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October 16, 2020
Guidelines for Accurate Claims Coding
Appropriate coding of medical claims serves several purposes. It provides clues to the complexity of a patient’s condition, the level of care required, as well as the projected costs and care management resources involved in delivering optimal care to that patient. Accurate ICD-10 diagnosis coding to the correct level of specificity is challenging, however, and…
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August 20, 2020
Chlaymydia Screening: Tips and Resources
Untreated chlamydia infections can have devastating effects on a women’s reproductive system and ability to bear children. That is why it is critical that all sexually active women 16 to 24 years of age be educated about the risks and tested yearly via a urinary test. Screening for chlamydia starts with taking a patient’s sexual…
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August 06, 2020
Addressing Adolescent Depression in the Primary Care Setting
Recently, teenagers have experienced numerous stressors. As a result of the coronavirus and global unrest, they have had to shelter in place, miss graduations and proms, witness racial injustice and mass protests, and maintain social distancing during summer vacation. In addition, their families and other supportive individuals may be experiencing reduced income due to job…
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August 06, 2020
July 2020 Code Auditing Changes
Effective September 9, 2020 Quarterly, Capital District Physicians’ Health Plan, Inc. (CDPHP®) implements appropriate code auditing changes to remain current with industry standard coding updates. Updates are made to our code auditing software Change Healthcare Technologies, LLC ClaimsXten™, based on recommendations from a variety of sources, including the American Medical Association (AMA), Centers for Medicaid…
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June 23, 2020
April 2020 Code Auditing Changes
Every quarter CDPHP® implements appropriate code auditing changes to remain current with industry standard coding updates. Updates are made to our code auditing software Change Healthcare Technologies, LLC ClaimsXten™ based on recommendations from a variety of sources, including the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS) Correct Coding Initiative and Medically…
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May 19, 2020
Screening for Osteoporosis Is Critical for Women’s Health
Screening of older women for osteoporosis is a critical step in avoiding disease progression and fractures. According to the National Osteoporosis Foundation, women older than 65 years of age should undergo screening by periodic dual-energy X-ray absorptiometry (DEXA) scans, and those who have risk factors for the disease should be screened even earlier. Indeed, the National…
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