Early stage appeals need to be more accurate, industry reps urge. Nearly everyone agrees that Medicare’s appeal system has essentially stopped functioning, but will a fix create an even bigger burden for you? Recent congressional action on the matter is [...]
Early stage appeals need to be more accurate. Nearly everyone agrees that Medicare’s appeal system has essentially stopped functioning, but will a fix create an even bigger burden for you? Recent congressional action on the matter is shedding light on [...]
Early stage appeals need to be more accurate, home care reps urge. Nearly everyone agrees that Medicare’s appeal system has essentially stopped functioning, but will a fix create an even bigger burden for you? Recent congressional action on the matter [...]
Be patient: Cutting your losses and taking 68% isn’t the answer, experts say. The Centers for Medicare & Medicaid Services (CMS) can’t keep up with the rising number of claims appeals, and now Congress and industry stakeholders are getting involved. [...]
More than one in 10 hospices exceeds its per patient cap. Wondering why the Centers for Medicare & Medicaid Services is making a big deal out of aggregate cap overpayments when they apply to a minority of hospices? Consider these [...]
More than one in 10 hospices exceeds its per patient cap. Wondering why the Centers for Medicare & Medicaid Services is making a big deal out of aggregate cap overpayments when they apply to a minority of hospices? Consider these [...]
These tips tell you when to use 69210. You can rest assured that claims for 69210 (Removal impacted cerumen [separate procedure], one or both ears) will hold up on chart audit provided you check off these items. 1. Check If [...]
These tips tell you when to use (or not use) 69210. To code or not to code? That is the question for many internists and their coders when it comes to the issue of removing impacted cerumen. Here are three [...]
Question: Our patient's medical record includes the following diagnosis: "Chronic suppurative otitis media with perforation." I'm not sure which ICD-9 code to use. There is no indication of where the tympanic membrane is perforated, so I was going back and [...]
Long-term care accreditation for nursing facilities will be a lot easier when the Joint Commission on Accreditation of Healthcare Organizations moves to a new "one day" survey option that doesn't duplicate state surveys. "The new option will rely significantly on [...]
