DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC DRG Code 442

Question: It feels like every time I open my social media feed, click on news websites, or turn on the news, there is another mention of a healthcare cybersecurity attack. Has there been an increase in cyberattacks? Wyoming Subscriber Answer: Healthcare is [...]

Question: The physician removed a “hair tourniquet” of human hair wound tightly around a patient’s left great toe. There was no injury, but the toe was irritated. What diagnosis code should we report? AAPC Forum Participant Answer: Your best choice is S90.442 [...]

More areas may be without service than you realize. Home health and hospice agencies have known it for years, but the problem is finally getting more widespread notice — a critical shortage of nurses and aides to provide care in [...]

See what circumstances warrant 0, 50, and 100 percent payment. Coding for terminated procedures can be tricky — especially when you’ve got to consider different rules for facility versus physician coding. For those individuals working in ambulatory surgery centers (ASCs), [...]

Plan of Care denials top Palmetto GBA's list. Another HHH MAC has released preliminary Targeted Probe & Educate review results, and they again bode ill for home health agencies. HHH MAC CGS recently issued TPE results indicating that its reviewers [...]

Pay close attention or you will be staring at a 6 percent deficit. You have been reeling with the impact of the Physician Quality Reporting System, and that seems only to be precursor of tighter payment norms to follow. CMS [...]

Your payments could see a -6% impact if you aren’t paying attention. If you thought the Physician Quality Reporting System was a burden, that’s only the tip of the payment reform iceberg. CMS will have more reason to dock physicians’ [...]

20 eligible patients could earn your docs up to $10,000 annually. Physicians referring complex patients your way may be entitled to more Medicare payment for them, and not even know it. The Centers for Medicare & Medicaid Services decided to [...]

20 eligible patients could earn you up to $10,000 annually … if you follow the criteria to a tee. Practices and facilities that tag-team to support their most complex patients saw a big victory this fall. The Centers for Medicare [...]

Question: If and when the patient’s electronic health medical records needs to be corrected/amended/deleted, can anyone (including our biller/coder) do it under the provider’s supervision? Or does the provider have to do the correcting/amending/deleting? South Carolina Subscriber Answer: CMS recently [...]