Evaluation and Management Coding

Health Information Associates Launches HIAlearn, an Online Medical Coding Education Platform to Empower Seasoned Coders and Students

Retrieved on: 
Tuesday, April 25, 2023
ISLAND, LMS, Education, CPT, CEU, American Health Information Management Association, Overalls, Health information management, ICD-10, HIM, American Academy, AAPC, HIA, Continuing education unit, Student, Evaluation, Management, Diagnosis, Knowledge, Learning management system, AHIMA, Evaluation and Management Coding, Nursing, Video game

PAWLEYS ISLAND, S.C., April 25, 2023 /PRNewswire-PRWeb/ -- Health Information Associates (HIA), the leading provider of quality coding audits and coding support services, announced its internal Learning Management System (LMS), HIAlearn, will now offer coding courses for purchase at learn.hiacode.com.

Key Points: 
  • HIAlearn includes over 200 facility and professional fee coding courses that are accepted by the American Health Information Management Association (AHIMA) and/or the American Academy of Professional Coders (AAPC) for Continuing Education Units (CEUs).
  • The annual and monthly subscription options provide 24/7, on demand access to the entire library of medical coding education.
  • One of the biggest challenges medical coders face today is staying up to date on the constantly changing coding guidelines," says Bailey.
  • "Our goal in launching this platform is two-fold – offer specific coding education topics for both the seasoned coder as well as students looking to gain a trusted resource in medical coding education," says Pat Maccariella‑Hafey, executive director of education at HIA.

CWCI Documents Recent California Workers’ Comp Professional Medical Service Treatment Patterns

Retrieved on: 
Monday, March 20, 2023
Insurance, Human Resources, Labor, Professional Services, Public Policy, Government, Health Insurance, Managed Care, State, Local, General Health, Health, Injection, Mental health, Research, Mental, Prevalence, Physical medicine and rehabilitation, E&M, Java Advanced Imaging, IRIS, Evaluation and Management Coding, Pharmaceutical industry, Birth control

A new study finds treatment patterns for California workers’ comp professional medical services have stabilized in recent years, with only minor changes in the utilization rates and volume of services rendered to injured workers within the first two years for indemnity claims with 2014 through 2019 initial treatment dates, and within the first six months for indemnity claims with 2018 through 2021 initial treatment dates.

Key Points: 
  • A new study finds treatment patterns for California workers’ comp professional medical services have stabilized in recent years, with only minor changes in the utilization rates and volume of services rendered to injured workers within the first two years for indemnity claims with 2014 through 2019 initial treatment dates, and within the first six months for indemnity claims with 2018 through 2021 initial treatment dates.
  • The 6-month data on claims with 2018 to 2021 initial service dates showed pandemic-related disruptions to medical service delivery had little impact on the prevalence or volume of early treatment provided.
  • The full study provides a detailed look at California workers’ compensation professional medical service utilization trends for initial treatment years 2014 through 2021, including graphics and additional analyses.
  • CWCI has published the study in a Research Update Report, “Patterns in the Provision of Professional Medical Services in California Workers’ Compensation” which is available in the Research section at www.cwci.org .

T&M USA HIRES LIN OSBORN AS MANAGING DIRECTOR, HEALTH CARE FRAUD AND ABUSE

Retrieved on: 
Monday, June 6, 2022
AAPC, CFE, Leadership, Case management, Brooklyn, Insurance, LLC, Evaluation, CPMA, Affordable Care Act, Government, CEMC, MA, Grand jury, Solution, Multimedia, Brooklyn DA, Fraud, Intelligence, CPC, Compliance, NEW, Medicaid, Park Avenue, Evaluation and Management Coding, Health, Pharmaceutical industry, Medicare

NEW YORK, June 6, 2022 /PRNewswire/ -- T&M USA is thrilled to announce the hiring of Lin Osborn as the Managing Director of our Health Care Fraud and Abuse Investigations unit.

