Have agencies learned from their initial mistakes? In the early days of the COVID-19 public health emergency, home health agencies didn’t use much telehealth yet — but when they did, they mostly did it wrong. So concludes the HHS Office [...]
Healthcare giant plans to pay $400 million for Brookdale hospice, home health unit. Brookdale Senior Living Inc. has announced it plans to sell a majority stake of its hospice and home health business to HCA Healthcare. Nashville-based HCA operates 185 [...]
Senior living company expects ‘steep’ growth for majority-HCA-owned business. If COVID has been rough for home health and hospice operators, it’s been a downright nightmare for senior living companies. That is presumably one factor in Brookdale Senior Living Inc. deciding [...]
Check Appendix O for more codes. New Multianalyte Assays with Algorithmic Analysis (MAAA) tests range from microbiology to oncology; and from Category I codes, to administrative codes, to Proprietary Laboratory Analyses (PLA) codes. Let our experts help you make sense [...]
Highest-ranking states may surprise you. Medicare’s payment error rate for hospices and home health agencies together varies widely from state to state, shows the latest Medicare payment error report. Among the many figures included in the report is a state-by-state [...]
High claims volume doesn’t necessarily translate to high error rates. Wondering where the feds might choose to crack down next with stepped up claims review or more intense fraud and abuse-fighting activity? Stats included in the latest Medicare payment error [...]
Hint: Proposal would cause one practice in our sampling to lose $25,000 in a year. If your practice often complains about the limitations that the 1995 and 1997 E/M guidelines place on E/M coding, CMS may have delivered a gift [...]
Modifier JW could be your enemy instead of your friend for these claims. Oncology practices may know their CPT coding rules backwards and forwards, but that doesn’t mean you’ve mastered coding unless you fully understand the applicable HCPCS modifiers just [...]
Will the OCM overwhelm practices already overburdened by too many APMs? The much-anticipated Oncology Care Model (OCM) is off and running, with nearly 200 physician practices jumping on board. And the OCM’s goals and promised incentives look enticing for providers. [...]
Question: Our provider diagnosed a patient with recurrent otitis media and chronic otitis media with effusion. This confuses me because I wasn’t sure which condition she meant. I coded it as H65.196. Was that the right choice? Delaware Subscriber Answer: The patient [...]
