Medical claims denials in 2019 approached $9 billion. The denial rate in 2020 increased by 23%. Coding/billing errors accounted for approximately 15% of all denials. Specificity of coding was one of the reasons claims were denied. In 2019, stroke was the leading cause of death and killed approximately 140,000 Americans. Three Simple Questions to Ask… Read More »Leading Cause of Death in America – April 2021 Coding Tip
The inpatient only list is composed of procedures for which Medicare will only pay for when performed in the hospital inpatient setting. CMS has determined this list to be an area of concern in that it restricts patient choice when it comes to surgery. CMS has proposed to eliminate the list over the next three… Read More »Inpatient Only List – March 2021 Coding Tip
COVID-19 is a complex disease with a wide spectrum of clinical patterns. COVID-19 was initially viewed as primarily a respiratory disease, but is now recognized as a complex disorder affecting many body systems. Coding professionals need to be knowledgeable of the testing of COVID-19 (e.g., diagnostic and antibody tests) and the COVID-19 disease processes (e.g.,… Read More »COVID-19 POA Indicators – February 2021 Coding Tip
The eleventh version of the International Classification of Diseases (ICD-11) is structured very differently than previous ICD versions. At the core of this difference is the ICD-11 Foundation component and the ability to define a linearization. The Foundation is the underlying structure of ICD-11. It is a large data base that includes all ICD concepts,… Read More »The Structure of ICD-11
Click the button below to download a PDF copy of Mary Stanfill’s Lunch and Learn, “Introduction to ICD-11 Codes.” Follow the link to view and listen to the recording of the presentation. UASI Lunch and Learn: Introduction to ICD-11 Codes – Zoom
New Add-On-Code 57465 Computer-Aided Mapping of Cervix Uteri New to Current Procedural Terminology 2021 is the add-on-code 57465. This code was created for the Female Genital System/Endoscopy subsection of the Surgery section to report computer-aided mapping of cervix uteri during colposcopy. +57465 Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and… Read More »Coding Tip of the Month – January 2021
CPT Coding Changes for 2021 Effective January 1, 2021 shoulder debridement codes 29822 and 29833 will be revised. Currently codes 29822 and 29823 only describe shoulder arthroscopy with limited and extensive debridement. Starting in January these codes will be revised to specify the number of “discrete” structures debrided and include anatomical examples.* 29822: Arthroscopy, shoulder,… Read More »Coding Tip of the Month – December 2020
Click the button below to download a PDF copy of Natalie Sartori’s Lunch and Learn, “FY21 E/M Changes.”
Click the button below to download a PDF copy of Kathy DeVault’s Lunch & Learn, “Telehealth Guidelines During COVID-19.”
Listed below are some highlights from the FY 2021 updates. It is important to review these updates and determine if there are any changes in coding processes as well as identifying documentation in the electronic medical record which is applicable to the new codes. UASI offers 3 complimentary 1-hour webinars that provide additional and more… Read More »FY 2021 Updates