One ophthalmologist in our sampling would lose $39,000 a year under the new proposal. Although eye care practices have the option of reporting either ophthalmological services codes or E/M codes for their patient encounters, many ophthalmologists and optometrists bill the [...]
MAC reveals threshold for getting off TPE review. Could you survive if half your claims got denied on a regular basis? If not, you'd better make sure your documentation is shipshape, a recent MAC probe shows. HHH Medicare Administrative Contractor [...]
Targeted Probe & Educate makes understanding these denial reasons critical. Medicare is getting more serious about reviewing hospice claims, and the results may be drastic if you wind up a target of increasing medical review activities. For example: HHH Medicare [...]
The related diagnoses might point you to additional options. Neurogenic bladder is a condition that results from nerve damage causing impaired bladder function. Several nerves converge at the bladder to control the urinary tract muscles. These include the sphincter muscles [...]
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 [...]
Plus: OCR’s ‘Wall of Shame’ gets a makeover and new web address. The U.S. District Court for the District of New Jersey has joined a slew of other courts that have dismissed a data breach-related lawsuit because the plaintiff failed [...]
Question: If a provider does a bladder irrigation through a SP tube for multiple obstructing clots, what should I report? Oregon Subscriber Answer: You should report 51700 (Bladder irrigation, simple, lavage and/or instillation) for this procedure. Use ICD-9 diagnostic codes 596.89 (Other [...]
Question: My doctor documented the following: “I had to push the scope through the bulbous urethral stricture. There was bleeding from the bladder neck after passage of the scope. I then dilated the urethra up to 30 French with Van Buren [...]
Look at associated symptoms until your physician gets to the final diagnosis. Though ICD-10 offers a direct one-to-one match for multiple sclerosis, you have to keep options open to report symptoms. This is because it may take a while for [...]
Remember to report associated symptoms until final diagnosis is reached. Approximately 10,000 new cases of multiple sclerosis are diagnosed each year, which means it’s not uncommon for your neurologist to treat these patients. Here’s your chance to refresh your memory [...]
