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 [...]
Carrot: Paying aides legal overtime gives you a competitive advantage, DOL says. The spotlight continues to get hotter on the topic of agencies failing to pay their non-medical home care workers the legally required amount. For example: A federal judge [...]
Always report the code with the highest level of specificity, based on documentation. October 1 brings the next round of ICD-10-CM codes to both software and manuals, and if you’re not prepared, your claims could end up in limbo — [...]
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? [...]
Question: For ICD-10-CM coding purposes, what is the difference between unclassified pathological and recurrent wrist dislocations? Would you code these injuries with the same diagnosis codes? New Jersey Subscriber Answer: The injuries are different, as are the ICD-10-CM codes you’d [...]
High-profile cases paint industry with fraud brush. The hospice industry continues to draw fraud-fighting attention from the feds, as shown in a recent report on the Health Care Fraud and Abuse Control Program operated jointly by the OIG and DOJ. [...]
The industry is still living down the Dr. Jacques Roy case. Don't expect fraud and abuse scrutiny to let up any time soon, with the HHS Office of Inspector General reporting $2.4 billion in judgements and settlements in fiscal year [...]
Texas HHA exec receives 10-year sentence. Physicians furnishing a large volume of home care certifications — and the home health agencies who receive referrals and certs from them — are under the microscope, some recent fraud cases illustrate. Case #1: [...]
End stage, right ventricular, ejection fraction, and high output are the ones to watch. After a long freeze, ICD-10-CM will be open for changes going into effect Oct. 1, 2016. A number of the proposed changes involve coding heart failure. [...]
Hint: Diabetes before pregnancy is different from gestational diabetes. If you’ve run into a situation where you need to convince your payer that a diabetic pregnant patient diabetes require services that are separate from the global package and require a [...]
