide an additional dose
Read moreDon’t Let Accounts Payable Derail Your HIPAA Compliance Efforts
By Kevin Eberman Technology continues to disrupt organizations across industries—the way we work and go about daily operations has changed,
Read moreHow Digital Innovations Are Helping Revenue Cycle Management Turn a Critical Corner
By Terry Blessing III There’s little doubt that healthcare’s golden age of technology has arrived, accelerated in part by COVID-19.
Read moreStrategies for Accounts Receivable Management in Rural Health Clinics
By Judy Monestime, DBA, RHIA, CPHI, CDIP, CPC, CPC-I; Roger Mayer, DBA, CPA, CIA, CRMA, FACHE; and Anthony Medel, DBA
Read moreAAPC Social Hour: Jean Pryor on Careers
Tune in for some words of wisdom from a coding professional. During a Facebook Live broadcast, Aug. 11, moderator and
Read moreCAR-T Coding Update
C9076 is the newest addition to the list of HCPCS Level II codes for CAR-T therapies, effective July 1. Learn
Read moreWhat ‘Reasonable’ Cybersecurity Standards Might Be
By Ronald J. Hedges, JD At the end of a series of articles for the Journal of AHIMA that ran
Read moreFour Ways Providers Can Work More Seamlessly with Their Payers
By Linda Perryclear The good news is that there are many opportunities for providers and payers to develop more effective
Read moreThe Value of HIEs from the Primary Care Provider Perspective
By Chris Hobson, MD, and Allen Ausford, MD, FCFP Like all aspects of the healthcare system, the day in the
Read moreOIG Discovers $4.4 Million Overpayment in State Claims
A recent audit on Arkansas MMIS private contractor costs reveals millions in incorrect claims and inappropriate payments. Last month the
Read moreAHIMA Publishes Public Policy Statement on Health Equity
Lauren Riplinger, JD By Lauren Riplinger, JD Earlier this year, President Biden issued an Executive Order on “Ensuring an Equitable
Read moreCMS Proposes MPFS Payment Policies for 2022
The effects of COVID-19 are still being felt in the states and influencing the Centers for Medicare & Medicaid Services’
Read moreMachine Learning as an Enabler for Augmented Intelligence
By Kapila Monga, MBA There is a proverb that says, “When the winds of change blow, some people build walls,
Read moreHow Do You Distinguish Clinical Documentation?
By Cheryl Ericson, MSN, RN, CDIP, CCDS; Rachel L Pratt, RHIA, CDIP, CCS; and Anny Pang Yuen, RHIA, CCS, CCDS,
Read moreHow to Reduce Payer-Provider Abrasion in Health Information Management
By Jennifer Foskett, MBA, RHIA, CPC Payers and providers often seem to be in a battle to prove who the
Read moreTake 5: Medicare News You Can Use – July 2021
Get caught up on the medical coding and billing news that could affect payment for your professional claims. We cut
Read more10 Commandments of E/M
Protect the integrity of your practice’s medical records with this sage advice. Evaluation and management (E/M) services are likely the
Read moreBilling Sports Physicals: GAME ON!
Correct coding and proper payment require strategy and teamwork. The preparticipation physical examination (PPE), or sports physical, is a valuable
Read moreAudits Are the Heartbeat of Your Compliance Program
Here’s what you need to know to protect your healthcare entity’s revenue stream. We all know that the heart is
Read moreAdvice From a CPEDC™
AAPC member Astara N. Crews, MJ, CHC, CHPC, CHIAP, CPC, CPEDC, has worked in healthcare for 25 years and is
Read moreDifferentiating HCPCS Levels I and II Code Sets
Deciding which code to use starts with determining each payer’s policy. The Healthcare Common Procedure Coding System (HCPCS) has two
Read moreCode Acute Myocardial Infarction
Put your diagnosis coding skills to the test with this ED patient encounter. CHIEF COMPLAINT: Chest pain HISTORY OF PRESENT
Read moreThe Impact of the Vanishing Inpatient Only List
There are pros and cons to this final decision, and nobody is spared. The Centers for Medicare & Medicaid Services’
Read moreWhen Billing for Biopsy Services, Do This, Not That
MAC clarifies billing and coding policy for CPT® codes 11102-11107. Six new CPT® codes in the 111xx range were added
Read moreSetting the Stage: Demystifying Digital ROI and Delighting Patients [Sponsored]
This article is published in sponsorship with Ciox. By Jason Brantley The stage for digital release of information (ROI) has been
Read moreHow to Manage Legacy Data in the Age of Information Blocking
Data in a legacy system is at risk of becoming inaccessible when you need it. The longer it sits and
Read moreThe Missing Ingredient in Your Hospital’s Social Determinants Initiative
By Matt Schossberg Telling a complete patient story requires capturing the social determinants that influence overall health. Evidence suggests that
Read moreHealth Care Leadership and Women: A Call to Break the Glass Ceiling
By Patrice Wolfe “I have trouble getting traction for my ideas.” “Being a working mother has hindered my professional advancement.”
