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 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
Read moreEvaluate Your OT and PT Coding
These services may seem alike, but differences in requirements can make or break your code assignment. Physical therapy (PT) and
Read moreYour Vote is Vital: AHIMA 2021 Election
Prepare to cast your vote in the annual AHIMA leadership election, taking place online July 12–26. The candidates’ biographies, position
Read more6 Reasons Why You Need More Than a 4-Week Online Course for Medical Billing and Coding
How long does it take to become a medical billing and coding specialist? If you’re considering a career in medical
Read moreHow CDI Can Become the Answer to Physician Burnout
By Omar Shaker, MD My career has been shaped by two critical experiences: burning out as a physician and witnessing
Read moreTelehealth Coding and Billing Compliance
By Ghazal Irfan, RHIA, and Monica Watson The COVID-19 public health emergency (PHE) generated a need for expanded telehealth regulatory
Read moreHow Are You Living the Pledge?
By Lesley Kadlec, MA, RHIA, CHDA Being an advocate takes action. For many AHIMA members, their first introduction to taking
Read moreHIPAA and Hunger: Solutions in a Pandemic
By Joan M. Kiel, PhD, CHPS The health information management profession continues to expand its boundaries and be a true
Read moreResume and Interview Pro Tips
The AAPC Social Hour on Facebook Live, June 9, at 11 a.m. MT (1 p.m. ET) focused on resume and
Read moreCMS Updates Medicare Part B Drug Prices
Retroactive code pricing updates may require claims lookback. The Centers for Medicare & Medicaid Services (CMS) has posted a retroactive
Read moreProtecting Public Health During a Pandemic: The Power of Collaboration
By Jenifer Leaf Jaeger, MD, MPH Public health leaders are in the midst of their greatest centurial challenge: how to
Read moreMedical Reviews are Back on Track
Make sure your physician practice is prepared for renewed scrutiny of Medicare claims. Medicare Part B post-payment, service-specific medical reviews
Read moreThe Experience of the AHIMA Advocacy Summit 2021
By Susan Clark How do I feel following the 2021 AHIMA Advocacy Summit? I feel energized, valued, and impactful! If
Read moreFive Tips to Reach True Interoperability
By Matthew A. Michela Inadequate access to medical data because of poor interoperability results in suboptimal care and increased costs
Read moreTake 5: Medicare News Flash – May 2021
No time to read all those wordy transmittals? Here’s news you can peruse in under 5 minutes. Catch up on
Read more2020 Officer of the Year: Emily Schmidt
AAPC Chapter Association Board of Directors recognizes Schmidt and others who were nominated. The AAPC Chapter Association Board of Directors
Read moreRecurrent Inguinal Hernia
Check your diagnosis coding for this patient encounter. PREOPERATIVE/POSTOPERATIVE DIAGNOSIS: Recurrent right inguinal hernia. PROCEDURE PERFORMED: Laparoscopic right inguinal herniorrhaphy
Read moreAdvice From a CIRCC®
AAPC member Patricia Sonnemann, CPC, COC, CIC, CIRCC, CPMA, works for Concept Plus LLC, where she audits medical records for correct
Read moreI Am AAPC: Sherlyn Miranda Sulapas, RN, CPC, CPC-I
My path to coding and training began after I passed the 2008 Nursing Licensure Exam (NLE) in the Philippines. After
Read moreBreak Down Billing for New Drugs
Follow these steps when adding novel drug therapies to your practice management system to ensure accurate payment. New drugs, often
Read moreConquer Coding for Sepsis and SIRS
Arm yourself with a solid understanding of key terms and guidelines to overcome sepsis coding hurdles. Sepsis, systemic inflammatory response
Read moreTop 10 ICD-10-CM Coding Errors
There are many rules and regulations medical coders must follow for diagnosis coding. Avoiding these 10 most common errors will
Read moreAAPC Social Hour: Certification Exam Tips
The AAPC Social Hour on Facebook Live, May 26, at 11 a.m. MT (1 p.m. ET) focused on how to
Read moreThe Leadership Challenge During a Pandemic
By Monica Lawson, MBA, RHIA, CRC, CPC, CPC-I We are living in the challenging, unprecedented times of the COVID-19 pandemic,
Read moreField Notes: eHealth Exchange Collaborates on an eCR Use Case During COVID-19
By Jay Nakashima and Kati Odom Bell eHealth Exchange is among the largest healthcare information networks in the country. Considered
Read morePreparing for a New—and Better—Normal
By Wylecia Wiggs Harris This month, the Journal of AHIMA published “Building New Policies and Procedures to Incorporate Telehealth.” The
Read morePutting Patients First: How HIPAA Changed the Health Information Landscape
By Lauren Liacouras When it comes to the protection of patient information, Jane Rogers, RHIA, has spent her impressive career
Read moreThe Spring of Hope
By Katherine Lusk As I start this column, I am reminded of Charles Dickens in A Tale of Two Cities:
Read morePHE Accelerated and Advance Payments Come Due
If you received government loans during the public health emergency, they may already be due. On March 28, 2020, the
Read moreHospice Addendum Problems Solved
2022 Hospice proposed rule would help with addendum statement snags, but other problems remain. In the Hospice proposed rule, published
Read moreAHIMA Advocacy Summit Considers Post-Pandemic Landscape
By Anne Zender, MA Since the start of the COVID-19 pandemic, changes in public health, immunizations, and telehealth that were
Read moreHow to Avoid a Healthcare Data Emergency
By Isaac Kohen As healthcare companies grapple with a post-COVID-19 landscape, securing data in an increasingly digital environment is paramount
Read moreDeath to Faxes: COVID-19 Highlights the Need for Interoperability
By Laura Young On December 5, 2020, Alaska state health officials reported 933 new COVID-19 cases, a new high for
Read moreWhat You Need to Know About OIG Audits
By Leigh Poland, RHIA, CCS and Srivalli Hariharamuthukrishnan, CPC Since it was established in 1976, the Office of Inspector General
Read moreGet Paid for Noncovered COVID-19 Vaccine Fees
HHS program reimburses healthcare providers and facilities for testing, treatment, and vaccine administration fees associated with insured patients. On May
Read moreAAPC Social Hour With Jill Young
Join subject matter expert Jill Young as she talks through the questions and concerns on everyone’s mind. The upcoming AAPC
Read moreMay-June 2021
May-June 2021 Building New Policies and Procedures to Incorporate Telehealth In the Issue Publishing Week of 5/10 Cover Story “Building
Read moreSurviving the Wave of Seasonal Audits
By Sue Chamberlain, MSCTE, RHIA, CDIP, CCS-P ’Tis the season when both hospitals and physician practices see copious audit requests
Read moreArtificial Intelligence: What We Learned While Implementing CDI, CAC, and Scanning Software Solutions
By Amy Bolin-Deon, MHIS, RHIA, CHP, and Lisa Woodley, MBA, RHIA, CHTS-PW Everywhere you look in healthcare, there are software
Read moreBuilding New Policies and Procedures to Incorporate Telehealth
By Rita Bowen, MA, RHIA, CHPS, CHPC, SSGB, and Diana Warner, MS, RHIA, CHPS, CPHI, FAHIMA Over the past year,
Read moreProfessional Development is a Commitment
Nanette B. Sayles, EdD, RHIA, CCS, CHPS, CPHI, CHDA, CDIP, CPHIMS, FAHIMA By Nanette B. Sayles, EdD, RHIA, CCS, CHPS,
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