Documentation

News and Intelligence

2020 CMS Medical Record Changes

Practicefirst would like to notify our clients of important changes as outlined by CMS for CY 2020 regarding Medical Record Documentation...

NCCI Update

Practicefirst would like to notify our clients about a NCCI update that is effective July 1, 2019. National Correct Coding Initiative (NC...

Medicare fraud costs the U.S. hundreds of millions of dollars each year

Medicare fraud costs the United States government hundreds of millions of dollars each year. CMS works with other government agencies and...

Medical Coding for Critical Care in the Emergency Department Part 2: Provider Time and Documentatio

With an understanding of the definition of critical care from Part 1 of this series, What Constitutes Critical Care?, below are essential...

Medical Coding for Critical Care in the Emergency Department: Part 1: What Constitutes Critical Care

Emergency medicine physicians are trained to assess patients and make split-second, life-saving decisions, but documenting and coding tho...

Revision to E/M Documentation Guidelines

Practicefirst’s March client memo referred to the important revisions that CMS has made to Evaluation and Management Documentation Guidel...

Tips for Avoiding Documentation Pitfalls

When aspiring medical professionals dream of their future careers, it’s unlikely that they consider the critical role that documentation ...

Four Best Practices to Reduce Claim Denials

The average claim denial rate across the healthcare industry is 5%-10%, according to the American Academy of Family Physicians (AAFP). Th...

OIG Work Plan – Critical Care E/M Update

Practicefirst has received notification of an update added to the OIG Work Plan, in August, regarding Critical Care E&M services. The OIG...

Four Common Coding Errors in Radiology

Four common coding errors lead to lost compensation for radiology practices.

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