CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC DRG Code 286

Audio-only encounters should still count. If the Centers for Medicare & Medicaid Services does start gathering home health telehealth data — and hopefully reimbursing based on it — there are smart ways to do so. And its proposal isn’t one [...]

Notice of Admission content still in flux. When RAPs go away, Medicare wants home health agencies to substitute another kind of submission — a Notice of Admission. Home health agencies are opposing that proposed change, except perhaps if it stays [...]

Hint: Suggested E/M documentation changes could balance shortcomings. If a hefty portion of your Part B take-home pay is tied to E/M office visits, you may want to review recent Medicare proposals. However, depending on your specialty and the number [...]

Hint: Suggested E/M documentation changes could balance shortcomings. If a big part of your Medicare pay is tied to evaluation and management (E/M) office visits, you may be concerned about recent proposals from CMS. But depending on your specialty and [...]

Plus: The claim’s other details are just as important as the diagnosis. As ICD-10 implementation gets underway, CMS feels optimistic about the transition, based on the latest end-to-end testing in July. According to the results CMS shared in late August, [...]

Win the battle by setting right the invalid NPIs and ICD-10-CM codes. If your facility participated in the CMS ICD-10 End-to-End Testing in July, here’s great news for you: CMS declared the results on Aug. 28, and the test was [...]

Question: A patient was admitted to the hospital with hematuria which the physician suspected was due to Coumadin toxicity. Documentation showed that the patient was taking Coumadin as prescribed. The patient was finally diagnosed with coagulopathy secondary to Coumadin toxicity. [...]

HHAs with patients from indicted doc see no suspensions -- yet.Legitimate home care providers are paying the price for the fraudsters infiltrating the industry, both via reputational injury and increased scrutiny from authorities."The home health industry is once again front and [...]

Coagulation factor deficiency coding requires a look at the index.ICD-10-CM code D68.4 has the same definition as ICD-9-CM code 286.7. That's not the end of the coding story, though. Here's how D68.32 fits into the picture, too.ICD-9-CM code:286.7, Acquired coagulation [...]

Factor these RiaSTAP code changes into your summer and winter plans. If you treat lymphoma, leukemia, immunodeficiency, or clotting problems, you could see coding changes coming your way. CMS has posted the HCPCS Public Meeting for Drugs Agenda from May [...]