Endonomics™  is an e-newsletter from the Socioeconomics & Member Advocacy Office of the American Association of Clinical Endocrinologists (AACE). 
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News You Can Use 
Do you know the purpose of the CERT contractor? The CERT contractor checks to see that providers are billing correctly and contractors are paying correctly. They select and review claims, assign improper payment categories, calculate improper payment rates and provide education to change behaviors.
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What is HPID? It's a Health Plan Identifier and is a standard, unique health plan identifier required by HIPAA. All controlling health plans, except small plans, were required to obtain HPIDs by Nov. 5, 2014. Click here for more information.
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SPECIAL EDITION NEWS ALERT 
September 2015
Dear Practice Support Subscriber, 

Welcome to another edition of  Endonomics™ ,  an
e-newsletter for physicians, practice management specialists, office administrators, coders, billers, collectors and other endocrinology business office staff. 
ICD-10 News Alert



 


 News Updates | September 8, 2015

ICD-10 Coding and Clinical Documentation Resources

As with ICD-9, ample resources are available to assist you with coding and clinical documentation for ICD-10.

Official government coding guidelines cover:

CMS offers documentation and coding basics for clinicians in the Road to 10 Clinical Concepts Series with tailored guidance for:

Free lists of codes and ICD-9/ICD-10 mappings are available from CMS as well as vendors and trade associations, for example:

Several free and low-cost smartphone apps are available, and ICD10Data.com is a mobile-friendly website.


 Many electronic health record (EHR) products and practice management systems prompt users for required documentation and feature computer-assisted coding.


Some system vendors and clearinghouses offer training to customers and potential customers.


 Some health care trade associations and medical societies provide coding resources at no or little cost to their members, with premium costs sometimes charged to nonmembers.


 Membership is not required to submit coding questions to the American Hospital Association's codingclinicadvisor.com or view 

AHA's free webinars
(registration is required). When contacting the Coding Clinic Advisor for free assistance, include documentation and specify whether your question refers to a specific setting like a skilled nursing facility or home health services. Please note that the Coding Clinic Advisor will not respond to inquiries that include personal health information (PHI) or the names of providers or health care facilities. Please see the Coding Clinic Advisor FAQs  for more, including a list of topics that are out of scope for this service.


 Remember: The process for looking up an ICD-10 code-whether in a book or in an electronic product-remains essentially the same as the process for looking up an ICD-9 code.


 Keep Up to Date on ICD-10

Visit the CMS ICD-10 website and Roadto10.org for the latest news and resources to help you prepare, including the ICD-10 Quick Start Guide. Sign up for CMS ICD-10 Email Updates and follow us on Twitter.

Disclaimer:  All medical coding must be supported with documentation and medical necessity.**While this document represents our best efforts to provide accurate information and useful advice, we cannot guarantee that third-party payers will recognize and accept the coding and documentation recommendations. As CPT®, ICD-9-CM and HCPCS codes change annually, you should reference the current CPT®, ICD-9-CM and HCPCS manuals and follow the "Documentation Guidelines for Evaluation and Management Services" for the most detailed and up-to-date information. This information is taken from publicly available sources. The American Association of Clinical Endocrinologists cannot guarantee reimbursement for services as an outcome of the information and/or data used and disclaims any responsibility for denial of reimbursement. This information is intended for informational purposes only and should not be deemed as legal advice, which should be obtained from competent local counsel. Current Procedural Terminology (CPT©) is copyright and trademark of the 2013American Medical Association (AMA). All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT©. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.  

 

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