Author: Deborah Grider (Deborah Grider)

Five Tips to Ensure Your E/M Documentation Will Pass an Audit
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Five Tips to Ensure Your E/M Documentation Will Pass an Audit

September 25, 2019 Documentation in every setting begins and ends with the physician/advanced practitioner. It is not the quantity but the quality of the documentation that counts. Documentation is supported in the detail. When I work with physicians on clinical documentation, the question that always comes up is: “What do I need to document to...

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Does My Documentation Tell the Story in Critical Care?

Does My Documentation Tell the Story in Critical Care? SCCM Critical Connections – August 2019  by Deb­o­rah Grider The initial and subsequent hospital codes 99221-99233 require specific documentation of the key components: history, examination, and medical decision-making. Read Full Article Copyright© 2019 The Society of Critical Care Medicine.

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Understand CMS Advanced Billing Practitioner Professional Billing

Understand CMS Advanced Billing Practitioner Professional Billing ICD-10 Monitor – January 2019  by Deb­o­rah Grider Not billing the APP service can result in serious revenue cycle errors. Many providers are still struggling with the non-physician practitioner (NPP) billing rules from the Centers for Medicare & Medicaid Services (CMS). Most facilities are now referring to NPPs as...

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Wound Care Coding

Wound Care Coding SCCM Critical Connections – December 2018  by Deborah Grider The wound care (97597-97598) and debridement codes (11042-11047) are used for debridement of wounds that are intended to heal by secondary intention. Some conditions that support medical necessity include infections, chronic venous ulcers, and diabetic ulcers, to name a few. Many insurance carriers, including...

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