Hayes' Healthcare Blog

Trouble Ahead: The Unintended Consequences of the Proposed E/M Changes

The provider community has been begging for documentation reform for over 20 years, and there is no question that simplifying the complex requirements of clinical documentation is necessary. Unfortunately, the recent release of the proposed changes from CMS surrounding evaluation and management (E/M) is not the answer. The benefits of the modest reduction in documentation requirements are more than offset by the devastating impact the changes will have operationally, clinically, and financially.

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Topics: clinical documentation, cms, compliance risk, reporting, Medicare, Coding and Documentation, risk management, Hayes Thought Leadership Blog Series, revenue integrity, Revenue

Why Your Front Desk Needs to Understand Coding

Posted by Kathy Williamson on June 10, 2015 at 9:00 AM

Current Procedural Terminology (CPT) codes and diagnosis codes impact how insurance companies adjudicate claims and determine patient responsibility amounts. Healthcare providers can greatly impact the amount that the patient is liable for based on how services are coded and reported to the insurance company. Hospital and physician office staff who collect money from patients need to understand the basics regarding these procedure codes in order to minimize collection errors up front and reduce the likelihood of credit balances and claim re-work. So how can you help your front desk understand the impact of coding?

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Topics: ICD-10, coding, revenue cycle management, ICD-9, collections, global periods, Medicare

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