Question: What is the correct way to bill for COVID, influenza A and B, and RSV testing? We got denials for billing the tests separately, stating we should use a more appropriate code, so we tried 87637. We are also [...]
Symptom assessment, CAHPS topics may be up next. While it’s not yet a done deal, recently released hospice quality measures may give providers an idea of what’s to come. The Centers for Medicare & Medicaid Services has issued its 2023 [...]
Under newly proposed configuration, half of VBP points will come from only 2 measures. As home health agencies navigate through their first year of the Expanded Home Health Value-Based Purchasing program, Medicare is proposing to change the rules of the [...]
Monitoring tumor changes may have gotten easier. Researchers at the Massachusetts Institute of Technology (MIT) have developed a device that can perform continuous ultrasounds for up to two days. Best of all, patients could wear the device while they go [...]
Be on the lookout for hassles over CCM payments to your ordering physicians to potentially affect referrals. Background: The Centers for Medicare & Medicaid Services began paying docs for Chronic Care Management in 2015. Then in 2017, “CMS unbundled complex [...]
Warning: Drastic reimbursement cut could be waiting in the wings for HHAs. Medicare is proposing a rate increase for 2022 that would be slightly lower than this year’s, but home health agencies should write that figure in pencil rather than [...]
Get to know how these new CMS proposed rules might affect your practice. Fee schedule changes to most evaluation and management (E/M) services have been relatively safe from CMS intervention over the past few years. As for 2019, however, it’s [...]
Hint: Proposal causes one pulmonary practice in our sample to lose $93,000 in one year. Pulmonology practices have been able to rest easy during the past few years’ worth of fee schedule changes, but this year may have thrown a [...]
More than 40 new codes specify eyelid cancer. You read about the following new eyelid sebaceous-cell carcinoma codes in “Mark Changes to Coding Neoplasms, Metabolic Disorders, and More” on page 66: C44.131 (Sebaceous cell carcinoma of skin of unspecified eyelid, [...]
Here’s your second look at how familiar codes will change in October. The time until the new ICD-10 updates go into effect is counting down, with October 1 as the official implementation date. Last month we looked at how your [...]
