22 results.
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Provider’s Condensed Resource for Revenue Cycle, Coding Tools, and More
Author: Clack, Crystal; Freeman, Rae; Lewis, Laquette
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2017
A cyclone of regulatory requirements for providers has officially touched down in the United States. The Affordable Care Act (ACA), Medicare Access and CHIP Reauthorization Act (MACRA), patient-centered medical home (PCMH), and value-based purchasing (VBP) initiatives are contributing to dramat....
Keeping Compliant: Managing Rising Risk in Physician Practices
Author: Brocato, Lori; Emery, Steven; McDavid, Jan P
Source: Journal of AHIMA
Publication Date: November 2011
A mix of new regulations and initiatives-with audits and attestations in their wake-have put a new focus on compliance in physician practices and clinics.
Recovery audits, breach notification regulations, and modifications to the HIPAA privacy rule are forcing rapid workflo....
Dangerous E/M Coding Practices: Identifying and Remedying Common Sources
Author: Stanfill, Mary H
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: March 2006
Code assignment for physician evaluation and management (E/M) services is inherently problematic because of the multiple coding rules and reporting guidelines that must be applied and the subjectivity of the codes. Consistent E/M coding practices are critical in the physician practice setting.....
AHIMA Comments on Stark/Self Referral NPRM to the Centers for Medicare and Medicaid Services
Author: Rode, Dan
Source: AHIMA testimony and comments
Publication Date: December 09, 2005
December 9, 2005
Mark B. McClellan, MD
Administrator
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Attention: CMS-1303-P
Room 445-G, Hubert H. Humphrey Building
200 Independence Avenue, SW
Washington, DC 20201 <....
Medicare Program; Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships; (Phase II); Interim Final Rule
Author: U.S. Centers for Medicare & Medicaid Services
Source: Federal Register
Publication Date: March 26, 2004
Focused Physician Coding Audits: Using Modifier 25
Author: Stanfill, Mary H
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2004
The physician section of the 2004 OIG work plan includes a focus on appropriate use of modifiers used to bypass National Correct Coding Initiative edits and modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedur....
ABNs--Always Been Neglected
Author: Dunn, Rose T
Source: AHIMA community resource
Publication Date: November 14, 2003
For something that has been around for nearly 2 decades and supported by regulation since 1965, Advance Beneficiary Notices (ABNs) continue to cause headaches today. The use of written notices has been available since the enactment of PL 92-603 in 1972. The specific format called an Advance B....
TIPS: Tools and Ideas for Auditing Physician Services
Author: Gustin, Georgette
Source: AHIMA Convention
Publication Date: September 23, 2002
Key Compliance Strategies for the Physician Practice
Author: Campbell, Jennie
Source: AHIMA Convention
Publication Date: September 23, 2002
Hot Spots in the 2002 OIG Work Plan
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: March 2002
Organizational compliance programs are never static. Rather, they must continually be refined and updated to respond to changes in healthcare delivery and system vulnerabilities. The 2002 Work Plan of the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) pr....
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