ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC DRG Code 278

The cyberattack underscores the interconnectedness of U.S. healthcare. The Blackcat cyberattack that hit Change Healthcare, a unit of UnitedHealth Group (UHG), in late February proved to be a crisis for many in the healthcare industry, including patients. As of publication, [...]

Capture prolonged service pay and more for Medicare beneficiaries. While you’re getting up to date on 2021 code changes, make sure you’ve mastered Healthcare Common Procedure Coding System (HCPCS) Level II coding that could impact your general surgery practice. Why: [...]

Medicare released its own high-level prolonged services code. It’s 2021 and you’ve got all your bases covered for the new year — right? Everyone is probably up to speed on the changes to CPT®, ICD-10, the Medicare Physician Fee Schedule [...]

Here’s the 1 code Medicare expects on almost all office E/Ms. For some coders, it’s easy to mistakenly overlook updates to the Healthcare Common Procedure Coding System (HCPCS). It’s 2021 already, however, and there are some HCPCS updates that you’ll [...]

Medicare released its own high-level prolonged services code. It’s 2021 and you’ve got all your bases covered for the new year — right? Everyone is probably up to speed on the changes to CPT®, ICD-10, the Medicare Physician Fee Schedule [...]

Project reached 1.7 million people last year. The fanfare over the Senior Medicare Patrol has died down since the program’s debut in 1997, but the fraud-fighting initiative is still going strong — and racking up millions in related recoveries. In [...]

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 [...]

Know your choices. Unless you underwent Pre-Claim Review in Illinois, you’ll have to undergo at least six months of full blown Review Choice Demonstration medical review when it begins, no matter how stellar your medical review performance. RCD affects agencies [...]

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 [...]

You saw how three ophthalmologists would fare under the proposed E/M payment changes —now check out what the impact would be to three optometrists whose data we sampled. Using the current E/M payment levels and comparing them to the proposed [...]