SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC DRG Code 456

Keep an eye peeled for interpretive guidance on the topic. Hospices have caught a much needed break in the physician fee schedule final rule for 2024. Proposed: The Consolidated Appropriations Act, 2023 “established the new Medicare benefit category for [Marriage [...]

A profit margin that climbed 4 percentage points haunts the industry. Decision-makers will be making some tough budget calls this year. Here’s some of the Medicare Payment Advisory Commission data they will have on hand to help influence their thinking: [...]

Number of HHAs has dropped 10 percent in 7 years. While MedPAC is headed toward recommending a 5 percent cut to home health spending for 2023, there was also a bright side to commissioners’ discussion of home health in the [...]

Overtime rulings in 3 home health cases lead to agencies paying millions in back wages. Now’s the time to make sure you are operating on the right side of labor laws when it comes to paying your workers overtime. On [...]

Get to know how these new CMS proposed rules might affect your practice. Fee schedule changes to most evaluation and management (E/M) services have been relatively safe from CMS intervention over the past few years. As for 2019, however, it’s [...]

Hint: Proposal causes one pulmonary practice in our sample to lose $93,000 in one year. Pulmonology practices have been able to rest easy during the past few years’ worth of fee schedule changes, but this year may have thrown a [...]

Plus, a handy template that will help you write the perfect appeal letter every single time. During time working for a major insurer, Annie Boynton, MSJ, RHIT, CPCO, CPMA, CCS, CPC, CCS-P, COC, CPC-P, CPC-I, saw lots of appeals from [...]

Do not report 91111 in conjunction with 91110, 0355T. Gastrointestinal imaging has undergone an evolution with the introduction of capsule endoscopy. Follow this direction to appropriately earn for capsule endoscopy, as this technique is increasingly being used in GI imaging. [...]

Do not report 91111 in conjunction with 91110, 0355T. Gastrointestinal imaging has undergone an evolution with the introduction of capsule endoscopy. Follow this direction to appropriately earn for capsule endoscopy. Choose the Endoscopy Code According to Viewed Location Your physician [...]

Watch out for new code 0355T for colon imaging.  Your gastroenterologist has just recommended that a patient have a capsule endoscopy to evaluate part of his digestive system. Follow these simple guidelines to emerge a stronger coder when dealing with [...]