Look up a DRG code to immediately get the fee details from IPPS and LTCH PPS, including type, relative weight, Geometric Mean LOS, Arithmetic Mean LOS, and more.
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If you’re planning to bill Medicare for visits with patients, ensure that you actually perform the visit first. That’s the word from a recent Department of Justice (DOJ) case involving a New Jersey family physician. The doctor plead guilty this [...]
The Senior Medicare Patrol project continues to educate beneficiaries about potential fraud and abuse they may encounter. In 2014, the 53 SMP projects had 5,194 active volunteers that conducted 202,064 one-on-one counseling sessions, 14,618 group education sessions attended by 450,720 [...]
Get ready to query your physician in depth for getting the right diagnosis. Fractures of the foot are a common sight in podiatry clinics and you have to stay on your toes to get a grip on the ins and [...]
If your E/M code distribution looks much different from Medicare's data, you may attract audit attentionA thorough internal audit should include a look at your code use. Medicare keeps track of how often optometrists report certain E/M codes--and if you [...]
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