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Guidelines for Observation Services

By: Sheila Haynes, CPC Observation care is a well-defined set of specific, clinically appropriate services, which include: Ongoing short-term treatment, Assessment, Reassessment These are furnished while a decision is being made regarding whether patients will require further treatment as hospital inpatients or if they are able to be discharged from the hospital. Observation services are…


Surgery Coding Examples – Cardiology Case

The report below describes a patient undergoing surgery for a left heart catheterization. The entire procedure has been documented in detail, describing the step-by-step process used by doctors to carry out the surgery. Keep reading for more on how this procedure was performed. Do you have a complicated surgery case that needs help with coding?…


Anthem and UnitedHealthcare Running Billions Behind in Payments

Anthem and UnitedHealthcare are among the list of major insurers who are running billions of dollars behind in payments to hospitals and doctors. New reimbursement rules, computer problems, and mishandled claims have caused insurers to fall so behind in their payments, continue reading below to learn more! Anthem Blue Cross, the country’s second-biggest health insurance company, is behind…


Cloned Notes Can Lead to Legal Trouble!

In a recent Part B newsletter, a question came in regarding the use of clones notes. Per their response, cloned notes can get your practice into legal trouble. Question: We know that if we’re not careful our cloned notes can lead to inappropriate data in an encounter record, which in turn can lead to denials…


Advocates Press CMS to Make Permanent Rural Tele-behavioral Health Services

Telehealth became a great resource during the pandemic by allowing individuals to still access healthcare, and advocacy groups are urging for the continued use of these tele-behavioral health services. Rural communities have been greatly impacted by the help of tele-behavioral health services and would benefit greatly from their continued use, continue reading below to learn more! Twenty advocacy groups have…


Practicing Gratitude Builds a Successful Life

With the impending holidays “gratitude” is a popular word often associated with Thanksgiving, but the act of being thankful is a practice that we can implement every day of the year. Consider that the ordinary elements of our lives are something to be grateful for, our health, shelter, food, family and loved ones we care…