22 results.
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Steps to Internal Audits for Physician Office Records
Author: Zeisset, Ann M.; Scichilone, Rita A
Source: Journal of AHIMA - Coding Notes
Publication Date: October 1999
Physician offices face the challenge of submitting correct coding information through the billing process. Ensuring timely reimbursement at the highest level for which services were provided, correct coding also proves there are no fraudulent activities occurring at the facility. Performing a....
Medicare and Medicaid Programs; Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships; Final Rule
Author: U.S. Health Care Financing Administration
Source: Federal Register
Publication Date: January 04, 2001
OIG Compliance Program Guidance for Third-Party Medical Billing Companies
Author: U.S. Department of Health and Human Services. Office of the Inspector General
Source: Federal Register
Publication Date: December 18, 1998
OIG Compliance Program Guidance for Durable Medical Equipment Suppliers
Author: U.S. Department of Health and Human Services. Office of the Inspector General
Source: Federal Register
Publication Date: July 06, 1999
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
Preparing the Physician Office for HIPAA
Author: Uppena, Mary
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2001
Change has been a constant factor in coding and reimbursement with the intensified focus on billing, compliance, and cost control. Out of necessity, coding professionals in physician settings have learned to be organized, adaptable, and armed with the latest information. The mandates....
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.....
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....
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 <....
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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