• CONTACT US:    

CareerPhysician


  • Executive
    Search


    • Our Process
    • DE&I Leadership
    • Our Expertise
      • Child Health Practice
      • Adult Medicine Practice
    • Our Results
      • DE&I Results
      • Chiefs, Chairs & C-Suite Results
      • Subspecialty Results
    • Testimonials


  • Leadership
    Development


    • Core Leadership Competencies
      • Business of Medicine
      • Healthy Cultures
      • Clinical Excellence
      • Diversity, Equity & Inclusion
      • Education
      • Leadership
      • Coaching & Mentorship
      • Philanthropy
      • Recruitment & Retention
      • Research
    • Launch Your Career® for Trainees
    • Consulting Services
      • Succession Planning
      • Institutional Reviews
      • Coaching & Mentorship
      • Department & Division Strategy


  • Pediatric
    Insight

    • Insight Articles
    • Insight Webinars
    • Insight Conversations


  • Child Health
    Advisory Council


    • Child Health Advisory Council
    • Council Leadership
      • Bruder Stapleton, MD
      • Christine Gleason, MD
      • Craig Hillemeier, MD
      • Renée Jenkins, MD
      • Danielle Laraque-Arena, MD
      • Valerie Opipari, MD
      • Robert S. Sawin, MD
      • Arnold Strauss, MD


  • About
    Us


    • About Us
    • Our Team
    • Testimonials

Coding & Compliance- Launch Your Career® for Residents and Fellows

Can’t I justify a service with a fourth-digit diagnosis code instead of the carrier’s fifth-digit code to describe the patient’s condition?

You can’t justify a service with a fourth-digit diagnosis code when carriers require a more specific fifth-digit code to describe the patient’s condition.
Read more…

Coding is confusing and time consuming. Can’t I leave coding entirely in staff’s hands?

You will probably never like coding. But you’ll need to know the basics and be able to speak the language of coding. Why?
Read more…

How can I evaluate potential miscoding of evaluation and management procedures in a practice?

By comparing the procedures that doctors perform to the largest national database describing patient care, a practice can evaluate potential miscoding of evaluation
Read more…

How can I motivate my staff to better select diagnosis codes for claims?

Only you, not a staffer, should select diagnosis codes for claims. An exception is if you have a certified professional coder on staff, and you’ve given him or her the responsibility to abstract the records.
Read more…

How many different coding systems do I need to use when submitting reimbursement claims?

Reimbursement claims actually require the use of two coding systems: one that identifies the patient’s disease or physical state (the International Classification of Diseases, 9th Revision, Clinical Modification, or ICD-9-CM, codes)
Read more…

I could skip a lot of the coding hassle by billing for services at a level higher than the documentation supports, right?

Billing for services at a level higher than the documentation supports is considered up coding. Being accused of up coding is mortifying, especially when it is not intended.
Read more…

I was under the impression that only egregious coding errors can result in fraud charges, is that the case?

Even if you are meticulous in your coding, you still might miss the one Medicare document that says you can’t do a particular thing,” says Pittsburgh attorney William Maruca, chair of the American Health Lawyers Association’s group on fraud and abuse.
Read more…

I’m aware that modifiers are used to indicate a procedure has been altered, etc., but how else are they used?

Modifiers may be used to indicate to the recipient of a report that:
Read more…

I’m aware that modifiers are used to indicate a procedure has been altered, etc., but how else are they used?

Modifiers may be used to indicate to the recipient of a report that:
Read more…

We have certified professional coders on staff. Why can’t they assume a diagnosis based on my specific treatment or prescription?

If you have certified professional coders on staff, and you’ve given them the responsibility to abstract the records, make sure they don’t assume a diagnosis based on your specific treatment or prescription.
Read more…

12>

Welcome to E-Learning

E-Learning is a collection of critical content from subject matter experts designed to enhance the return on your educational investment. With the reduction in training program hours and the increased complexity in the business of medicine, 99% of residents, fellows and young physicians report being unprepared to effectively manage the challenges of starting a career in medicine.

Categories

Articles
Podcasts
FAQs

E-Learning Communities

Academic v. Private Practice
Business of Medicine
Coding & Compliance
Contract Negotiation
Evaluating a Practice
Immigration
Interviewing
Medical Malpractice & Risk Management
Networking
Practice Financial Statements
Professionalism

> Terms of Use
> Privacy Policy

Join Our Mailing List

    Connect With Us

               

    Phone: 877-PED-EXEC
    E-mail: info@careerphysician.com
    > Reach Out
    > Contact Us

    © 2023 CareerPhysician Advisors, LP | All Rights Reserved | Powered by Pite Creative; Design by Jigawatts Studio



    • Executive
      Search


      • Our Process
      • DE&I Leadership
      • Our Expertise
        • Child Health Practice
        • Adult Medicine Practice
      • Our Results
        • DE&I Results
        • Chiefs, Chairs & C-Suite Results
        • Subspecialty Results
      • Testimonials


    • Leadership
      Development


      • Core Leadership Competencies
        • Business of Medicine
        • Healthy Cultures
        • Clinical Excellence
        • Diversity, Equity & Inclusion
        • Education
        • Leadership
        • Coaching & Mentorship
        • Philanthropy
        • Recruitment & Retention
        • Research
      • Launch Your Career® for Trainees
      • Consulting Services
        • Succession Planning
        • Institutional Reviews
        • Coaching & Mentorship
        • Department & Division Strategy


    • Pediatric
      Insight

      • Insight Articles
      • Insight Webinars
      • Insight Conversations


    • Child Health
      Advisory Council


      • Child Health Advisory Council
      • Council Leadership
        • Bruder Stapleton, MD
        • Christine Gleason, MD
        • Craig Hillemeier, MD
        • Renée Jenkins, MD
        • Danielle Laraque-Arena, MD
        • Valerie Opipari, MD
        • Robert S. Sawin, MD
        • Arnold Strauss, MD


    • About
      Us


      • About Us
      • Our Team
      • Testimonials