Therapy episodes would get reimbursed less. If your claims are dominated by episodes with high therapy, no recent hospital stays, or patients with behavioral health conditions such as schizophrenia, bipolar disorder or drug addiction, Medicare’s draft for HH PPS payment [...]
Watch out: OCR is referring cases to the DOJ for criminal investigation. Historically speaking, criminal prosecutions of HIPAA violations are rare. But that’s not really the case anymore, as law enforcement agencies are increasingly seeking prosecution of HIPAA-related crimes. Here’s [...]
Question: Our physician performed a colonoscopy for a rectal bleed on a Medicare patient. The patient also has a family history of colon cancer. Should I report both 45378 and G0105? Kentucky Subscriber Answer: No, you should not report both 45378 (Colonoscopy, [...]
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 [...]
In Table 3 of the 2014 Home Health PPS Final Rule, the Centers for Medicare & Medicaid Services lists the deleted codes most used in 2012. The top deleted codes used were: 1. 401.0 (Malignant essential hypertension), 34,207 episodes; 2. [...]
Bone up on OASIS accuracy to help soften the blow. Despite hearty protests from the industry, CMS has slashed 170 diagnosis codes from the prospective payment system case mix calculation for 2014. Get the Background on the Cuts Last summer, [...]
Examine your claims to make sure you’re using these codes correctly. In Table 3 of the 2014 Home Health PPS Final Rule, the Centers for Medicare & Medicaid Services lists the deleted codes most used in 2012. The top deleted [...]
In Table 3 of the final rule, CMS lists the deleted codes most used in 2012. The top deleted codes used were: 1. 401.0 (Malignant essential hypertension), 34,207 episodes; 2. 285.1 (anemia mentioned above), 26,547 episodes; and 3. 578.9 (GI [...]
