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 [...]
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? [...]
Telehealth misuse is now on the agency’s radar screen. Over the last year, the feds have ramped up their enforcement against those who aim to buck the Medicare system. And a new release suggests fraudsters will find themselves charged, excluded, [...]
Watchdog agency reiterates advice to toughen surveys, implement alternative sanctions, and much more. It was hospices’ turn to be on the hot seat in the HHS Office of Inspector General’s latest semiannual report to Congress. In the report released Dec. [...]
Plus: Senior Medicare Patrol investigation leads to $2 million hospice settlement. Home health agencies are used to taking a beating from the HHS Office of Inspector General in the watchdog agency’s semiannual reports to Congress, but this time it was [...]
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 [...]
The Senior Medicare Patrol program continues to go strong, with the HHS Office of Inspector General attributing more than $2 million in recoveries to the initiative in 2017. That was up significantly from the year before. “In 2017, the 53 [...]
The Senior Medicare Patrol program continues to go strong, with the HHS Office of Inspector General (OIG) attributing more than $2 million in recoveries to the initiative in 2017. That was up significantly from the year before. “In 2017, the [...]
The Senior Medicare Patrol program continues to go strong, with the HHS Office of Inspector General attributing more than $2 million in recoveries to the initiative in 2017. That was up significantly from the year before. “In 2017, the 53 [...]
Question: A patient presented with a foot wound which has turned ulcerous. The patient had returned for reassessment and the area is now broken down with macerated tissue, with some spots of necrosis that require debridement and wound care. This is [...]
