Under newly proposed configuration, half of VBP points will come from only 2 measures. As home health agencies navigate through their first year of the Expanded Home Health Value-Based Purchasing program, Medicare is proposing to change the rules of the [...]
Look for comprehensive payment information for each service. Last month we looked at two ways your practice can bring in more income to upgrade office equipment, adjust care programs, and improve patient outcomes. This month we explore two more revenue-increasing [...]
The Department of Labor has recovered $1.5 million in home health worker back wages from a Pennsylvania-based non-medical home care services agency that operates in that state, Missouri, and Illinois. The DOL Wage and Hour Division found Neoly Home Care [...]
Question: Does the ICD-10-CM code set have new codes for gastrointestinal tumors? If so, which MS-DRG groups do they fall into? Colorado Subscriber Answer: Yes, the ICD-10-CM Code Set, applicable Oct.1, 2016, onwards, does offer seven new codes for gastrointestinal [...]
You must not overlook signs and symptoms in documentation.When a patient presents with signs and symptoms indicative of thyroid dysfunction, the otolaryngologist would likely order a thyroid function study to determine the presence or absence of hormonal abnormalities. However, the [...]
Get used to the changes that you'll have to use as early as Dec. 27.You have only a few short months to get your staff proficient with a revamped OASIS tool.The Centers for Medicare & Medicaid Services has issued the [...]
The following bills were introduced in the House: HR. 376. A bill to amend title XVIII of the Social Security act to authorize the Secretary of Health and Human Services to negotiate fair prices for Medicare prescription drugs on behalf [...]
Although each carrier may have its own LMRP outlining which diagnoses support medical necessity for blepharoplasty and brow repair procedures, this list shows many of the ICD-9 codes typically accepted. 172.1 - Malignant melanoma of skin of eyelid, including canthus 173.1 [...]
Question: Our physicians saw a patient with an acutely swollen eyelid that prevented her from fully opening her eye. Other than her obstructed vision, she exhibited no disturbance in visual activity or ocular motility, and showed no signs of proptosis, [...]
Complex coverage issues impact coding and reimbursement for lab tests used to diagnose and monitor thyroid disorders. Medical-necessity indications, as well as frequency limits and recent clinical advances in laboratory methods, dictate reporting requirements for these services. "Not only do [...]
