News & Information
Find the latest news from the Haugen Consulting Group. Check back frequently for updates.
Publication: NEC Podcast
Mary Beth Haugen, MS, RHIA, is founder and CEO of The Haugen Consulting Group and Haugen Academy, based in Denver, Colorado. She has over 25 years of experience in Health Information Management. Prior to launching Haugen Consulting Group, Mary Beth held leadership roles in Information Services and HIM in a variety of healthcare settings. | Read More.
The LEADERSHIP AWARD honors those individuals or groups who have provided outstanding
service as leaders; demonstrated ongoing leadership competency with the Association and
the HIM profession; adhered to and advocated for the AHIMA Code of Ethics, and other
appropriate codes of conduct; valued honesty, integrity and transparency and worked as
team players/collaborators; been recognized as a qualified authority in the HIM profession;
and presented a positive professional image for the Association and the profession. | Read More.
Can you explain where in the clinical documentation it would be acceptable to report from for hierarchical condition category (HCC) purposes? Would you code from history of present illness, past medical history, active problem list, or the assessment? | Read More.
In the outpatient world, physicians are accustomed to seeing services as the key to reimbursement, but as healthcare shifts toward value-based care, severity and outcomes will increasingly factor into reimbursement as well. | Read More.
Publication: MGMA Connection
Medicare covers a range of preventive services to promote health by identifying and addressing problems early on when treatment is most effective. However, many eligible patients and some providers may not be fully aware of the benefits described in Your Guide to Medicare’s Preventive Services. | Read More.
Publication: ICD10 Monitor
As coders, we often face dilemmas without benefit of clear guidance, creating the feeling of being pulled in different directions. In today’s audit environment, coders need practical solutions to succeed in a setting of conflicting expectations. This article focuses on coding and clinical criteria dilemmas, and the value of having a facility policy for coding in these situations. | Read More.
Publication: Part B News
Question: Can we claim transitional care management (TCM) codes 99495 or 99496 on a patient who is discharged to hospice? Answer: Almost certainly not if it’s in a facility. If it’s home hospice, though, and you fulfill the requirements, you have a pretty strong case to get paid. | Read More.
Publication: Health Data Management
As healthcare organizations create and manage vast quantities of electronic data from various sources, record retention has become an increasingly vital and challenging aspect of information governance. Providers are pressed to make tough decisions—what to keep, what to destroy, and how to retain or archive information in a cost-effective manner.
Many uphold the idea that storage is cheap—why not keep records forever? However, a “keep everything” approach is not a practical long-term plan. | Read More.
Publication: Journal of AHIMA
AS HEALTHCARE ORGANIZATIONS move toward value-based models, health information management (HIM) and information technology (IT) must work together to strengthen relationships while promoting population health, accountable care, and information governance (IG) initiatives. | Read More.
Publication: Part B News
Question: When two surgeons are working a patient, when is modifier 62 (Two surgeons) appropriate and when is modifier 80 (Assistant surgeon) appropriate?
Answer: If you’re going to bill 62, the procedure must “really need the individual skills of two surgeons to even perform — a complex nature, like certain spine or heart transplant procedures,” says Corina Marquardt, CPC, CPMA, senior consultant with the Haugen Consulting Group in Denver.
CMS helps you figure out whether these modifiers are appropriate by listing co-surgery and assistant-at-surgery status indicators in the relative value file of the Medicare physician fee schedule. | Read More.
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