Turn The Cessation of Elective Surgeries Into an Opportunity to Educate

Under normal circumstances, the biggest difficulty practices encounter when trying to engage in physician education is timing.  Coordinating everyone’s schedules, pulling providers out of the operative and visiting rooms, and capturing a practice’s attention during the work day (or worse, during lunch) can be incredibly challenging.  We all understand that physicians are always busy and [...]

By |2020-05-28T18:28:41+00:00May 21st, 2020|Provider Documentation Training|Comments Off on Turn The Cessation of Elective Surgeries Into an Opportunity to Educate

Picking the Right Coding Vendor

Picking the right coding vendor can be challenging.  There so many options and they all tell you they offer accurate coding to ensure revenue optimization and compliance risk minimization.  To help you select the right coding vendor, we have compiled some considerations to help narrow down your decision. Always ask if the codes that they [...]

By |2020-05-28T18:29:11+00:00May 21st, 2020|Remote Medical Coding|Comments Off on Picking the Right Coding Vendor

Offshore Coding: HIPAA Risks

From a compliance exposure perspective, we believe that the HIPAA risk associated with sending PHI abroad is simply untenable.  HIPAA is an American law that does not extend beyond our borders.  The only way to ensure HIPAA protection abroad is to do so contractually via a BAA.  There is no regulatory authority abroad for the [...]

By |2020-05-28T18:29:52+00:00May 21st, 2020|Coding Compliance Risk, HIPAA & Remote Coding|Comments Off on Offshore Coding: HIPAA Risks

Generalist Coders – A Fallacy

There is no such thing as a coder who knows it all. If your coder claims to be able to code every specialty, and you let them, you might want to get your checkbook ready to pay back some recoupments.  There are over 70,000 ICD-10 codes and 10,000 CPT codes. The wealth of knowledge is [...]

By |2020-05-28T18:30:28+00:00May 21st, 2020|Remote Medical Coding, Uncategorized|Comments Off on Generalist Coders – A Fallacy

Split Model Service Providers (Medical Coding Vendors with Offshore and Onshore Operations)

A troubling trend in the medical coding industry is a misleading split model where companies will have resources both onshore and abroad but not disclose which personnel are performing the services.  Some use their domestic resources almost exclusively for client facing interactions, such as sales and operations, but send all of the coding work to [...]

By |2020-05-28T18:31:39+00:00May 21st, 2020|Coding Compliance Risk, Remote Medical Coding|Comments Off on Split Model Service Providers (Medical Coding Vendors with Offshore and Onshore Operations)

Beware of Medical Coding Vendors Not Dedicated to Coding

The coding industry is chock full of companies offering a bevy of services, one of them being coding.During our twenty five years in business, we have seen countless vendors in the healthcare revenue cycle industry add medical coding services to their service offerings. Their main focus is generally billing, scribe and documentation assistance, credentialing, or [...]

By |2020-05-28T18:32:21+00:00May 21st, 2020|Uncategorized|Comments Off on Beware of Medical Coding Vendors Not Dedicated to Coding

Due to Covid-19 Crisis Providers Can Skip 2019 CMS MIPS Reporting

Due to the COVID-19 pandemic, CMS has announced relief measures for providers who are bound to participate in its quality reporting programs, including the Merit-based Incentive Payment System (MIPS). First, CMS is extending the deadline for submission of 2019 MIPS data from March 31, 2020, to April 30, 2020. Second, and perhaps most significantly, if [...]

By |2020-05-28T18:27:58+00:00May 5th, 2020|COVID-19 Medical Coding, Medical Coding News and Recent Articles|Comments Off on Due to Covid-19 Crisis Providers Can Skip 2019 CMS MIPS Reporting

Are Your Remote Coders Secure? Google Warns of Covid-19 Cyber Threats

As many healthcare organizations seek to have their billing and coding staffs work remotely, active attempts to compromise their organization's data, via phishing and malware, are being perpetrated by foreign actors. While many organizations seek to keep some continuity by allowing their team to continue performing services from home, they have left themselves open to [...]

By |2020-04-23T06:41:16+00:00April 23rd, 2020|COVID-19 Medical Coding|Comments Off on Are Your Remote Coders Secure? Google Warns of Covid-19 Cyber Threats

Why Cross-Training Medical Coders Can Get You In Trouble

Cross training sounds like it should work. A coder is a coder.  Why pay a new coder to work on Orthopedics when you have two OB/GYN coders with extra capacity? The job title is the same, the job itself is the same, the software/system access/workflow are the same.  Yet this thinking can get a practice [...]

By |2020-04-16T21:24:01+00:00April 16th, 2020|Remote Medical Coding|Comments Off on Why Cross-Training Medical Coders Can Get You In Trouble

CMS Delays New Payment Model for Emergency Care Due To Covid-19

CMS has delayed the start date of its Emergency Triage, Treat and Transport model from May 1 until this fall. CMS selected 205 participants in February for the five-year ET3 model. CMS said it is delaying the start date because participants now are focused on responding to the COVID-19 pandemic. The new model aims to give ambulance care teams [...]

By |2020-04-15T05:05:43+00:00April 15th, 2020|Coding Compliance Risk, COVID-19 Medical Coding|Comments Off on CMS Delays New Payment Model for Emergency Care Due To Covid-19