HHA profit margin in 15% range for fifth year in a row. Despite the fact that key indicators continue to decline for home health agencies, Medicare Payment Advisory Com-mission members indicated they will recommend a 5 percent payment reduction to [...]
Plan your post-pandemic compliance accordingly. If your Part B practice is struggling under the yoke of COVID-19, there’s good news. The feds have eased up on some Stark Law requirements with 18 blanket waivers that address remuneration and self-referrals. Review [...]
Tip: Plan ahead for your post-COVID-19 compliance transition. During the best of times, many find keeping compliant with fraud and abuse regulations and all their nuances challenging. In the midst of the COVID-19 crisis, the feds have lifted some sanctions [...]
Home care providers running into Stark Law barriers when crafting retirement plans for ESOP agencies will get some relief from a new proposed rule. On Oct. 9, the Centers for Medicare & Medicaid Services released the rule, “Modernizing and Clarifying [...]
Question: How do I report a two-view chest X-ray performed by a physician using a mobile radiology service? Mississippi Subscriber Answer: Coding portable X-ray services is simple; you just have to know what additional factors to include in the coding [...]
Question: A 15-year-old female patient came to our office after rolling her right foot during dance class. A prior visit to the emergency department (ED) confirmed that she had a fracture of the fifth metatarsal, and when our pediatrician examined [...]
Prepare for MIPS and APMs. Fee for service is on the way out, and the Merit Based Incentive Program System (MIPS) is the wave of the future for Medicare pay. MIPS comes compliments of the Medicare Access and CHIP Reauthorization [...]
Question: Could you explain how to report ICD-10 codes for carpal tunnel syndrome (CTS)? Our coders have had a problem transitioning from ICD-9 to ICD-10 on our CTS claims. New York Subscriber Answer: ICD-10 premiered in October of 2015, but some coders [...]
Heads up: Don’t ignore categories with associated signs and symptoms. A patient who suffers from carpal tunnel syndrome (CTS) is experiencing a compression neuropathy. This compression can lead to paresthesia, pain, numbness, and other symptoms in the distribution of the [...]
Don’t miss this Excludes1 note under the G56 category. When your orthopedist treats carpal tunnel syndrome, you now have several diagnosis options, based on the patient’s situation. Take a quick glance at how these diagnosis codes transitioned under ICD-10 back [...]
