SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC DRG Code 537

Warning: Healthcare remains hackers’ primary target, report shows. With data security incidents on the upswing in the healthcare industry, it’s critical that you know what’s at stake and how to best minimize your risks. Background: IBM, in coordination with the [...]

Caution: Annual report ranks healthcare as hackers’ top target. Try as you might to prevent them, cyberattacks still happen — and the financial and professional consequences can be substantial. With data breach costs skyrocketing, it’s crucial to put a plan [...]

Problems abound with OIG review processes, audited hospices charge. If an OIG medical reviewer comes knocking on your door, the result could be tens of millions in estimated overpayments. Take a look at five audit reports targeting hospices the HHS [...]

OIG deems 20% of nonprofit hospice’s audited claims ‘unallowable’ and assesses $13 million overpayment. The HHS Office of Inspector General has added another hospice audit to its list. Reminder: In late April and early May, the watchdog agency issued three [...]

Hint: There’s more to a risk analysis than an EHR check-up. If you’re going over your 2019 audit checklist, it’s a good idea to analyze your HIPAA protocols, too. By putting compliance first, you’ll have your ducks in a row [...]

Hint: There’s more to a risk analysis than an EHR check-up. If you haven’t analyzed and updated your HIPAA compliance plan recently, now is a good time to get your ducks in a row for the new year. Myth: Some [...]

Remember to look for additional complications in the documentation. When ICD-10 goes into effect in October 2015, you’ll need to watch more details when reporting portal hypertension. Coexisting conditions or complications, along with any signs and symptoms, will all need [...]

Hemorrhage is still the key to code selection. Blood in the stool can lead to many different diagnoses, but if your surgeon has positively identified angiodysplasia lesions in the intestine, you currently have just two choices.   When ICD-10 goes [...]

Append modifier 25 to the E/M code and keep documentation in support. The Correct Coding Initiative (CCI) edits version 20.1, which became effective April 1, 2014, introduce bundles that govern reporting of codes for allergy immunotherapy and E/M services when [...]

Hint: Don’t forget to check documentation for additional complications. When reporting a diagnosis of portal hypertension using ICD-10, you will need to report it with the simple crossover ICD-10 code K76.6. However, as in ICD-9, you will also need to [...]