Do good results matter when not enough patients sign up? The Medicare Care Choices Model received multiple positive results, but it served so few people that it might not matter much. The pros: MCCM saves Medicare money. “Among enrollees who [...]
Tip: Your hazard assessment must get specific. OSHA says it will use enforcement discretion for healthcare providers acting in good faith to start following the new COVID-19 emergency temporary standards, but wise providers will get on the right side of [...]
Documentation will be key to finding info to determine the right codes. As many coders may remember, last year brought the introduction of over a dozen codes that described pulmonary embolism and deep vein thrombosis — and although the codes [...]
Your PEPPER report could come in handy. With attention on low-visit episodes heating up, now’s the time to make sure your related claims can stand up to reviewer examination. In light of the HHS Office of Inspector General’s new Work [...]
If you lean toward eye codes because you fear E/M coding, this article is for you. Eye care practices have a luxury that many other specialties don’t — you’re able to decide whether you want to report an ophthalmological service [...]
Can the nurse document the history? Read this advice. Neurosurgeons are known for their surgical encounters, but any seasoned neurosurgery coder will tell you that E/M visits make up a generous portion of their day's work, and miscoding these claims [...]
Question: Our oncologist and our PA evaluated a patient together in the hospital and the office manager said to report it as an incident to service, but I thought incident-to wasn’t applicable in the hospital setting. Can you advise? Codify Subscriber [...]
Tip: Hiding evidence in your jail cell does not lead to a lenient sentence. A recently announced fraud settlement shows that whistleblower suits can come from really unexpected quarters. Best Choice Home Health Care Agency Inc. in Kansas City, Kan., [...]
Postprocedural complications and mediastinitis add up to the J codes. Are you unnerved with the news of 1,900 new ICD-10-CM codes and over 3,000 new PCS codes being added to the ICD-10-CM codeset, as per the annual update due to [...]
Eight-figure repayment due to lack of GIP documentation. You’d better make sure your records supporting General Inpatient care are airtight, or you could find yourself in the same painful position as one Florida hospice. Pensacola-based Covenant Hospice Inc. has agreed [...]
