Get the scoop on the nearly here 2020 ICD-10-CM changes. CMS recently released the new ICD-10 2020 codes, but they won’t go into effect until Oct. 1, 2019. Read on to check out some of the new codes you may [...]
Dig into new atrial fibrillation codes I48.11 and I48.19. CMS recently published its list of the new ICD-10 2020 codes, but they won’t go into effect until Oct. 1, 2019. Read on to check out how these new codes and [...]
These codes won’t cut it any more under PDGM. You need to be scrutinizing your current claims to see which codes will lead to returns under the Patient-Driven Groupings Model. The list of RTP codes will vary by agency, depending [...]
Get ready to transition over to the new program ASAP. Accountable Care Organizations (ACOs) take on risks to promote provider cooperation and innovation while saving both the patient and Medicare money. However, CMS suggested that some ACOs weren’t risking as [...]
Hint: Expect reporting to decrease while financial risks increase. The Medicare Shared Savings Program (MSSP) promotes the principles of quality care, clinical coordination, and cost sharing utilized through Accountable Care Organizations (ACOs). New policy proposals suggest some groups need to [...]
Question: In our ASC, we are have seen some denials for our 66982 claims. Could you walk us through the proper use of this code? Georgia Subscriber Answer: The code you mention is 66982 (Extracapsular cataract removal with insertion of [...]
Question: Can you explain how inpatient admissions are assigned to Medicare Severity Diagnosis Related Groups (MSDRGs) 945 and 946 with the ICD-10 MS-DRGs? There are no longer diagnosis codes for encounters for rehabilitation, as was the case with ICD-9-CM codes. Illinois [...]
Question: Can you explain how inpatient admissions are assigned to Medicare Severity Diagnosis Related Groups (MSDRGs) 945 and 946 with the ICD-10 MS-DRGs? There are no longer diagnosis codes for encounters for rehabilitation, as was the case with ICD-9-CM codes. [...]
E/M-25 must go beyond “usual” E/M service built into procedure code. When your physician performs a procedure and a separate evaluation & management (E/M) service for the same patient during the same encounter, you should look at situations when you [...]
If you’re wondering if you should use this modifier, ask yourself these four questions. When your physician performs a procedure and a separate evaluation and management (E/M) service for the same patient during the same encounter, you should look at [...]
