RESPIRATORY NEOPLASMS WITH CC DRG Code 181

Some new hospice statistics may surprise you. The National Hospice and Palliative Care Organization has released its free NHPCO Facts and Figures report for 2022, which includes data from 2020. Utilization by state varies widely, with Utah recording the highest [...]

Compare and contrast the last two reporting period stats during COVID. Despite being in the middle of a once-in-a-lifetime pandemic, the HHS Office of Inspector General (OIG) was awfully busy racking up its enforcement numbers. In the latest Semiannual Report [...]

Providers of all shapes and sizes should be ready for extra scrutiny. If you expected the feds to slow down their enforcement activity during a worldwide public health emergency (PHE), think again. The latest statistics show that even in the [...]

Two home health billers have been sentenced in the ongoing Moriarty Consultants Medicaid fraud case in Pittsburgh. Federal and state investigators raided the Moriarty offices in 2017 and indicted 12 people, including two home health agency-owning sisters, on Medicaid fraud [...]

One ophthalmologist in our sampling would lose $39,000 a year under the new proposal. Although eye care practices have the option of reporting either ophthalmological services codes or E/M codes for their patient encounters, many ophthalmologists and optometrists bill the [...]

Medicare to spend nearly $400 million on RCD project, it says. While recently released documents on the Review Choice Demonstration for Home Health Services are shedding some lights on a few details, many questions remain — and their answers could [...]

A picture could be the key to preventing dangerous mistakes. Patient-identification errors are common — and sometimes deadly, says a recently published report from the ECRI Institute, a nonprofit research organization that studies patient safety. Sometimes, electronic health records snafus [...]

The Republicans’ party short-lived. On Jan. 6, the House of Representatives voted 240 to 181 to dismantle the system, known as “Obamacare” via H.R. 3762, also known as the Reconciliation Act. The Act sought to repeal of large parts of [...]

Plus: House of Representatives votes to repeal the ACA. You’ve been using ICD-10 for nearly four months now, so it’s likely that you’ve run into a few hiccups along the way—particularly involving the “Excludes1” notations in your diagnosis coding manual. [...]

Question: Our gastro office is getting queries about hepatitis A and hepatitis B vaccination injections. We have the medication in the office. How should I code it? Colorado Subscriber Answer:You have not specified whether the patients are Medicare or not. [...]