Don’t hire coders from hospitals or practices. “A coder with inpatient hospital certification can’t handle an ASC, says Eva-Marie Alexander, West Coast regional director for American Academy of ...
More than one year after the ICD-10 go-live on Oct. 1, 2015, CMS has ended the ICD-10 claims auditing and quality reporting leniency period. Guidelines now require providers to code to reflect ...
Many hospitals are receiving recovery audit contractor (RAC) denials based on physicians' documentation of major complications and/or co-morbidities (MCCs) and complications and/or co-morbidities (CCs ...