SEPTIC ARTHRITIS WITHOUT CC/MCC DRG Code 550

Plus: Period for non-billing before deactivation will get cut by half. Hospices aren’t the only provider types who have to worry about beefed up enrollment procedures in the newest home health rule. The Centers for Medicare & Medicaid Services includes [...]

CIMO application aims to prevent new hospice ‘flipping.’ The hospice Special Focus Program isn’t the only home health proposed rule provision aiming to boost hospice fraud-fighting. The Centers for Medicare & Medicaid Services “is also proposing several provider enrollment regulatory [...]

Plus: One state claimed more than $50 million in unallowable PCA services, OIG report charges. Both federal and state authorities are getting ever-more-serious about combatting fraud in Medicaid home health programs, as shown by a flurry of enforcement activity in [...]

Statistics show that health data breaches continue to skyrocket. If you aren’t prioritizing data security at your organization, you may want to rethink your stance. Why? Trends reveal that the healthcare industry remains vulnerable to data loss and cyberattacks — [...]

Question: I’m looking for help coding for an excision of exposed urethral sling mesh via laser destruction. While the provider was performing cystolitholapaxy for a bladder stone he came across the mesh which “slung across from the 5 to the [...]

Expect the cuts to keep on coming in the future. Home care providers are having a hard time deciding whether Medicare gave them a trick or a treat with the Halloween release of the 2020 home health payment rule. Treat: [...]

Will fewer comment letters mean fewer concessions? It’s surely no surprise to Medicare officials that home health agencies commenting on the 2020 home health payment rule are staunchly opposed to the Patient-Driven Grouping Model’s preemptive behavioral adjustment cut. But home [...]

Learn from the biggest breaches of 2017. From new Conditions of Participation to billing snafus to medical review threats under the Targeted Probe & Educate program, home care and hospice providers have a lot on their plates. That's why it [...]

Here is a breakdown of the biggest losses of ePHI. HIPAA privacy has been at the forefront of healthcare compliance for a long time, and for the most part, data shows that practices understand HIPAA privacy. However, as fears about [...]

Make sure you’re up to date when Medicare’s EP requirements hit in November. Home care and hospice providers work on their emergency preparedness plans in the hopes that they’ll never need them. But Texas and Louisiana agencies in the path [...]