by Mary Pat Whaley | Jul 5, 2011 | Collections, Billing & Coding, Day-to-Day Operations, Physician Relations, The Cohen Report (NCCI & RVUs)
There is no one, and I do mean no one, in your medical practice who does not need to know the basics of coding. Here is why: Providing services to patients is the business of healthcare. Every person who relies on healthcare for their living should understand...
by Mary Pat Whaley | Mar 17, 2011 | Medicare & Reimbursement, The Cohen Report (NCCI & RVUs)
There are 11,831 new edit pairs, which pushes the total for effective edits to 709,527. There were 346 terminations for a net gain of 11,485. In this release, we find that there are around 350 edit pairs that have termination and/or effective dates retroactive to an...
by Mary Pat Whaley | Nov 28, 2010 | Medicare & Reimbursement, The Cohen Report (NCCI & RVUs)
NOTE: If you need the basics on RACs, click here for my article. From our friend Frank Cohen: Over the past year or so, I have been involved in conducting post RAC (and other) audit analyses to determine whether the RAC (or other auditing agency) was using...
by Mary Pat Whaley | Sep 19, 2010 | Medicare & Reimbursement, The Cohen Report (NCCI & RVUs)
From MMP’s friend Frank Cohen: I have completed my analysis of NCCI version 16.3, including an analysis of the changes from the last quarter release (version 16.2) to the current release. Here are my summary findings: Currently, for version 16.3, there are...
by Mary Pat Whaley | Aug 1, 2010 | Medicare & Reimbursement, The Cohen Report (NCCI & RVUs)
Here’s your pop quiz: The NCCI edits are: A. pairs of services that should not be billed by the same physician for the same patient on the same day. B. definition refinements for HCPCS codes. C. diagnosis codes (ICD-9) that cannot be billed together on a CMS...
by Mary Pat Whaley | Jul 6, 2010 | Headlines, Medicare & Reimbursement, The Cohen Report (NCCI & RVUs)
Report by Frank Cohen Frank Cohen, MPA, MBB The Frank Cohen Group, LLC As many of you may already know, July 1, 2010 CMS released yet another RBRVS (Resource Based Relative Value Scale) data set that will be used to pay physicians under Medicare effective June 1,...
