Question: If a patient has a pressure ulcer on their back, what is the difference among the stages, for coding purposes? Missouri Subscriber Answer: The stages of pressure ulcer represent the healing stages of the wound. If you’re worried about choosing among [...]
Do you fall in the majority when it comes to deficiencies? How well you’ve handled duties under 11 Conditions of Participation will play a big part in whether you land on the Special Focus Program list when it comes out [...]
Deficiencies under these 11 CoPs can trigger SFP selection. Check out the information that Medicare will use to single out hospices for stepped-up survey enforcement when the Special Focus Program takes effect. The Centers for Medicare & Medicaid Services proposes [...]
Remember that a CBR is an educational tool. A recent comparative billing report (CBR), compiled by RELI Group Inc., examined the payment rates of bronchodilator nebulizer medications for Medicare Part B beneficiaries. From 2021 to 2022, the analysis team looked [...]
Find out why and how clarification can matter. A resident’s medical record is a legal document, but also is a narrative of their condition and care. As reimbursement hinges more on diagnosis coding than ever before, it’s important to understand [...]
Question: My ob-gyn delivered triplets vaginally. This mother did not have global care with us. She will return for postpartum. Should I code this triplet delivery with 59410, 59409-51, 59409-51 with DX 060.12x0, 009.812, 031.32x0, 030.102, Z3a.20, Z37.61? My ob-gyn documented: [...]
Utilize query guidelines to help with coding choices. A patient’s medical record is a legal document that tells the story of why that patient is being seen by a provider. However, some provider documentation is incomplete and needs a follow-up [...]
Is a Yes/No query leading? Find out. A patient’s medical record is a legal document that tells the story of why that patient is being seen by your provider. However, some provider documentation is incomplete and needs a follow-up to [...]
Question: My ob-gyn delivered triplets vaginally. This mother did not have global care with us. She will return for postpartum. Should I code this triplet delivery with 59410, 59409-51, 59409-51 with DX 060.12x0, 009.812, 031.32x0, 030.102, Z3a.20, Z37.61? My ob-gyn documented: [...]
These codes were approved by the AMA on April 10 and went into effect immediately. Emergency departments have two new coronavirus testing codes to use, thanks to an emergency meeting that the American Medical Association (AMA) held in early April. [...]
