Senior Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her local chapter of the AAPC. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.
So much a part of coding from CPT is understanding the parenthetical that the AMA(American Medical Association) has added in the manual as guidelines in choosing the appropriate CPT code for a procedure or service. There are tricks of the trade and coding con ...
The operative report is the legal account of the procedure(s) performed in a medical surgery for documentation and compliance. The operative report also is used by billing and coding staff to assign the appropriate diagnoses codes, CPT® codes, and modifiers. W ...
Spine surgery coding involves CPT codes from the musculoskeletal and nervous system chapters of CPT. The codes are ala carte, per se, due to the multitude of procedure combinations that can be performed to treat patients with spinal problems in the cervical, t ...
Wound repairs can be simple, intermediate, or complex and these forms of repair are described in detail in CPT. We will look at each level of wound repair and the requirements for each category. We will also look at treatment of wounds that require repair with ...
The CPT® manual is the HIPAA approved transaction code set that is used to report medical professional services to insurance companies for professional reimbursement of services and procedures. Each year this manual is updated to meet the current needs for cod ...
ICD-10-CM codes are used for providers of professional services like physicians, physician assistants, nurse practitioners, psychiatrists, therapists, and other qualified healthcare professionals. ICD-10-CM codes are required on all CMS-1500 claim forms to rep ...
For years, physicians have complained that the 1995 and 1997 Evaluation and Management (E/M) guidelines are outdated and made documentation for visits to complex and time-consuming. The Paper over Paperwork Act had addressed these concerns and will implement d ...
The National Correct Coding Initiative (NCCI) and the Relative Value File are two database files that the Center for Medicare and Medicaid Services(CMS) created for correct coding rules and guidelines related to Medicare claims. Most commercial carriers have a ...
With the HIPAA Act of 1996, insurance companies were required to utilize the standard list of denial and remark codes when processing claims. It is up to the office to verify that denials received are appropriate and interpret remark codes to further understan ...
The Affordable Care Act of 2010 made it mandatory that covered entity’s have a Compliance Plan. This session will review the Office of Inspector Generals (OIG) sample for a compliance plan and discuss what is needed for an auditing program for Evaluation and M ...
