Question: We’re a little confused by the updated information on EHR requirements for MIPS-eligible providers under the Promoting Interoperability performance category for 2024. Did something change? Is the 2015 Edition CEHRT different now? Ohio Subscriber Answer: It’s more a case of the [...]
Medical terminology will help you code these conditions more easily. Your podiatrist is likely to see patients with a variety of foot and ankle ulcers. In Podiatry Coding Alert Volume 15, Number 4, we looked at code choices for pressure [...]
A new settlement with the HHS Office of Inspector General may remind providers of why checking employees’ credentials is essential. After it self-disclosed conduct to OIG, Avail Home Health Services in Texas “agreed to pay $57,315 for allegedly violating the [...]
The payment reform plan contains a whopping 432 case mix groups. Trying to figure out how you will fare under the newly finalized Patient-Driven Groupings Model is no easy feat. That’s in part because Medicare has added seven new clinical [...]
CMS finalizes elimination of 34 measures. It’s always a pleasant surprise when Medicare reduces your workload, but the elimination of 34 quality measures could have an unintended consequence. In its 2017 Home Health Prospective Payment System final rule, the Centers [...]
Prepare for the unplanned need for general anesthesia and enhance your coding. You may not have a reason to use modifier 23 today but having it in your toolbox may improve your anesthesia coding tomorrow. Your key to modifier 23 [...]
More than one F-tag is involved in end-of-life care compliance for skilled nursing facilities. Although many important nursing home survey changes affecting palliative care are contained in the Centers for Medicare & Medicaid Services guidance on F-Tag 309, it’s best [...]
MAC collects $1 million for missed discharges to home care and other postacute providers. The OIG is hammering another Medicare contractor for failing to dock hospitals for patients who are discharged to home care, and the result could affect your [...]
Don’t reach for an ABN to solve your PECOS-related denials. Your PECOS edit coping strategies should already be well in place, thanks to this year’s earlier postponed deadline. But whether you’re fully prepared or just now tackling the issue, these [...]
Take the guesswork out of your healthcare-associated urinary tract infection diagnoses with the following lists from CMS. Although the classic criteria defined by McGeer et al, “Definitions of Infections for Surveillance in Long-Term Care Facilities” in American Journal of Infection [...]
