Don’t let confusion about where to submit a government payer claim derail your reimbursement. Last month, RCI reported on the Office of Inspector General (OIG) audit that looked at claims submitted erroneously to Medicare that actually should have been billed [...]
Get more info on whether you’ll see a pay boost or penalty based on your performance. Whether you’ve made much use of your July VBP Interim Performance Report or not, you’ll be getting an updated version in a matter of [...]
Question: Our pediatrician saw a 4-year-old whose mother said had been acting like he doesn’t feel well but she can’t find anything wrong. After examination, the pediatrician agrees and records no diagnosis, signs, or symptoms. Is there a Z code [...]
Plus: More OIG audits focusing on telehealth are in the offing. Home health agencies aren’t out of the COVID woods yet, but analysis of their response to the pandemic is already front and center. In a new report released Oct. [...]
Warning: EMR templates may be your medical review downfall. If you think your agency’s claims will pass medical review with flying colors because you’ve nailed face-to-face encounter requirements, you may need to think again. Why? Another denial reason is giving [...]
Waste no time in applying once portal opens on Sept. 29, expert urges. As COVID-19 continues to pummel the nation and its healthcare providers, the Department of Health and Human Services is making more relief money available. HHS, “through the [...]
Remember: Read “code first” notes carefully. If you report gout in your podiatry practice, you will need to understand many facets of this diagnosis, including the difference between acute and chronic gout, what the specific characters in the codes stand [...]
Telemedicine increases help offset reduced visit and vaccination revenues. Pediatric practices, like everyone else in this country, have been dramatically affected by the COVID-19 public health emergency (PHE). But by how much? Chip Hart, director of PCC’s Pediatric Solutions Consulting [...]
CMS lists J7613 as last year’s most-billed code. When most pulmonology practices think of their top-billed codes, they’re quick to consider E/M services and pulmonary function tests. But when you go beyond CPT® codes, you may realize that you’re frequently [...]
Question: The podiatrist performed a level-three evaluation and management (E/M) service for an established patient who has a spontaneous rupture of the extensor tendons of her right ankle and foot. Which ICD-10 code should I report for this condition? Florida Subscriber [...]
