Tips & Expertise: Malnutrition

Q:  Can facilities create a policy that allows coders to pull documentation from a dietician’s note if it is co-signed by the provider?A:  Based on Coding Clinic’s answer in 1Q 2020, page 4, yes. However, Haugen recommends facilities not consider this best practice...

CMS finalizes the 2023 Medicare Physician Fee Schedule

Did you see?  CMS finalized the 2023 Medicare Physician Fee Schedule.  Key takeaways include: A 4.5% reduction to the CY 2023 Medicare Part B conversion factor will take effect Jan. 1. CMS will continue to not recognize subspecialties for defining initial vs....

Manage Your Malnutrition Coding

Not long ago, a coder’s job just required them to translate a physician’s diagnosis into an ICD-10 code. The codes were then submitted for reimbursement and statistical purposes.  Over the past few years coding has evolved into so much more.  Now coders are required...

Tips & Expertise: 2023 E/M Changes

Q:  Can time spent pre-charting the day before or charting notes a day after the date of the encounter be counted towards the total time for the E/M?​ A:  Per time guidelines, only time spent on the date of the patient encounter can be counted towards the total time...