Tag: Coding
Superior Risk Adjustment Training
Superior will be hosting a series of webinars to assist providers with Risk Adjustment Documentation and Coding. All levels of clinicians and billing and coding staff are encouraged to attend.
Prevent Improper Code Bundling
Physicians can take advantage of a new Medicare tool to sort through service codes that can be bundled together for claims payment – and AVOID improper billing.
The CMS recently released the National Correct Coding Initiative (NCCI) procedure-to-procedure (PTP) lookup tool to promote accurate code-bundling and prevent improper payment of Medicare Part B and Medicaid claims when incorrect code combinations are reported.
Available via Texas’ Medicare contractor Novitas Solutions, the tool is further designed to help physicians identify when certain pairs of codes are subject to automated edits.
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Imagine 360 – POET Alert!
Please notify POET if you are having issues of any kind with claims from Imagine 360.
If you have submitted paper or electronic claims to Imagine 360, please check to see if they have been received by them.
Thank You.
New Claim Tool for UHC
TrackIt
There are many reasons to love TrackIt. But this time of year, its ability to save you time ranks pretty high. Need to add information to a claim or check a prior authorization status? Skip the phone or waiting for the mail. You can find all that and more in TrackIt. The tool makes it easy to stay on top of your UnitedHealthcare tasks by showing what items need attention, so you can take action in real time — and get back to your holiday to‑do list faster.
Is it Posssible, Well and Sick Same Day?
Having Trouble Closing Those Gaps?
Check out these two articles from the POET InK files.
How to Code a Well Visit with a Sick Visit.
HEDIS News You Can Use
POET has been asked:
Where is the best place to order Approved 1500 Forms (Better known as HCFA of HICF)?
Please leave a comment below. Thank you.
Sick of Chart Review Request?
If you are frequently being ask by Cigna MA for chart reviews, click the button below to find out how to reduce the number of requests you receive.
AMA unveils anticipated E/M changes for facility-based services
The AMA set off its own fireworks during the Independence Day weekend with the early release of new E/M guidelines that will be included in the 2023 CPT manual and take effect Jan. 1, 2023
Cigna Delays Record Request Policy
You may have read the article posted May 23rd. Cigna (Commercial) had implemented a new policy that required medical records be sent when a minor procedure is billed with an office visit.
However, Cigna has delayed the Records Request Policy, Staving Off the “Administrative Nightmare” for now.
Cigna has delayed the implementation of a new billing policy after the Texas Medical Association and others in organized medicine pushed back, warning that it would have negative implications for physicians, practice staff, and patients.
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