- Anesthesia Coding: Dive Deep Into Anesthesia Modifier Hows and Whys - (Jan 14, 2025)
Hint: Modifiers can show payers which anesthesia professional performed a service. Getting paid correctly with anesthesia modifiers may not be as easy as you think! If you’ve read the Codify articles for filing clean certified registered nurse anesthetist (CRNA) claims, [...]
- Reader Questions: Brush Up on Anesthesia Time Calculation Key Concepts - (Jul 09, 2024)
Question: We need help understanding minutes to units conversion. If payers want total minutes in the units field on the CMS 1500, how do you convert the base units? Would you assume one unit equals 15 minutes? Ohio Subscriber Answer: It’s important [...]
- Know Your Facts: Expect More Scrutiny In States With Surging Hospice Numbers - (Apr 19, 2024)
Hint: It isn’t just California and Texas. You can bet your law- and policy-makers will be poring over the statistics offered by the Medicare Payment Advisory Commission in its latest report to Congress — and that means you should too. [...]
- Hospice: Report Your Administrator, Medical Director In PECOS Before It’s Too Late - (Feb 29, 2024)
Plus: Stay tuned for missing CAHPS data in preview reports. Failing to comply with a recently finalized Medicare requirement could put a big old target on your agency’s back when it comes to fraud and abuse scrutiny. The Centers for [...]
- No Surprises Act: Feds’ Balance Billing Opus Continues To Evolve - (Feb 01, 2024)
Lawsuits, fee changes, and proposals abound. Since its inception, turmoil has surrounded the No Surprises Act — and that doesn’t seem to be going away any time soon. Read on for the latest changes on the feds’ surprise billing regulations. [...]
- Industry Notes: Brookdale Sells Remaining Home Health Interest - (Jan 05, 2024)
Brookdale Senior Living Inc. has sold “its remaining 20 percent equity interest in its Health Care Services unconsolidated venture and received aggregate proceeds of approximately $27 million in connection with the transaction,” the Nashville-based senior living operator says in a [...]
- Year in Review: Refresh Your Memory by Revisiting 2023’s ICD-10 Updates - (Nov 16, 2023)
Also: check out the new guidance for reporting COPD. Last month, we covered the office/outpatient time changes you can expect in 2024, but can you recall the new ICD-10 codes that took effect Apr. 1, 2023? How about the ones [...]
- Coverage: MedPAC Puts Hospice Under The Microscope - (Nov 10, 2023)
Nonhospice spending gets another go-round. Hospices may feel they’ve been examined six ways to Sunday already, but an influential advisory body to Congress is planning to pile on yet more scrutiny. “Hospice remains a very important, although sometimes controversial, aspect [...]
- No Surprises Act: See Latest Twist on Independent Dispute Resolutions - (Sep 19, 2023)
Court decision causes Federal IDR process operations suspension. Since lawmakers announced the No Surprises Act in 2021 and the feds implemented the provisions through a series of final rules, stakeholders have argued against specific parts. From industry consternation to myriad [...]
- You Be the Coder: Don’t Get Tripped Up by This Tricky Toenail Procedure - (Jul 19, 2023)
Question: A patient came into the office for follow-up treatment of an ingrown toenail. The podiatrist found that the patient actually had two ingrown toenails — one on each foot. The podiatrist removed both and also performed silver nitrate cauterizations to [...]