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Pervasive Medicare Fraud Proves Hard to Stop

BALTIMORE — The ordinary looking office building in a suburb of Baltimore gives no hint of the high-tech detective work going on inside. A $100 million system churns through complicated medical claims, searching for suspicious patterns and posting the findings on a...

Only Credentialed Medical Assistants Can Enter EHR Orders

Q: One of my colleagues says that only “credentialed medical assistants” are permitted to enter orders in electronic health records (EHR) per Meaningful Use Stage 2. Can you explain?nnA: As of January 2013, only credentialed medical assistants have been permitted to...

Welter Healthcare Partners Celebrates its 20 Year Anniversary!

As we celebrate this 20th anniversary we acknowledge the fact that you, our clients and friends, are responsible for our success and longevity. We express our sincere thanks and appreciation to you for your business, your loyalty and your support during the past 20...

ICD-10, Dual Coding, and Dual Processing

Discussions of ICD-9 and ICD-10 often include mention of the terms dual processing and dual coding. Different people use these terms to mean different things, but in general, dual coding or processing refers to the use of ICD-9 and ICD-10 codes at the same time. So,...

The Sun Is Still Shining, Don't Forget Your SPF…

C43.31 – Malignant melanoma of nosennC43.11 – Malignant melanoma of right eyelid, including canthusnnD03.4 – Melanoma in situ of scalp and necknnD03.59 – Melanoma in situ of other part of trunknnIn preparation for the upcoming deadline for ICD-10 implementation,...

School Is In Session…

Z02.0 — Encounter for examination for admission to educational institutionnnZ55.3 — Underachievement in schoolnnY92.157 — Garden or yard of reform school as the place of occurrence of the external causennY99.8 — Student activity as the external cause statusnnIn...

Rates and Volume, Volume or Rates

The fee-for-service world of professional reimbursement (compensation for services) is, essentially, the following economic transaction between payer and provider:nn Provider point of view: In exchange for patient volume being directed (Steered) into my practice I...

Are you ready for some football…

Y93.61 — Activity, American tackle footballnnY93.62 — Activity, American flag or touch footballnnW21.01XA — Struck by football, initial encounternnW21.81XA — Striking against or struck by football helmet, initial encounternnIn preparation for the upcoming deadline for...

School Is In Session…

Z02.0 — Encounter for examination for admission to educational institutionnnZ55.3 — Underachievement in schoolnnY92.157 — Garden or yard of reform school as the place of occurrence of the external causennY99.8 — Student activity as the external cause statusnnIn...

Cash Flow Is Not Just Important, It's Everything

Cash flow is often the difference between keeping a private practice private and looking for an alternative situation that may not be quite as palatable to the doctors.nTo us, Cash Flow is not just important... it is EVERYTHING. The staff and management of AMRS work...