Read more2022 ICD-10-CM Guidelines Released
Released earlier than usual, the fiscal year (FY) 2022 ICD-10-CM Official Guidelines for Coding and Reporting became available online Monday,
Read moreAAPC Social Hour: Career Paths and Certifications
The AAPC Social Hour on Facebook Live, July 15, at 11 a.m. MT (1 p.m. ET) focused on career paths
Read moreUnderstanding the Intricacies of Spinal Fusion Documentation
By Tina Bruce, MSHIM, MSHI, RHIA, CCS, CDIP Spinal fusions have created confusion for coding, auditing, and clinical documentation integrity
Read moreInpatient Rehabilitation Facility Coding
By John Barrilleaux, MME, RHIA Inpatient rehabilitation facilities (IRFs) have unique coding and documentation requirements that create special challenges for
Read moreField Notes: C3 Addresses Underserved Populations’ Needs Through Its Flexible Services Program
By Christina Severin Community Care Cooperative (C3) is a 501(c)(3) nonprofit accountable care organization (ACO) founded and governed by Massachusetts
Read moreIs a Digital Front Door the Key to Information Blocking?
As hospitals work to come into compliance with the Information Blocking rules, providers need to consider how to provide patients
Read moreCMS Forecasts Increase in Dialysis Payment, Health Equity Gap Reduction
Proposed rule improves payment rates, incentives, and ESRD treatment choices. Disadvantaged Medicare patients suffer from end-stage renal disease (ESRD) at
Read moreSocial Determinants of Health: Improving Capture and Use by Applying Data Governance Strategies
Telling a patient’s whole health story requires capturing the social determinants that influence overall health. The challenge for health systems
Read more3 Predictive Analytics and AI Trends Affecting Healthcare in a Post-COVID-19 Era
By Jorge Torres Artificial intelligence (AI), machine learning, and predictive analytics continue to transform multiple business sectors in the modern
Read moreNavigating the New HIPAA “Safe Harbor?”
By Ty Greenhalgh, HCISPP In 2020, the American Health Information Management Association (AHIMA), the American Medical Association (AMA), the College
Read moreHow Privacy and Security Teams Can Collaborate With HIM in the Realm of Cyber Threats
By Gerry Blass The world of health information management (HIM) continues to evolve. Larger percentages of information have moved to
Read moreFeds Act to Regulate Surprise Billing
Interim final rule lays groundwork for implementing No Surprises Act by 2022. On July 1 the U.S. Department of Health
Read moreTake 5: Medicare News Flash – June 2021
Who has time to read all those wordy news releases and transmittals? Here’s news you can use in under 5
Read moreMy AAPC Brings Membership to Your Phone
Track an exam, sign up for HEALTHCON sessions, and renew your membership with this easy-to-use mobile app. Did you know
Read moreWhat’s Included in an AWV?
Set the record straight with patients to prevent surprise billing. If you work in a medical billing office, you know
Read moreUsing Regulatory Guidance to Support Audit Findings
Know where to find the proof you need to support your coding, billing, or auditing. As a medical auditor, biller,
Read more2021 E/M Guidelines FAQ – July
AAPC’s senior VP of products answers your questions about coding for office and other outpatient services. Ever since the release
Read moreModifier 59: Don’t Stop! Yield and Investigate
A quick check of the NCCI PTP edits can pay off in a big way. Let’s say you’re cruising along
Read moreHere’s What You May Not Know About Artificial Intelligence
Find out why “machine learning” is the most important part of the AI puzzle. Artificial intelligence (AI) is an ever-expanding
Read moreImproper Billing of P-Stim Devices Leads to More Fraud Settlements
Two chiropractic practices agree to pay over $800,000 to resolve liability for the alleged improper billing of P-Stim devices. In
Read moreThe Impacts of COVID-19 on Access and Disclosure of Health Information
By Linda L. Kloss, MA, RHIA, FAHIMA COVID-19 has changed the way many of us work. While much of the
Read moreAn Ounce of Prevention
By Joe Ponder and Henry Leventis Your day started like so many others: trying to run a healthcare company in
Read moreAHIMA Releases Telehealth Toolkit
By AHIMA Staff One thing the pandemic has taught us is that telehealth now plays a central role connecting providers
Read moreThe Best Path Forward
By Joe Nicholson, DO “Business as usual.” Hopefully, the COVID-19 pandemic has erased that phrase from our lexicon forever. After
Read moreInteroperability and the CURES Act: Practical Applications for an Evolving Landscape
Sponsored content from: The 21st Century Cures Act strives to put patients in charge of their own health records by
Read moreTwo of a Kind
Meet AAPC’s first members of the month: Kim Huey and Sandy Giangreco Brown. Wondering who the ladies are on the
Read moreLeveraging Telehealth
Stay on top of the latest telehealth risk adjustment requirements and guidance to ensure continued compliance. It has been more
Read moreHypertensive Chronic Kidney Disease
Check your diagnosis coding for this patient encounter. A patient presents today for a follow-up for her hypertension. At her
Read moreClean Up E/M Documentation With SOAP
The old standby still works like a charm to show medical necessity. The American Medical Association’s (AMA’s) 2021 Evaluation and
Read moreAdvice From a CCVTC™
AAPC member Lena Holbrook, CPC, CDEO, CPMA, CCVTC, CEMC, has worked in healthcare for 15 years and currently works for
Read moreReview What’s New for ICD-10-CM 2022
Stay on top of the latest in diagnosis coding by reviewing this chapter-by-chapter summary of the changes effective October 1.
Read moreI Am AAPC: Sara Harvey, CPC, CEMC
I became an AAPC member because of my mom. She was a certified coder with a specialty certification in obstetrics/gynecology
Read more10 Service/Supply Claims Under Review
If your provider furnishes Medicare patients with any of the services or supplies on this list, expect an ADR. Ever
Read moreMedical Necessity: Is It Really Necessary?
Come to terms with payers to protect your provider’s revenue stream. “Medical necessity” is an important concept for medical coders
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