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December / January 2012

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The MAGAZINE & online resource center for billing, coding, office & HIM professionals

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Billing Coding Advantage Magazine - The magazine for billing, coding, office and HIM professionals

In a few days 2012 will begin. December is a time when things slow down and people take vacations to go to Grandm's House to wassail and have festive fun. This is also a busy time before our staff has dreams of sugarplums and a jolly old man coming down the chimney. We're a few months into new, deleted and changed diagnosis codes and we're about to face new, deleted and changed procedure codes. There may be claims that go back to January 2011 that are unpaid or were paid incorrectly and hopefully appealed with someone following up on the appeal. Some of these claims may have strict time limits such as with Medicaid, Medicare, Tricare or contracted insurance companies.
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Achived feature articles


Putting Certified Coders In Their Place	ICD-10 (CM/PCS): The Fear of the Unknown?	CMS issues clarification of E&M policy	CMS Releases New Changes to the Medicare Enrollment Forms

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ICD-10 NOTE:

The Importance of Anatomy and Pathophysiology on the Road to ICD-10-CM

ICD-10-CM is one of the biggest changes to hit healthcare in quite some time. ICD-9-CM is over 30 years old and cannot stand up to today's complex world of healthcare. Many coders, billers, and other staff members may be concerned with what to do first. Click here for more...

5 Minutes with... Diana Riojas, BS, CMC, CMCO, CMOM, CMIS, CMSCS and Gretta Kinsella, CMC, CMOM, CMCO, CMIS, CMSCS

5 Minutes with... Tracy A Sparks, CPC (T.A.S)

BC Advantage (BCA): When, how and why did you get into health care? Gretta Kinsella (GK): I have been in the medical field for more than twenty years. I started my career in pharmacy billing with following up on claims while still in high school.
Diana Riojas (DR): I have grown up surrounded by health care but officially entered into health care after receiving my Bachelor's in International business. Click here for more...

[ WORKOUT @ WORK ]
	Move More at Work to Lose More - Today, our ever-increasingly busy, convenient lifestyle is causing a 'down-sizing' in daily activity and a corresponding 'up-sizing' in our body sizes and the readings on our scales.Click here for more...

This Week in Health Care - Wednesday, January 25, 2012

CMS: Here's how you get thrown out of Medicare and Medicaid

2012 U.S. Healthcare CEO: Court & Einstein: $2 Million Overpayment - ERISA, Fraud Or Defamation?

Speakers wanted! You are invited to be part of the AAHAM tradition to share your knowledge!

ICD-10 brings revival of funny diagnosis jokes

AAPC Physician Services Announces 2012 Medical Compliance Toolkit

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Other online tools

	Effective January 1, 2012, you must be ready to submit your claims electronically using the X12 Version 5010. Version 5010 is the new version of the X12 standards for Health Insurance Portability and Accountability Act (HIPAA) transactions. Implementation of HIPAA Version 5010 will require changes to software, systems and perhaps procedures that you use for billing Medicare and other payers. It is extremely important that you and your staff are aware of this HIPAA change.

	Online Marketplace Latest business profile: Practice Management Information Corporation (PMIC) PMIC is the nation's leading independent publisher of medical coding, compliance, and practice management books, forms, and software. Click here for more...

	Downloadble forms Official ICD-10 Coding and Claims Processing Guidance Click here for more...

	BC Advantage "Speakers Bureau" Designed to make it easy for you to find the best speakers, keynote speakers or audio presenters possible, within the Medical Billing Coding and Office environment. Featured speaker: Jacqueline Thelian, CPC, CPC-I (Years of experience: 20) Click here for more...

	The Decline of Patient Visits to the Doctor - A Trend That's Here to Stay? This week on the Healthcare Business Network - Ron Nyman talks with Emily Berry, staff writer for the American Medical News, about the decline of patient visits to healthcare providers. Click here for more...

New Discussions - BC Advantage FREE Online forums

RE: Paramedic Intercept - Please help!

Jan 27, 2012
Paramedic Intercept - Please help!

Jan 27, 2012
RE: Paramedic Intercept - Please help!

Jan 27, 2012
RE: Denials on Nuclear Medicine

Jan 26, 2012
Denials on Nuclear Medicine

Jan 26, 2012
TB Test

Jan 26, 2012
RE: TB Test

Jan 26, 2012
RE: billing for level & physical same visit

Jan 26, 2012
billing for level & physical same visit

Jan 26, 2012
Charing for Billing Claims

Jan 26, 2012
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Education Programs and Events

	Certified Medical Insurance Specialist Webinar/Audio Conference Friday, March 02, 2012 Audio seminar

	Certified Medical Coder Webinar/Audio Conference Saturday, March 03, 2012 Audio seminar

	Certified Medical Office Manager - Evening Course Monday, March 05, 2012 GREENVILLE, SC

	Chart Auditing Workshop Tuesday, March 06, 2012 SAN ANTONIO, TX

	HBMA 2012 Compliance Conference Tuesday, March 06, 2012 Tampa, FL

	AHIMA Academy for ICD-10-CM/PCS Wednesday, March 07, 2012 Seattle, WA

Click here to view a full listing or search for an event in your local area.