Month: July 2021

4 Reasons Why UnitedHealthcare’s Attempt To ‘Monday Morning Quarterback ED Claims Is ‘Bad Policy’

4 Reasons Why UnitedHealthcare’s Attempt To ‘Monday Morning Quarterback ED Claims Is ‘Bad Policy’

“It really undermines what the physicians are doing at the point of care, and it’s bad policy,” says Doug Wolfe, co-founder and partner of the Miami-based law firm Wolfe Pincavage. UnitedHealthcare’s attempt to “Monday morning quarterback” emergency room visits by retroactively denying emergency claims is not only likely a violation of the prudent layperson standard, […]
Boost reimbursement through improved documentation

Boost reimbursement through improved documentation

Five tips to ensure better documentation and, along with it, better patient care and improved reimbursement. Providers and coders need a cooperative relationship, working toward a common goal of complete coding and positive reimbursement results, as supported by medical documentation. Here are five tips to ensure better documentation and, along with it, better patient care […]
2021 E_M Guidelines FAQ

2021 E/M Guidelines FAQ

AAPC’s senior VP of products answers your questions about coding for office and other outpatient services. Ever since the release of the new 2021 evaluation and management (E/M) guidelines for office and other outpatient services, AAPC has been conducting numerous trainings through webinars, virtual workshops, conference sessions, online courses, and multiple articles in Healthcare Business […]
Review What’s New for ICD-10-CM 2022

Review What’s New for ICD-10-CM 2022

Stay on top of the latest in diagnosis coding by reviewing this chapter-by-chapter summary of the changes effective October 1. Highly anticipated, the Centers for Medicare & Medicaid Services (CMS) released the ICD-10-CM code descriptions, tables and index, and addendum for fiscal year 2022. Although still pending are the 2022 Official Guidelines for Coding and […]