Generalist Coders – A Fallacy
There is no such thing as a coder who knows it all. If your coder claims to be able to code every specialty, and you let them, you might want [...]
Split Model Service Providers (Medical Coding Vendors with Offshore and Onshore Operations)
A troubling trend in the medical coding industry is a misleading split model where companies will have resources both onshore and abroad but not disclose which personnel are performing the [...]
Beware of Medical Coding Vendors Not Dedicated to Coding
The coding industry is chock full of companies offering a bevy of services, one of them being coding.During our twenty five years in business, we have seen countless vendors in [...]
Due to Covid-19 Crisis Providers Can Skip 2019 CMS MIPS Reporting
Due to the COVID-19 pandemic, CMS has announced relief measures for providers who are bound to participate in its quality reporting programs, including the Merit-based Incentive Payment System (MIPS). First, [...]
Are Your Remote Coders Secure? Google Warns of Covid-19 Cyber Threats
As many healthcare organizations seek to have their billing and coding staffs work remotely, active attempts to compromise their organization's data, via phishing and malware, are being perpetrated by foreign [...]
Why Cross-Training Medical Coders Can Get You In Trouble
Cross training sounds like it should work. A coder is a coder. Why pay a new coder to work on Orthopedics when you have two OB/GYN coders with extra capacity? [...]
CMS Delays New Payment Model for Emergency Care Due To Covid-19
CMS has delayed the start date of its Emergency Triage, Treat and Transport model from May 1 until this fall. CMS selected 205 participants in February for the five-year ET3 model. CMS said it [...]
Your Coders Are Home, Now What?
3 Major Considerations for Transitioning Your Coder to Working from Home If you’re one of the many healthcare organizations that was rushed into sending your coders to work remotely from [...]
Pitfalls of Reassigning Coders to New Specialties During COVID-19
During the current Covid-19 crisis it might seem like a wise idea to reassign coders from elective specialties to specialties that are currently seeing an increase in volume. We have [...]
Texas Physician Guilty in $325M Fraud Case Involving False Diagnoses
A Texas physician was found guilty Jan. 15 for his role in a $325 million healthcare fraud scheme that involved falsely diagnosing patients with various degenerative diseases and then administering [...]