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 Diversity of HIM Graduate Job Opportunities and the Skills Necessary for Post-Grad Success
Laurie A. Rinehart-Thompson, JD, RHIA, CHP, FAHIMA By Laurie A. Rinehart-Thompson, JD, RHIA, CHP, FAHIMA Health information management (HIM) education
Read moreTake 5: Medicare News Flash
No time to read all those wordy transmittals? Here’s news you can peruse in under 5 minutes. Catch up on
Read moreAHIMA Public Policy Statement on Affordability
By Lauren Riplinger, JD The overall cost of healthcare is top of many Americans’ minds these days. According to a
Read moreModifier 24: Determine How Your Payer Defines “Unrelated”
Brush up on modifier 24 guidelines to ensure payment for postsurgical unrelated E/M services. Standard postoperative care, including related evaluation
Read moreEducation: Where Does It Get Us?
Ellen S. Karl, MBA, RHIA, CHDA, FAHIMA By Ellen S. Karl, MBA, RHIA, CHDA, FAHIMA In today’s healthcare arena, the
Read moreImproving ICD-10-CM Coding for Social Determinants of Health
By Margaret M. Foley, PhD, RHIA, CCS Social determinants of health (SDOH) are the socioeconomic factors that impact a person’s
Read moreIs It an Audio-Only Phone Call or a Virtual Check-in?
Make sure your practice’s billing for communication technology-based services is compliant before the OIG comes calling. In response to the
Read moreRPM Coding by the Numbers
Know when to use remote physiologic monitoring codes and what to look out for when you do. Along with accelerating
Read moreAppend Surgical Modifiers With Confidence
Know how to differentiate modifiers 58, 78, and 79 to ensure proper reimbursement for all procedures performed. Modifiers convey important
Read moreBilling Opioid Use Disorder Treatment Services in 2021
Medicare expands coverage, creates new codes, and revises others. In December 2020, the Centers for Medicare & Medicaid Services (CMS)
Read moreHow the Wizard of Oz Can Teach Personal Accountability in Today’s HIM World
By Betty Gossell, BSB/CCS The challenge for today’s health information management (HIM) professionals is to think beyond the task at
Read moreDigital Release of Information: It’s Easier Than You Think [Sponsored]
This article is published in sponsorship with Ciox. By Jason Brantley, SVP and General Manager When was the last time
Read moreRetrospective Reviews: The Last Line of Defense for Documentation Integrity
Sponsored content from: Mid-revenue cycle leakage remains difficult for health systems to manage due to competing priorities, a lack of
Read moreAHIMA Public Policy Statement on Telehealth
By Lauren Riplinger, JD There is no question that the COVID-19 pandemic played a catalytic role in the use of
Read moreOvercoming Challenges of Merging Multiple Patient Identification and Matching Systems: A Case Study
By Donna Crew, RHIA, Pete Furlow, and Shannon H. Houser, PhD, MPH, RHIA, FAHIMA [Editor’s Note: This paper was originally
Read moreAMA Releases 2021 CPT® Errata and Technical Corrections
Every year we take direction from the most recent CPT® code book, but it’s important to recognize that it doesn’t
Read moreWhy Electronic Case Reporting Is Vital During Pandemics
By Allison Viola, MBA, RHIA According to the Centers for Disease Control and Prevention (CDC), electronic case reporting (eCR) is
Read moreLeadership Reflections from the Pandemic
Maria Caban Alizondo, PhD, RHIT, FAHIMA By Maria Caban Alizondo, PhD, RHIT, FAHIMA March 12 was the last face-to-face IT
Read moreInteroperability with a Human Touch
Maria Moen By Mary Butler For Maria Moen, who’s been working to improve the use of health technology and interoperability
Read moreHow AI Can Help with Contract Management
By Gerry Blass and Robert F. Porr, CHC Nearly half of healthcare executives polled in a 2019 Accenture study rank
Read moreDocumenting Acute Encephalopathy in COVID-19 Patients
By Alba Kuqi, MD, CCS, CDIP, CICA, CRCR, CCDS, CSMC Encephalopathy is common in critically ill patients with COVID-19. According
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Telehealth Reimbursement Requires Provider Education, Documentation
COVID-19 was a catalyst for telehealth reimbursement, but provider education on coding and documentation processes is key to successful payments.
