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 [...]
Compare and contrast the last two reporting period stats during COVID. Despite being in the middle of a once-in-a-lifetime pandemic, the HHS Office of Inspector General (OIG) was awfully busy racking up its enforcement numbers. In the latest Semiannual Report [...]
Providers of all shapes and sizes should be ready for extra scrutiny. If you expected the feds to slow down their enforcement activity during a worldwide public health emergency (PHE), think again. The latest statistics show that even in the [...]
If ulcer increases in severity during admission, report 2 codes. The ICD-10-CM Official Guidelines for Coding and Reporting offer so many helpful guidelines that can help you figure out how to appropriately report diagnosis codes on your claims. When it [...]
Question: I’m coding a preoperative magnetic resonance imaging (MRI) scan for a revision of a two-year-old right orbital fracture resulting in enophthalmos and orbital pain. Impression reveals an old orbital fracture. What diagnosis codes should I report? Arizona Subscriber Answer: [...]
Tip: Make sure your software is on the up and up. Health care fraud goes far beyond upcoding and unbundling. The reality is that the U.S. Department of Health and Human Services Office of Inspector General (OIG) is always looking for [...]
Don’t underestimate the importance of proving medical necessity. If you’re waiting for the feds to lighten up their fraud-fighting efforts, you’ll be waiting a long time. A new report highlights audits and investigations — and the numbers are staggering. In [...]
Tip: Use the feds’ targets as a compliance guide. If you’re waiting for federal fraud-fighting efforts to lighten up, you’ll be waiting a long time. And in its latest iteration, the U.S. Department of Health and Human Services Office of [...]
