Maintain Compliance Guidelines Medical Coding

Coding Compliance: Practical Strategies for Success

https://library.ahima.org/doc?oid=58837

Incorporate the pertinent guidelines regarding medical necessity from the OIG's Model Compliance Plan for Clinical Laboratories. Submission of a claim to Medicare for a medical item or service which the healthcare provider knows (or should know) is not medically …

American Health Information Management Association …

https://bok.ahima.org/CodingStandards

What Is Healthcare Compliance? All You Need to Know …

https://www.aapc.com/healthcare-compliance/healthcare-compliance.aspx

Healthcare compliance is the formal name given to proactive tasks to prevent fraud, waste, or abuse within a healthcare entity. A compliance program is the active, …

3 Coding Compliance Strategies to Improve …

https://revcycleintelligence.com/news/3-coding-compliance-strategies-to-improve-reimbursement-quality

October 14, 2019 - Medical coders are typically behind the scenes of patient care, analyzing records, selecting codes for billing, and managing patient data. But to …

8 medical coding mistakes that could cost you

https://www.ama-assn.org/practice-management/cpt/8-medical-coding-mistakes-could-cost-you

Failing to check National Correct Coding Initiative (NCCI) edits when reporting multiple codes. The Centers for Medicare & Medicaid Services developed the …

MLN4824456 – Medicare Provider Compliance Tips

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/medicare-provider-compliance-tips/medicare-provider-compliance-tips.html

Correct coding Proof of delivery (POD) Note: Section 5.10 of Medicare Program Integrity Manual, Chapter 5 states that suppliers must keep POD in their files for 7 years, …

Medical Coding Guidelines - Learn the Basic Rules - MB …

http://www.mb-guide.org/medical-coding-guidelines.html

Some guidelines include: The specificity of the diagnosis code: Each diagnosis code has to be coded to the highest level of specificity, so the... The correct reporting of procedure …

The Role of Coding Compliance in Health Claims …

https://www.hrgpros.com/blog/the-role-of-coding-compliance-in-health-claims-reimbursement

By using standardized codes and coding guidelines to translate the documentation, coders help support a healthcare facility’s quality compliance. Compliant …

Home - Centers for Medicare & Medicaid Services | CMS

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/CERTMedRecDoc-FactSheet-ICN909160.pdf

Home - Centers for Medicare & Medicaid Services | CMS

Certified Outpatient Coder | Center for Continuing Education

https://ce.extension.msstate.edu/node/1704

Medical coding for outpatient facilities is an important skillset to help outpatient hospitals/facilities receive appropriate reimbursement and maintain compliance with …