Key Points: 
  • Osborn joins an experienced team who are experts at detecting fraud, reducing loss, maintaining compliance, and navigating the niche complexities of today's health care industry.
  • NEW YORK, June 6, 2022 /PRNewswire/ -- T&M USA is thrilled to announce the hiring of Lin Osborn as the Managing Director of our Health Care Fraud and Abuse Investigations unit.
  • For T&M USA, Lin will conduct and/or coordinate investigations and claims analysis, identify potential cases of fraud and abuse, and provide detailed analysis of investigative findings.
  • "We are excited to have Lin join our elite team of investigators, fraud examiners, former prosecutors, and law enforcement executives.

CWCI Examines Medical Access in California Workers' Compensation

Retrieved on: 
Friday, March 4, 2022
Insurance, Human Resources, Labor, Public Policy, Government, Healthcare Reform, Professional Services, Health, State, Local, General Health, Research, Patient, Hotel manager, Evaluation, Evaluation and Management Coding, Physical medicine and rehabilitation, Independent medical review, Injury, MPN, Workplace, Time, Travel, Institute, Physician, Health, E&M, IMR, Health insurance, Industry

On the other hand, the average wait time for some specialty services showed greater variation over time.

Key Points: 
  • On the other hand, the average wait time for some specialty services showed greater variation over time.
  • Notably, in all cases, the average distances injured workers had to travel were well within the medical access standards set by the state for MPNs, which provide nearly 92 percent of all workers compensation treatment in the state.
  • CWCI has published more details on its study in a Report to the Industry, Can Access to Medical Care in California Workers Compensation Be Improved?
  • CWCI members and research subscribers can download a free copy from the Research section of the Institute website by clicking here , others may purchase a downloadable copy from the Institutes online store here .

Compulink Releases EHR Coding Engine to Support E/M 2021 Changes

Retrieved on: 
Tuesday, February 23, 2021
Data management, Health, Technology, Practice Management, Software, General Health, American Medical Association, Current Procedural Terminology, Evaluation and Management Coding

Compulink Healthcare Solutions , the creator of Advantage SMART Practice, the industrys only fully customizable specialty-specific EHR and practice management system, has announced its EHR coding engine now supports the new 2021 Evaluation and Management (E/M) CPT codes.

Key Points: 
  • Compulink Healthcare Solutions , the creator of Advantage SMART Practice, the industrys only fully customizable specialty-specific EHR and practice management system, has announced its EHR coding engine now supports the new 2021 Evaluation and Management (E/M) CPT codes.
  • Effective January 1, 2021, the landmark coding change is designed to reduce physician burden and improve patient care.
  • To support E/M 2021, the company partnered with industry leading coding experts to ensure their Advantage SMART Coding engine recommends codes with the highest accuracy.
  • Advantage also automatically evaluates all possible codes and suggests the one with highest reimbursement for the physician when appropriate.

Compulink Readies EHR Coding Engine to Support E/M 2021 Changes

Retrieved on: 
Tuesday, September 29, 2020
Data management, Health, Technology, Hospitals, Practice Management, Software, Electronic health records, Health, Healthcare in the United States, Evaluation and Management Coding

Compulink Healthcare Solutions , the creator of Advantage SMART Practice , the EHR and practice management system powered by artificial intelligence (AI), has announced it is readying its EHR coding engine to support the new 2021 Evaluation and Management (E/M) CPT codes.

Key Points: 
  • Compulink Healthcare Solutions , the creator of Advantage SMART Practice , the EHR and practice management system powered by artificial intelligence (AI), has announced it is readying its EHR coding engine to support the new 2021 Evaluation and Management (E/M) CPT codes.
  • Slated to become effective on January 1, 2021, the E/M changes are major and will impact coding and billing for every office visit.
  • To support E/M 2021, the companys EHR coding engine will utilize the new coding methodology and time spent guidelines to automatically identify the best code to bill for maximum reimbursement.
  • The company also announced it is offering a money back guarantee to have its products ready to support the 2021 E/M changes.