CMS calls for an overall 1.7 percent payment reduction in 2025 proposed rule released June 26. Medicare officials persist in implementing “deep and destabilizing” cuts for home health agencies in the Centers for Medicare & Medicaid Services latest proposed payment [...]
From pyuria to travel situations, the new codes enable more specificity. If you’ve ever worried that the appropriate code for your patient’s situation simply does not exist, take heart: Some of the new ICD-10 codes going into effect Oct. 1, [...]
Plus, you’ll have new symptom codes to add to your coding cache. You’ve got a new list of ICD-10-CM codes to consider for 2020. Anyone who’s played the diagnosis coding game knows these codes go into effect on October 1, [...]
When a breast lump overlaps anatomical sites, use these new codes. You’ve got a new list of ICD-10 codes to consider for 2020. Anyone who’s played the diagnosis coding game knows that these codes go into effect on October 1, [...]
The feds are on the lookout for outlier activity. Some believe they can buck the system to cash in on federal money. But recent cases show that if you are caught, enforcement agencies will deliver their wrath with hefty punishments. [...]
Hefty fines and long prison sentences epitomize 2018 settlements. The federal government has been cutting back on regulations over the past year. But if you think that means the enforcement agencies are easing up, you're in for a surprise. Million-dollar [...]
No response to ADRs the top reason for denial. It seems to be raining audits for chiropractors. After an alarming OIG report this November, get ready for another shady report from Railroad Medicare, stating an error in almost 60 percent [...]
Tip: Heeding local payer criteria for testing is crucial for getting paid. If you gastro reports H. pylori tests, you’ll need to ensure that you know when you are eligible to claim the tests, how to report various aspects of [...]
Tip: Keep in mind that payers may vary widely on this topic. If you gastro reports H. pylori tests, you’ll need to ensure that you know when you are eligible to claim the tests, how to report various aspects of [...]
Specify leg — and part of leg — with new diagnosis code set. As is a recurring theme with most of the ICD-10 codes, when coders officially begin using the new diagnostic code set on Oct. 1, 2015, they will [...]