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Key Considerations for COVID-19 Vaccine Billing and Coding
Now that a COVID-19 vaccine is approved, providers need to execute a medical billing and coding strategy to sustain vaccination
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A Strategic Approach to Complying with the Cures Act
By Dhaval Shah and Simran Mittal Hospitals, health systems, and physician practices need to focus on how they will safely
Read moreInteroperability Needs to Be About Populations, Not Just Individual Patients
By Michael Gleeson Our industry has made significant recent progress towards adopting common data and interoperability standards, but we still
Read moreTips for Coder Training in a Virtual Environment
By Sarah Humbert, RHIA Traditionally, coding updates occurred twice a year: ICD updates in late fall and CPT updates in
Read moreHighlights of the 2021 Outpatient Prospective Payment System and Ambulatory Surgery Center Updates
By Cari Greenwood, RHIA, CCS, CPC This article provides a high-level overview of select major Outpatient Prospective Payment System (OPPS)
Read moreCMS Increases COVID-19 Vaccine Admin Fee
New payment rates are effective immediately. The Medicare payment amount for administering the COVID-19 vaccine is increased, effective March 15,
Read moreApril Updates Bring HCPCS Changes
Make sure you’re using the latest code files for your Medicare claims. A second quarter update to the HCPCS Level
Read moreHow-to Modifier 22
Understand the additional work required to receive rightful payment. When a procedure exceeds the normal range of complexity, modifier 22
Read moreWhat to Do When a Pregnant Patient Has New Insurance
Counting the number of visits is key to proper billing of antepartum services. Open enrollment means that you may have
Read moreRefine Provider Coding Practices with CBRs
Avoid compliance issues and erroneous billing by utilizing comparative billing reports to educate providers. How do your billing submissions and
Read moreCMS Issues Guidance to State Healthcare Officials on SDOH
The Centers for Medicare and Medicaid Services (CMS) issued guidance last week to state health officials aimed at increasing adoption
Read moreTherapy Threshold Amounts for 2021
Know your modifier KX rules to ensure payment. The annual update to the threshold amounts for physical therapy, speech-language pathology,
Read moreHighlights of the 2021 CPT Code Updates
By Leigh Poland, RHIA, CCS On September 1, 2020, the American Medical Association (AMA) released the 2021 Current Procedural Terminology
Read moreLessons Learned During the Pandemic
By Laurie M. Johnson, MS, RHIA, FAHIMA, and Lynn A. Wall, MBA, RHIT, CCS, CDIP If you are reading this
Read more2021 ICD-10-CM Coding Guidelines Get a Refresh
Several changes have been recently made to the ICD-10-CM Official Guidelines for Coding and Reporting for fiscal year (FY) 2021.
Read moreCPT 2021 Update: New Lab, Category III Codes
0640T Noncontact near-infrared spectroscopy studies of flap or wound (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation
Read moreWatch List: 2021 Privacy and Security Trends
Sponsored content from: This presentation recaps 2020 privacy and security trends affecting the HIM industry. The session also focuses on
Read moreThe Impact of COVID-19 on Health Information Management
By David T. Marc, PhD, CHDA; Matthew Blow, BS; and Shauna Overgaard, PhD The COVID-19 pandemic radically altered multiple facets
Read moreTaking a “Moneyball” Approach to Revenue Cycle Management
By Sean Kirby If you are a baseball fan or have seen the movie Moneyball, the name Bill James probably
Read moreFour Predictions about Health Data Management in a Post-Pandemic World
By Joe Nicholson, DO Nostradamus predicted that 2021 will be the Year of the Zombie Apocalypse. At least, that is
Read moreThere’s an API for That
Editor’s Note: In December, the authors published a primer on the information blocking final rule, which you can read at
Read moreFour Reasons to Recapture Compliance in 2021
By Gerry Blass and Helen Oscislawski, Esq. For better and worse, the COVID-19 pandemic has shifted our focus to a
Read moreJanuary-February 2021
January-February 2021 The Cures Act gives patients unprecedented power over their own health data. HIM professionals will play a big
Read moreGive Your Immunization Coding Skills a Boost
The answers to three frequently asked questions may surprise you. Here are three frequently asked questions (FAQs) about vaccination coding
Read moreImagine a Future in Medical Coding
Visionaries predict the role of the medical coder will change. Here’s what you need to know to secure your place
Read more6 Questions Ensure E/M Compliance
Take a look, from an auditor’s perspective, at using MDM to code office visits in 2021. When training providers on
Read moreCoding Diabetes Requires Precision
Look to the ICD-10-CM guidelines for accurate selection and sequencing of diagnosis codes for diabetes. Diabetes mellitus (DM) is a
Read moreTop Error Rates Offer Clues to Denials
Use CERT program reports to improve proper payment rates for Medicare claims. The Comprehensive Error Rate Testing (CERT) program grew
Read moreOPPS Final Rule Eliminates Inpatient Only List
The 2021 OPPS final rule seeks to increase patient choice and lower out-of-pocket costs. On Dec. 2, 2020, the Centers
Read moreMajor Stimulus Bill Would Pump Funds Into Healthcare
A $1.4 trillion government spending bill and $900 billion COVID-19 relief package is on its way to the White House.
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