Category: Coding & Documentation

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Reasons Why Diagnostic Coding Matters in Value-based Care

Reasons Why Diagnostic Coding Matters in Value-based Care AAOS Now – September 2018 by Margaret M. Maley, BSN, MS Payers are great at collecting data. They use the information to develop payment policies, determine reimbursement rates, and, increasingly, to negotiate value-based contracts. Payers profit because they know how much it costs to take care of...

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Protect Your Practice Against Payer Audits with These Preparedness Strategies

Protect Your Practice Against Payer Audits with These Preparedness Strategies Healio ⋅ Orthopedics Today – September 2018 by Cheryl Toth, MBA The top two things that can trigger a payer audit are computer algorithms and coding outliers, according to attorney Patricia Hofstra, a partner at Duane Morris LLC. “It’s almost guaranteed that if you bill a lot...

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Have You Heard the Latest Professional Liability Risk?

Have You Heard the Latest Professional Liability Risk? AAOS Now- June 2018 By: Michael R. Marks, MD, MBA HIPAA allows states to recognize cause of action for breach of confidentiality The list of liability risks for physicians continues to increase. On behalf of the Medical Liability Committee, this article presents new risks via highlights from...

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Tips for Utilizing ICD-10-CM

Tips for Utilizing ICD-10-CM – June 2018 AAOSNow by Sarah Wiskerchen, MBA, CPC  In May 2015, most orthopaedic surgeons and their staff were highly focused on learning the new diagnostic language of ICD-10-CM (International Statistical Classification of Diseases and Related Health Problems, 10th revision, Clinical Modification). That’s because the new diagnosis codes were scheduled to...

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