Industry seeks CMS clarification on face-to-face-related instruction. The extension and expansion of the Review Choice Demonstration may bring a troublesome new policy to your doorstep — unless home health agencies and their advocates can rein it in. On May 14, [...]
Patients can receive life-saving treatment in minutes. On Jan. 2, 2023, the world watched as Damar Hamlin experienced an out-of-hospital cardiac arrest (OHCA) on the football field on national television. Medical personnel leapt into action performing cardiopulmonary resuscitation (CPR) and [...]
Value-Based Purchasing rules may alter how acquisitions go down. Medicare is getting to training in earnest for the Expanded Home Health Value-Based Purchasing Model, dropping four new VBP resources plus new OASIS-E materials. In recent days, the Centers for Medicare [...]
Provider Relief Fund misuse, N95 theft included in latest sweep. Authorities have COVID-related fraud in their crosshairs, but that doesn’t mean non-COVID fraud is getting a pass. On Sept. 17, the Department of Justice announced “criminal charges against 138 defendants, [...]
Hint: A Z code may paint a more accurate picture of why a resident enters a facility than another diagnosis. There’s a well-established urban coding legend that coders should not use Z codes as primary diagnosis codes. However, Z codes [...]
Private equity firm Towerbrook Capital Health and health system Ascension Health have combined forces to acquire hospice chain Compassus for $1.05 billion, according to news reports. The two buyers formed Ascension Towerbrook Healthcare Opportunities L.P., a co-investment vehicle, to make [...]
Private equity firm Towerbrook Capital Health and health system Ascension Health have combined forces to acquire hospice chain Compassus for $1.05 billion, according to news reports. The two buyers formed Ascension Tower- Brook Healthcare Opportunities L.P., a co-investment vehicle, to [...]
Check the outcomes from this comparative billing report for the scoop. Are most of your claims reported as 99285? Some EDs are billing this high-level code on over 80 percent of their claims — but that far exceeds the average. [...]
Use the latest benchmarking stats to see where your practice falls. If a majority of your emergency department (ED) claims are reported with 99285, you may want to revisit your coding practices. Some EDs are billing this high-level code on [...]
Don’t sacrifice pay for these common problems. Emergency department providers don’t often perform surgeries, but one service that you may find yourself treating occasionally is foreign body removals. There are only two codes for subcutaneous FBR, but a lack of [...]
