HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC DRG Code 420

Pay careful attention to the new guidelines. On Sept. 10, 2024, the AMA released the 2025 CPT® code set, which features 420 updates, including 270 new codes. Among the new codes are six that will interest radiology coders handling magnetic [...]

Question: When we perform tumor immunohistochemistry for ER/PR status for breast tissue, how should we report the procedure and the hormone status findings? Nevada Subscriber Answer: To select the appropriate procedure code for breast tissue immunochemistry for estrogen receptor (ER) and/or progesterone [...]

And know why the changes are going to matter for Medicare billing. On Oct. 1, 2024, the Centers for Medicare & Medicaid Services (CMS) will add and/ or expand over 250 new ICD-10-CM diagnosis codes, affecting almost every chapter. Of [...]

And know why the changes are going to matter for Medicare billing. On October 1, 2024, the Centers for Medicare & Medicaid Services (CMS) will add and/or expand over 250 new ICD-10 diagnosis codes affecting almost every category. In medical [...]

Draw the line between diabetes before pregnancy and gestational diabetes. So you know that a diabetic pregnant patient requires services that are separate from the global package and demand a higher level of management skill — but does your patient’s [...]

HHAs’ pay exceeds costs by 34%, according to feds. If you are shocked that Medicare officials are proposing to strip more than $1.3 billion from home health payments in 2023 due to agencies’ supposed behavior changes, you aren’t alone. But [...]

Draw the line between diabetes before pregnancy and gestational diabetes. So you know that a diabetic pregnant patient requires services that are separate from the global package and a higher level of management skill — but does your patient’s payer? [...]

Tip: Death doesn’t stop MBI lookup. Medicare has required hospices to use MBIs going on two months, but there are still many confusing wrinkles to smooth out. For example: If you have a claim rejecting due to an incorrect Medicare [...]

Medicare’s conversion to using MBIs rather than HICNs has been pretty smooth, but hasn’t gone off without a hitch, according to a new HHS Office of Inspector General report. Centers for Medicare & Medicaid Services “controls were generally effective in [...]

Make your employee background checks a priority, a recent HHS Office of Inspector General notice reminds providers. After it self-disclosed conduct to the OIG, Valley’s Best Hospice in Lancaster, California, agreed to pay $27,420 “for allegedly violating the Civil Monetary [...]