In this episode of Compliance Conversations, I sat down with Senior Consultant, Brenden O’Neil, who works in Intermountain’s professional coding and reimbursement department. O’Neil and I had a fascinating discussion on CPT codes and the complicated gray area of coding a laminectomy.
About five years ago I had an experience that changed my perspective and really opened my eyes to a better way to effectively share post-audit results.
Dr. Smith and I had met a number of times because we were in the same organization.
Vacation season is finally upon us and nobody is more excited than Ada. After months of dreaming of the beach, she splurged on a roundtrip ticket to beautiful Florida. Thoughts of the crystal clear water, sandy beaches, lovely locals have her feeling giddy and energized.
Compliance officers have a lot to juggle. Incident management, internal auditing and monitoring, and enforcing standards, are just a few of the things you need to master. Plus, it seems like new guidelines are emerging from every corner.
Healthcare fraud and abuse are hot topics right now, it’s more important than ever to get on top of new codes and keep your practice audit-ready. Knowledge is power. This handy list will help you update CPT codes and stay current. Educate providers and staff using the following auditing resources.
It can be a total nightmare to figure out the definition of a “detailed” examination using 1995 Documentation Guidelines for Evaluation and Management Services. It doesn’t help that CMS has been reluctant to expand the definition. It’s frustrating, isn’t it?