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If you thought that your days of following rules were far behind since graduating, think again. It seems that the Coding & Compliance area of medicine is always changing. To be a practicing physician, it's very important that you stay up-to-date on all the latest changes. Visit the Coding & Compliance community for all the latest.


Coding & Compliance Contributor

Elizabeth Cottle, CPC, OCS
Associate Administrator
Casey Eye Institute at OHSU

Most Recent Terms

  • Local Medical Review Policies (LMRP)

    Medicare coverage policies providing guidance to the public and medical community within a specified geographic area. The LMRP explains when an item or service will be considered covered (including when it is "reasonable and necessary") and...
    by admin on 05-07-2009
  • Modifers

    Two-character codes (alpha-alpha, alphanumeric or numericnumeric) that may be added to procedure codes to better describe them, that indicate a service or procedure has been altered by some specific circumstance but has not changed itsdefinition or code...
    by admin on 05-07-2009
  • Up Coding

    Billing for services at a level higher than the documentation supports. http://www.physiciansnews.com/business/1202glenn.html
    by admin on 05-07-2009
  • HCPCS Level II coding

    A set of alpha-alpha or alphanumeric codes used by the federal government that describes non-physician services and supplies. It includes codes such as those for medications, injections, dental services, durable medical equipment (DME), vision and hearing...
    by admin on 05-07-2009
  • ICD-9-CM Codes

    The International Classification of Diseases, 9th Revision, Clinical Modification is a medical coding system used to identify the patient's disease or physical state. http://www.aafp.org/fpm/990700fm/27.html
    by admin on 05-07-2009
  • Current Procedural Terminology, or CPT, codes).

    Medical coding system used to describe the procedures, services or supplies provided to patients. http://www.aafp.org/fpm/990700fm/27.html
    by admin on 05-07-2009
  • CPT-4 Coding

    A set of five-digit codes that apply to medical services rendered in physician offices, outpatient clinics or ambulatory surgery centers. They are categorized by specialty or service, and include office and hospital visits or consultations, preoperative...
    by admin on 05-07-2009
  • Code Set

    Any set of codes used for encoding data elements, such as tables of terms, medical concepts, medical diagnosis codes, or medical procedure codes. Medical data code sets used in the health care industry include coding systems for diseases, impairments...
    by admin on 05-07-2009
  • Code Steering

    The act of disregarding certain levels of evaluation and management (E&M) codes within particular categories of procedure or diagnosis codes. http://physiciansnews.com/business/1002.html
    by admin on 05-07-2009
  • Coder

    A skilled non-clinical person who reads and interprets medical record documentation to identify all diagnoses, conditions, reasons for treatment, services and procedures performed and then transforms the verbal descriptions of these into numerical codes...
    by admin on 05-07-2009
  • Advance Beneficiary Notice (ABN)

    A form that a medical practice asks a Medicare patient to sign if there's doubt about whether Medicare will pay for a certain service. http://www.memag.com/memag/article/articleDetail.jsp?id=114207
    by admin on 05-07-2009

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