Look up a DRG code to immediately get the fee details from IPPS and LTCH PPS, including type, relative weight, Geometric Mean LOS, Arithmetic Mean LOS, and more.
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Warning: You should not count fibroid weight with the weight of the uterus. Approximately 600,000 hysterectomies are performed annually in the United States, meaning that you will likely see a hysterectomy claim land on your desk. Before you feel overwhelmed [...]
Nonprofit hospices are on the move. As a large health system shuts down its hospice operations in Arizona, a publicly traded chain builds its presence in the state. The Pennant Group Inc. has acquired Southwestern Palliative Care and Hospice in [...]
Medicare has announced price hikes for beneficiaries’ premiums and deductibles. The standard monthly premium for Medicare Part B enrollees will be $174.70 for 2024, an increase of $9.80 from $164.90 in 2023, says the Centers for Medicare & Medicaid Services [...]
Caution: AKS issues remain an OIG sticking point. With the pandemic largely in the rearview mirror, you may be revising your policies and heaving a sigh of relief. But don’t get too comfortable — federal enforcers aren’t taking any breaks [...]
See when the pathologist joins the fray. Blood transfusions are a key part of treatment for cancer or other conditions, and your clinical lab and pathologists may be involved every step of the way. That’s why you need to learn [...]
Add one more item to your list of hiring headaches. Not only do you need to check the HHS Office of Inspector General’s searchable database of individuals excluded from federal healthcare programs, but you also need to do an educational [...]
The prison sentences are steep for people who buy, rather than earn, diplomas. Managing staff can be one of the hardest parts of running a practice, especially if you’re facing staff turnover and have to navigate hiring new workers. A [...]
Find out if batching requirements are too strict. On Dec. 23, 2022, the Centers for Medicare & Medicaid Services (CMS) issued an amendment to the calendar year (CY) 2023 fee guidance for the Federal independent dispute resolution (IDR) process of [...]
Not only do you need to check the HHS Office of Inspector General (OIG’s) searchable database of individuals excluded from federal healthcare programs, but you also need to do an educational background check on your clinical staff, too, a recent [...]
Give the feds your 2 cents by March 10. Your labor landscape could look very different if the FTC finalizes a new proposal to all but eliminate non-compete agreements with employees. “The Federal Trade Commission proposes preventing employers from entering [...]
No more scouting the Web for CMS info. Instantly search across Medicare manuals, transmittals, related CMS documents, and more from one page with DRG Coder.