In the early 2000s, the Federal government with support from hospital groups pushed the agenda to create the miracle of electronic medical records. Though doctors resisted, the demand prevailed. Using the fear of not being paid, providers began to work to comply with...
RACS (Recovery Audit Contractors) Under the ACA (Affordable Care Act), regulations require audits for the Medicaid payment processes. They are conducted using data mining where paid claims are analyzed to find unusual claims comparing them to national standards. These...
The number 1 reason CMS (Medicare) denies claims is for use of the Evaluation and Management codes (E/M). These are the codes used to describe the evaluation and treatment of various disorders that are not procedures. With the E/M codes, medical necessity is the...
Med-Certification.com invites you to watch two informational and short videos provided by The Centers for Medicare & Medicaid Services (CMS) which explain ICD-10 concepts and provide examples of how to code using ICD-10. Concepts Have a look: About ICD-10 Coding...
In a world with sickness, deadly bugs (Ebola, et al) and terrorism warfare, the old code system, ICD-9 doesn’t help much. The new ICD-10 system will help responders by simply providing much more information. A good example is the old code for Ebola is lumped...
Meaningful Use (MU) – the latest mandate from CMS (Medicare), has in place incentive programs to encourage providers to use Electronic Health Records (EHRs). They were to adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. Compliance...
