OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC DRG Code 155

Plus: Medicare offers 2 new Value-Based Purchasing educational tools. A new month brings a new batch of Value-Based Purchasing learning resources. In its latest HHVBP Newsletter released May 30, the Centers for Medicare & Medicaid Services includes a new Strategies [...]

If you’re getting weird diagnosis code-related messages with returned claims, you may want to make sure your ICD-10 coding is up to date. Why? The Centers for Medicare & Medicaid Services implemented new Home Health Grouper edits on April 1, [...]

Question: Encounter notes indicate a patient reports complaining of chronic migraine headaches. The patient states that they have had 18 headache days per month lasting longer than four hours each for four months. Average pain rated 6/10. Botox injections have been [...]

Expect the holiday crunch to crank up to ‘11’ this year, with OASIS-E and VBP debuting simultaneously Jan. 1. New OASIS-E information released by Medicare underscores how much extra work will be dumped on home health agencies’ plates in about [...]

Recs could threaten vulnerable patients’ access to hospice care. What do longer lengths of stay, higher rates of live discharges, and double-digit profit margins add up to? A harsh reimbursement recommendation from an influential advisory body to Congress. In its [...]

Commission IDs long lengths of stay, live discharges, nursing and independent living facility patients, and more as potential trouble spots. Access to hospice care in rural and underserved areas is at risk if Congress heeds MedPAC’s advice. In its annual [...]

Accuracy, specificity for comorbidity codes another looming problem. If you aren’t beefing up your diagnosis coding practices now to prepare for the Patient-Driven Groupings Model’s arrival in January, you could already be behind. “Coding is going to be absolutely critical [...]

Consider how some Dxs, HCPCS codes may vary by payer. Chemodenervation patients can present for a plethora of different ailments and conditions. However, that doesn’t mean that CPT® will list each of the conditions that merit the service in its [...]

Payer matters when it comes to diagnoses for these injections. Coders have a potential problem when patients report to the physician for face/neck muscle chemodenervation. Patients might suffer from a number of conditions. and CPT® might not list all the [...]

Whether a Dx is acceptable for procedure could depend on payer. Patients who report to the PM specialist for face/neck muscle chemodenervation could suffer from a number of conditions — and CPT® might not list all the conditions that would [...]