Question: A patient presented with complaints of chronic bilateral upper lid cicatricial retraction with lagophthalmos. The ophthalmologist injected the patient’s upper eyelids with 5-fluorouracil into scar tissue on each eyelid. How would I report this procedure? Connecticut Subscriber Answer: Assign [...]
With radiology claims under tighter OIG scrutiny, compliance is always your safest bet. Radiology has faced compliance issues for years, according to Marianne Durling, MHA, RHIA, CPC, CCS, CDIP, CPCO, CIC, CDEI, AAPC Approved Instructor, in her HEALTHCON 2024 session [...]
Take this advice, take your breast cancer coding to the next level. In the first article of this two-part series, Halee Garner, CPC, CPMA, CHONC, CCA, CPhT, AAPC Approved Instructor, quality assurance coordinator for Florida Cancer Specialists & Research Institute [...]
Question: Encounter notes indicate that the patient suffered from “altitude-related sleep apnea.” Should I just report an unspecified sleep apnea code for this condition? Colorado Subscriber Answer: There actually is a code for altitude-related sleep apnea: Report G47.32 (High altitude [...]
Relying on the title of your hysterectomy report could spell disaster. Last month, you learned how to handle hysterectomy combinations in the article “Part 2: How to Make Sense of Your Hysterectomy Combo Claims.” This month, you’re going to examine [...]
CMS calls for an overall 1.7 percent payment reduction in 2025 proposed rule released June 26. Medicare officials persist in implementing “deep and destabilizing” cuts for home health agencies in the Centers for Medicare & Medicaid Services latest proposed payment [...]
Follow this decision tree to determine breach reporting. Practices often struggle with determining if a potential breach of protected health information (PHI) requires notification. Oftentimes the size and scope of the violation necessitates the who, what, when, where, and why [...]
And stay alert to these expert billing tips and examples. There are a lot of moving parts to billing for drug use and waste. Fortunately, in her 2024 HEALTHCON session, “Don’t Gamble When Coding Drug Waste,” Stephanie A. Thebarge, CPC, [...]
Follow this decision tree to determine breach reporting. Practices often struggle with determining if a potential breach of protected health information (PHI) requires notification. Oftentimes the size and scope of the violation necessitates the who, what, when, where, and why [...]
The feds are scaling back CERT medical review a bit. The Centers for Medicare & Medicaid Services “will permanently reduce the Comprehensive Error Rate Testing (CERT) program sample size starting with reporting year (RY) 2025,” CMS says in its April [...]
