Understand DED coding nuances to safeguard your practice’s reimbursement. Nearly half of all U.S. adults experience signs and symptoms of dry eye disease (DED), and roughly a third of patients in eye care clinics present with complaints related to dry [...]
Medicare plans to boost hospice pay rates 2.7 percent. Hospices may not be getting all they’d like when it comes to wage index methodology revisions, but the first major revamp in years would still help them out. Background: Hospices have [...]
Plus: CMS finally takes action on wage index problems — but is it enough?> After punting on the issue for years, changes to the wage index system for hospices are finally in play — and are likely coming for home [...]
Question: What ICD-10-CM code should I use to prove medical necessity if our provider orders a CA 19-9 blood test with CPT® code 86301? AAPC Forum Participant Answer: CPT® code 86301 (Immunoassay for tumor antigen, quantitative; CA 19-9) describes a [...]
Reviewers are overriding physicians’ judgment, audit targets charge. The two nonprofit hospices in the OIG’s latest audit reports are calling the watchdog agency on its medical review transgressions. The HHS Office of Inspector General has issued a long string of [...]
Nonprofits call OIG on its medical review nonsense. In a long string of audit reports stretching back to last November, the OIG has raked hospices over the coals — chiefly over terminal illness — to the tune of tens of [...]
Check Appendix O for more codes. New Multianalyte Assays with Algorithmic Analysis (MAAA) tests range from microbiology to oncology; and from Category I codes, to administrative codes, to Proprietary Laboratory Analyses (PLA) codes. Let our experts help you make sense [...]
Question: The surgeon performed an open limited lysis of adhesions in the abdominal cavity and a laparoscopic lysis of extensive pelvic and ovarian adhesions. How should we code this? Codify Subscriber Answer: You cannot bill together the codes for an [...]
Private duty chain Addus HomeCare Corp. has purchased the assets of Arcadia Home Care & Staffing, headquartered in Southfield, Michigan, for $18.5 million, the Frisco, Texas-based company says in a release. Arcadia had revenues for 2017 of $47.4 million and [...]
Check your answers on page 142. Scenario 1: Mr. Hamilton was readmitted to the facility after surgery to excise and close his myocuteaneous sacral pressure ulcer. How would you code M0104E (Surgical Wound)? Scenario 2: Ms. Mulligan was admitted to [...]
