Do good results matter when not enough patients sign up? The Medicare Care Choices Model received multiple positive results, but it served so few people that it might not matter much. The pros: MCCM saves Medicare money. “Among enrollees who [...]
Question: On a complete bilateral duplex scan of the lower-extremity arteries, I am confused as to which diagnosis code(s) to report. In the impression, the radiologist documents bilateral increased flow velocity of the distal SFA and mildly decreased left ABI. [...]
Question: On a complete bilateral duplex scan of the lower-extremity arteries, I am confused as to which diagnosis code(s) to report. In the impression, the radiologist documents bilateral increased flow velocity of the distal SFA and mildly decreased left ABI. [...]
Incomplete Dx could mean denials. Whenever a patient has pain in any limb — arm or leg — you’ll be making your code choice from a single diagnosis coding family for just about every iteration of the condition. The code [...]
Denials likely to head your way without detailed Dx. If a patient has pain in any limb — arm or leg — there is a single diagnosis coding family for just about every iteration of the condition. The code set [...]
Get to know how these new CMS proposed rules might affect your practice. Fee schedule changes to most evaluation and management (E/M) services have been relatively safe from CMS intervention over the past few years. As for 2019, however, it’s [...]
Hint: Proposal causes one pulmonary practice in our sample to lose $93,000 in one year. Pulmonology practices have been able to rest easy during the past few years’ worth of fee schedule changes, but this year may have thrown a [...]
Hint: Don't forget modifier 33. Test your advance care planning (ACP) coding skills with this scenario from JoAnne Sheehan, CPC, CPB, CPPM, COC, CPC-I, senior instructor and coach at Certification Coaching Organization LLC in Oceanville, New Jersey, via her article [...]
Question: I've been coding A4648 with 55876, but CMS Transmittal 604, CR 6579, has me worried that I've been coding incorrectly. Should I report the two codestogether?North Carolina SubscriberAnswer: You should report the codes together to Medicare if you're coding [...]
Home care providers could see more frequent visits from surveyors. The Government Accountability Office has taken a look at Medicare survey procedures and isn't happy with what it's found, which could make home care providers' lives harder but help stem [...]
