Hospital Outpatient Articles

Below is a complete listing of all Hospital Outpatient articles that have appeared in JustCoding News.

  • Reporting packaged services accurately

    October 15, 2013

    Packaging still causes confusion amongst healthcare providers and the number of packaged services will greatly expand if CMS finalizes certain parts of the 2014 OPPS proposed rule. Valerie A. Rinkle, MPA, and Kimberly Anderwood Hoy Baker, JD, CPC, discuss what changes could come in 2014 and how to avoid common packaging errors. 

  • Healthcare News: ICD-10 implementation could lead to claims backlog

    October 15, 2013

    Small and mid-sized hospitals are increasing their ICD-10 training for staff, according to a recent Health Revenue Assurance Associates (HRAA) survey of 200 healthcare professionals. However, many still lag behind CMS’ timeline for dual coding and other implementation aspects.

  • New 2014 CPT codes for pain management treatment and care

    October 15, 2013

    New CPT® codes introduced for 2014 will give healthcare providers new ways to report pain management services and treatments. Shelley C. Safian, PhD, MAOM/HSM, CCS-P, CPC-H, CPC-I, AHIMA-approved ICD-10-CM/PCS trainer, reviews some of the codes, including new evaluation and management and Category II codes.

     

  • Specificity a necessity for dermatology coding

    October 1, 2013

    Like the skin, dermatology coding has several layers. Betty Hovey, CPC, CPC-H, CPB, CPMA, CPC-I, CPCD, says that coders need to pay attention to the type of procedure, site, size, and more in order to accurately report each encounter.

  • Q&A: NCCI and MUE edits on same claim

    October 1, 2013

    Q: Can a medically unlikely edit and National Correct Coding Initiative edit be triggered on the same claim? 

  • Healthcare News: Many lag in ICD-10 preparation

    October 1, 2013

    With less than a year until ICD-10 implementation, many facilities have yet to even begin training. A recent Association of Clinical Documentation Improvement Specialists  survey shows how far along facilities are and their concerns as October 1, 2014, nears.

  • Wrap your arms around data analytics before ICD-10

    October 1, 2013

    The implementation of ICD-10-CM will bring more specificity to coding, which will mean more data for facilities. Michael Gallagher, MD, MBA, MPH, and ­Andrea Clark, RHIA, CCS, CPC-H, look at how to handle that data and its benefits for providers and patients.

  • Be ready to code for gallbladder attacks

    October 1, 2013

    Jeanne L. Plouffe, CPC, CGSC, and Jennifer Avery, CCS, CPC-H, CPC, CPC-I, review procedures performed on the gallbladder and how to determine the correct ICD-9-CM diagnosis codes. 

  • Healthcare News: Auditors finding errors with reporting of add-on codes

    September 17, 2013

    Some providers are billing only add-on codes without their respective primary codes, resulting in overpayments, according to CMS. Add-on codes billed without their primary codes are considered an overpayment, with one exception.

  • Make sense of confusing modifiers

    September 17, 2013

    Modifiers are sometimes essential to ensure proper payment, but choosing the correct one can be tricky. Sarah L. Goodman, MBA, CHCAF, CPC-H, CCP, FCS; Katherine Abel, CPC, CPMA, CEMC, CPC-I; and Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, PCS, FCS, CPAR, CPC, CPC-H, discusssome confusing modifiers and how to use them accurately.