PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE DRG Code 175

And recognize when RSV is the culprit behind other problems. Respiratory syncytial virus (RSV) is a respiratory infection that affects the patient’s lungs and airways, and as pediatric coders, you’re probably used to seeing RSV, especially in the winter months. [...]

Will egregious fraud cases hurt the entire industry? With serious legislative consequences for home health agencies hanging in the balance this year, the OIG’s take on the industry is more important than ever. The watchdog agency offers its fraud and [...]

Know when to code infections due to RSV. Respiratory syncytial virus (RSV) is a respiratory infection that can be mild or severe, depending on the patient’s age and general medical condition. RSV is rampant in many areas this year, so [...]

Know when to code infections due to RSV. Respiratory syncytial virus (RSV) is a respiratory infection that affects the patient’s lungs and airways. Normally, RSV is a mild respiratory infection, but it can cause dire effects depending on the patient’s [...]

Plus: Unnecessary therapy garners qui tam settlement. If you thought federal enforcers might slow the pace with COVID case ratcheting up and inflation wrecking providers’ bottom lines, think again. Read on for some recent enforcement highlights targeting Medicare fraud and [...]

Oklahoma-based agency and execs settle fraud charges in 2 different suits for a whopping $30 million. Employees have over a million more reasons to head to the authorities with their complaints about your agency’s practices, in light of a recent [...]

But: Data also points out health inequities, too. New research finds that telehealth offered Medicare providers another benefit during the pandemic. It allowed them to keep in closer touch with beneficiaries struggling with substance use disorders and possibly decreased the [...]

Even as mandates end, new treatment codes may require your attention. Coding a COVID-19 infection has always been tricky, but now that there are new treatments and patients who may be experiencing their second or third COVID-19 infection, coders may [...]

And stay ahead of the curve with these new treatment codes. The pandemic rolls on, new treatments roll out, and patients are suffering their second or even third bout of COVID-19. For coders, this means continued confusion about what to [...]

Tip: Ensure BAs have a handle on compliance. If you were just starting to get back into a groove at your practice, you may want to add HIPAA compliance to your staff training to-do list. The HHS Office for Civil [...]