All Posts By Barbara Aubry
In September 2017, Office of Inspector General (OIG) released a report titled “Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities.” […]
I recently attended a presentation hosted by my local HFMA chapter. It was an excellent discussion regarding the ins and outs of compliant coding and billing for incident-to services by […]
Last fall, I wrote a blog on providers who continue to bill cost-sharing co-payments to “dually eligible” (Medicare/Medicaid) patients. This practice is not allowed; providers and suppliers are barred from […]
I am a member of a team that works directly with CMS on the yearly code update process for their National Coverage Determination policies (NCDs). Our team accesses, refines and […]
3M’s Barbara Aubry urges coders to provide adequate clinical documentation to support CPT code 99024.
As a regulatory analyst, I do a lot of research. For years I’ve read a lot about pay-for-performance, quality initiatives and outcomes, Alternative Payment Models (APMs) and every payment method […]
I don’t know about you, but I am sure my physicians spend more time typing into their computer than talking with me, except for two that come to mind immediately—one […]
This month, I had planned to share some good news on population health, but that will have to wait until next month. I literally just got off a call with […]
Last month, I blogged about long held tenants of medical necessity and how those standards impact today’s creative thinking on actions to improve health outcomes. I received interesting questions from […]
For 2017, the American Medical Association (AMA) introduced three replacement codes to report mammography. Find out what they are in this article from Barbara Aubry.