Healthicity Blog

In this ICD-10 cartoon suggested by Joan Weeks-Dolan, Ada goes to the beach with her best friend Rhonda. Ada and Rhonda are having the time of their lives, splashing in the water, cruising on a jetski, enjoying the sun, until, well, just take a look for yourself...

For calendar year 2017, the Centers for Medicare & Medicaid Services (CMS) have finalized updated payment rates and policy changes in the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System.

In Medicare and Medicaid services, managed care plans fall under Part C, a Medicare Advantage plan alternative to Parts A and B. Medicare Advantage plans often include integrated self-administered drug coverage similar to the standalone Part D prescription drug benefit plan.

As many of you know, we’ve been releasing a lot of new stuff lately. We included audio files of our eBriefs, a new podcast, Compliance Conversations, and now, to keep the momentum going, we are launching an ICD-10 cartoon series, The Misadventures of Ada.

Level 1-established patient encounter code, 99211, can be confusing. CPT defines this code as, “the evaluation and management of an established patient, that may not require the presence of a physician or other qualified healthcare professional.

Whether you need help making informed decisions for your organization regarding the RAC audits, or need a refresher on ethical e/m coding, this list of super useful audit resources has it all.

“CPT currently defines a critical illness or injury as an illness or injury that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life threatening deterioration in the patient's condition.” -ACEP.Org.

One of the most important audit tasks is delivering the post-audit results. Our goal as auditors, is to give feedback in a way that leads to improvements in accuracy and documentation.