AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC DRG Code 240

Remember the quirkiness of the Index. You probably know that a fear of confined spaces is known as claustrophobia. You might also know how to find the ICD-10 code for the condition by beginning with the entry “Fear of” in [...]

Hint: Use atrial rate to distinguish typical from atypical atrial flutter. When you come across documentation of tachycardia, arriving at the right code can be challenging because ICD-10-CM offers a slew of different options to enable maximum specificity. You’ll need [...]

Case is just one of many in an alleged $8 billion pandemic fraud spree, according to DOJ. The feds are keeping an ever-sharper eye out for fraud related to COVID-19 relief funds, and a California hospice owner was one of [...]

Let patient-specific details guide your choice. Modifier 23, unusual anesthesia, monitored anesthesia care, special circumstances, modifier AD, medical necessity, G20, F70, F79, G80, F40 Although every anesthesia case is unique, they carry commonalities from a coding standpoint: You select the [...]

The Department of Labor has recovered $1.5 million in home health worker back wages from a Pennsylvania-based non-medical home care services agency that operates in that state, Missouri, and Illinois. The DOL Wage and Hour Division found Neoly Home Care [...]

Hint: Hackers are pushing healthcare’s limits. The feds had a banner year in 2018, reporting a record number of data breaches involving the loss of patients’ ePHI. But as data security incidents pile up, it looks like 2019 is set [...]

You might want to expand your use of prior auth form. In light of the ongoing focus on hospice drug coverage, you should do all you can to ward off problems ranging from pharmacies seeking money from you to survey [...]

Warning: Leaving off this occurrence code will result in claims returns. The clock is steadily ticking down to PDGM’s implementation date. Make sure you’ll be ready on Jan. 1 by staying on top of new information released by Medicare. Home [...]

More than 32 million patients have had their data compromised. If you thought 2018 was a busy year for healthcare hackers, think again. If current data breach trends continue, 2019 will be one for the ages. Background: Breach statistics suggest [...]

Hefty fines and long prison sentences epitomize 2018 settlements. The federal government has been cutting back on regulations over the past year. But if you think that means the enforcement agencies are easing up, you're in for a surprise. Million-dollar [...]