Register now for Hierarchical Condition Categories (HCC) Basics webinars

Hierarchical condition category (HCC) coding is a risk-adjustment model originally designed to estimate future health care costs for patients. The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 but is becoming increasingly prevalent as the environment shifts to value-based payment models. Hierarchical condition category relies on ICD-10 coding to assign […]

What is a Remote Coder?

What is a Remote Coder?

A career as a remote coder allows you to work remotely in the healthcare field and use your computer skills to access what you need to fulfill the job requirements of an onsite coder or billing professional. Remote medical coders are typically set up through their employer’s/medical practice’s IT department to access the patient medical […]

Register now for the NPP: Incident to Coding and Billing webinar

Register now for the APN’s, PA’s and “Incident To” Rules webinar

“Incident to” is a Medicare billing provision that allows services provided by a non-physician practitioner (NPP) in an office setting to be reimbursed at 100 percent of the physician fee schedule by billing with the physician’s NPI.  According to the Medicare Benefit Policy Manual Chapter 12 “incident to”, is defined, in part, as “services furnished […]

Register now for the Telemedicine Virtual Visit Coding 2019 webinar

Register now for the Telemedicine Virtual Visit Coding 2019 webinar

Hospitals, doctors and other health care providers seeking an edge in today’s highly competitive healthcare environment would do well to consider a smart telehealth strategy. It’s not an option any more to think telemedicine doesn’t fit into your practices. It is a delivery of medicine that many physicians and providers across the world have bought […]

CMS Physician Final Fee Schedule for 2019

CMS Physician Final Fee Schedule for 2019

There seems to be a lot of confusion that the E/M codes and levels are changing in 2019. This is NOT accurate. The changes to the levels of E/M’s and reimbursement will not occur until 2021. Here is what is happening in 2019. Everything is spelled out in this link. The four bullet points below […]

Coding on a laptop

How to break into the Healthcare field as a medical coder

As the population ages, the need for medical coders is growing. The Bureau of Labor Statistics (BLS) expects this field to grow by 21% through 2020, a rate much higher than an average healthcare industry job. Breaking into the medical coding business is not difficult, especially with the demand for skilled coders so high. Because […]

AAPC Regional National Conference Hawaii 2018

Recently, I was once again honored to speak at the 14th Regional AAPC Conference at the Hawaii Prince Hotel Waikiki in Honolulu Hawaii. This year I had the opportunity to give a keynote speech on Telemedicine. The conference attendees were very positive and interacted throughout my talk. I met some great healthcare coding and billing […]

FAQs for 2018

Coding multiple PCI in one vessel for Cardiology: Question: My Cardiologist placed a DES (Drug Eluding Stent) in the right coronary artery, and then did several passes in the proximal right coronary with the atherectomy device, and post ballooned the same vessel. How do I capture all of these services? Answer: You’ll report the code […]