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Caral Edelberg's Interview for Top 10 Compliance Solutions Award- 2018

  Edelberg & Associates A New Era in the Medical Coding Landscape A well-regarded medical coding expert, sought after healthcare compliance educator, and a frequent speaker and author on healthcare management topics, Caral Edelberg—a thought-leader in the healthcare landscape for more than four decades—executes each of these variegated roles with finesse... To read in magazine,…

Edelberg makes Top 10 Healthcare Compliance Solutions- 2018 by Healthcare Tech Outlook!

Edelberg & Associates is thrilled to be named to Healthcare Tech Outlook magazine’s 2018 Top 10 Healthcare Compliance solutions.  Healthcare Teach Outlooks list is an exclusive ranking of the nation’s top healthcare compliance solutions. Complete results of the Healthcare Tech Outlook magazine’s 2018 Top 10 Healthcare Compliance solutions, including company profiles can be found at Interview with Caral…

Hospital Observation Services and 2017 “MOON” Requirements

Hospital Observation services have received much attention in past years as a result of issues relating to patient confusion about co-pays and charges for Medicare outpatient vs. inpatient services. In an effort to address these issues, CMS has developed the “Medicare Outpatient Observation Notice” (MOON) effective for dates of service beginning February 21, 2017 under CMS-10611 Transmittal 3695 dated January 20, 2017.

Critical Care in 2017

Some Thoughts to Improve Documentation and Assure Correct Coding Determining what constitutes critical continues to stump physicians and coding professionals into 2017.  As a result, determining Critical Care for professional and technical services still remains a subjective area of E/M coding.  Although CMS has attempted to clarify the content and determining factors for critical care…

MLN Updates

[vc_row][vc_column width="1/1"] Stay Up to Date on Medicare + More with MLN Matters® The experts at Edelberg + Associates are dedicated to keeping the coding community up to speed on changes within the industry. One resource we rely on is the MLN Matters® Articles published by the Centers for Medicare & Medicaid Services. The new…

If It Wasn’t Documented — It Wasn’t Done

From the E+A Experts — What to Know when Scoring Records for “Medical Necessity”   Defining “Medical Necessity” for Documentation All services provided to a patient who is receiving Medicare are subjected to Title XVIII of the Social Security Act, Section 1862(a)(1)(A). This act demands that services meet a set criteria to be deemed “reasonable…

NOW HIRING: Remote Pro-Fee Coders

The top team in medical coding is hiring! The E+A remote team has immediate openings for 
E/M-Hospitalist Pro-Fee Coders AND ED Professional and/or Technical Coders. As a member of the E+A team, you set your own flexible schedule but MUST commit to at least 15 hours per week. You will be taxed as a long-term…

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