Archive for February, 2008

Coding for Respiratory Failure and Medicare Severity-Diagnosis Related Groups(MS-DRGs)

Monday, February 25th, 2008

Respiratory Failure refers to the condition of loss of exchange of gas by the respiratory system. The guidelines to be followed during such an apparent stall of respiratory activity keep on changing. It is essential for medical coders to keep tabs on the ever-changing guidelines to be followed. This becomes more important when you take into account the effect on reimbursements.


The points that coders must most definitely know about new coding guidelines are:

  • The factors to look into in a document
  • The time when a query is to be made to the physician.
  • Code in compliance with ICD-9-CM official coding guidelines.

The cognizance of above mentioned factors are bound to result into the best form of re-imbursement.

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Pain assessment-sixth among vital signs

Friday, February 22nd, 2008
New requirements have been put into place by the Joint Commission for pain assessment as well as re-assessment. Having come into effect from 31st January 2008, the requirements have come to be strictly enforced. The stipulations state that except for certain rural medical centers, all centers are supposed to comply to this measure by a tally of 98%. Failing this, the centers face a danger of being closed down. The compliance has already been regarded as one of industry’s best practices. Transcriptionstar’s billing cum medical transcription package is a step in the right direction as far as measures to comply with industry level best practices is concerned. The package takes into account all your medical transcription services requirements and also extends top grade medical billing services entailing higher rate of claims recovery.

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Consultation guidelines:CPT benchmarks vs Medicare benchmarks

Thursday, February 21st, 2008

Compared to other E/M services, consults have the highest number of applicable rules attached. These rules may emanate from CPT as well as Medicare. Most of these rules rarely match. It’s a matter of significance which rules you follow and for the rules followed, you receive your deserved pay-up.

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