Avoid the fate of this optometrist, who must pay over $3 million back to Medicare. Have you ever wondered whether your unusually unique code submissions could catch auditors’ attention? If you thought that was just an urban myth, think again [...]
Tip: Don’t ignore your risk analysis recommendations. If you fail to fix your HIPAA issues, you may find the feds knocking on your front door. A recent case illustrates that repeat offenders will have to answer the call and pay [...]
Give your provider the best shot at a positive payment adjustment. Merit-based Incentive Payment System (MIPS) reporting requires that coders, practice managers, and physicians are routinely on the same page. If not, there are financial repercussions at stake for the [...]
Include these codes for your best shot at a maximum payment adjustment. It’s imperative that coders, physicians, and even practice managers are on the exact same page when it comes to Merit-Based Incentive Payment System (MIPS) reporting. That’s because the [...]
One ophthalmologist in our sampling would lose $39,000 a year under the new proposal. Although eye care practices have the option of reporting either ophthalmological services codes or E/M codes for their patient encounters, many ophthalmologists and optometrists bill the [...]
It’s clear from the Centers for Medicare & Medicaid Services’s proposed rule for hospice payment in fiscal year 2015 that they mean business when it comes to improved hospice coding. Make certain you know which hotspots to avoid and how [...]
5 strategies keep complications out and reimbursement in. With ICD-10 delayed yet another year, it may be a good time to polish your ICD-9 late effects coding skills. Not only will this help improve your reimbursement when addressing and treating [...]
Mind these late effect coding quirks. Home health coders can no longer list acute stroke codes. Make certain you read the notes to code for late effects of CVAs correctly or risk denied claims. History: At one time, home health [...]
Tip: Check first whether only one or two different therapy disciplines are at work. If you have kept track of how changes for coding for strokes or cerebrovascular accidents (CVA) in home health have affected documentation requirements, then you know [...]
Look to the 438.xx codes for complications. The Centers for Medicare & Medicaid Services has made clear it’s not happy with the state of diagnosis coding for hospice patients. Thankfully, you have an opportunity to improve your accuracy before your [...]
