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Unspecified Code Best Practices You Can Start Using Today

Posted by Lori A. Cox, Sep 17, 2019 10:26:50 AM

According to the ICD-10-CM Guidelines, “Codes titled 'unspecified' are for use when the information in the medical record is insufficient

An Auditor’s Simple Guide to Infusion Services

Posted by Lori A. Cox, Jan 8, 2019 10:02:35 AM

An infusion service is defined as the “administration of intravenous fluids and/or drugs over a period of time for diagnostic or therapeutic purposes.”

ICD-10-CM Coding Guidelines Series: Section 1.A. Conventions

Posted by Lori A. Cox, Nov 13, 2018 9:00:00 AM

Each year when I receive my new coding books the first thing I do is transfer all my notes from one book to the other.

The Two-Midnight Rule: It Doesn’t Have to Spook You

Posted by Lori A. Cox, Oct 30, 2018 10:25:01 AM

Scary movies, candy, and playing spooky games make up our October days.

3 Tips for Discussing Audit Results with Providers

Posted by Lori A. Cox, Sep 6, 2018 9:00:00 AM

One of the most difficult jobs as an auditor isn’t keeping up with the constant changes in healthcare or trying to remember all the rules for the different Medicare carriers. It’s sitting down with a provider to discuss their audit results.

The 5 Basic Requirements of Incident To

Posted by Lori A. Cox, Aug 28, 2018 10:40:09 AM

Understanding incident-to can be stressful. According to an MLN Matters article, number SE0441, “To qualify as “incident to,” services must be part of your patient’s normal course of treatment

Examples of New Vs. Established Patients in E/M Services

Posted by Lori A. Cox, Apr 3, 2018 10:46:10 AM

For fun, let’s take a short quiz. Would you say that the following scenarios would be coded as a new or established patient?

3 Things Auditors Need to Know About Critical Care Codes

Posted by Lori A. Cox, Feb 13, 2018 12:28:10 PM

Auditing for critical care is confusing and takes some serious detective skills. Sherlock anyone?