Latest report has a new look and offers insight into the agency’s top targets. Since 2022, the HHS Office of Inspector General (OIG) has issued 30 reports that target Medicare Advantage compliance, nine specifically in the last year. And a [...]
Latest report has a new look and offers insight into the agency’s top targets. Since 2022, the HHS Office of Inspector General (OIG) has issued 30 reports that target Medicare Advantage compliance, nine specifically in the last year. And a [...]
Post-COVID fallout continues to be a problem. If you need a reminder of why your practice may be seeing unprecedented scrutiny, look no further than the HHS Office of Inspector General’s (OIG’s) latest enforcement opus. Background: In the OIG’s Semiannual [...]
CMS wants to know what you think about the suggested changes. The latest Medicare Advantage (MA) and Part D proposals highlight the feds’ continued focus on health equity and consumer rights. Read on for the details. Lowdown: On Jan. 12, [...]
Learn how medical professionals can detect many cancers at once. What if providers could detect cancers before symptoms have a chance to develop in the patient’s body? What if a young athlete could rebound from a knee injury quicker to [...]
Hint: Not all plastic surgeries are considered cosmetic. Recouping payment for surgeries that could be considered cosmetic can be tough if you code them incorrectly. To help guide your oculoplastic surgery claims, check out the following three frequently-asked questions, along [...]
Remember: Not all plastic surgeries are considered cosmetic. If you’ve spent any time in the reimbursement maze involving oculoplastics, you know how challenging it can be to recoup payment for surgeries that could be considered cosmetic if you code them [...]
Question: Our PM specialist performed a level-three evaluation and management (E/M) service for an established patient with an elbow effusion. What is effusion, and how should I choose an ICD-10 code for elbow effusion? Massachusetts Subscriber Answer: First, the ICD-10 [...]
Question: Our PM specialist performed a level-three evaluation and management (E/M) service for an established patient with an elbow effusion. What is effusion, and how should I choose an ICD-10 code for elbow effusion? Montana Subscriber Answer: First, the ICD-10 [...]
Coding newborn exposure to therapeutic, addictive drugs to get more specific. The transition from ICD-9 to ICD-10 created plenty of crosswalk headaches for coders of all specialties, including those in the field of pediatrics. The change affected the neonatal withdrawal [...]
