KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC DRG Code 656

Don’t be so sure that non-solicitation label will save you. Medicare doesn’t have the market cornered on new rules this month. Check out the other significant rules federal agencies have released that may affect how you do business: Non-Competes: On [...]

Don’t miss new coding options for vehicle accidents, either. There are myriad new codes for diagnoses surrounding substance use and abuse, helping coders expand the patient narratives of health and care. Look, too, for the new options for V codes. [...]

Another well-represented group in 2023 is 2-wheeled vehicle accident diagnoses. Coders should look at the new list of codes for patients that report with a consumption or poisoning issue related to substance use. Why? ICD-10 2023 has new codes aimed [...]

Also, see how well 2-wheeled vehicle accidents are represented in 2023. ED coders will want to start looking into updating their coding for patients that report with a consumption or poisoning issue related to substance use. ICD-10 2023 has a [...]

GIP is on the TPE radar for hospice claims. Since Medicare announced the resumption of Targeted Probe and Educate medical review earlier this month, but no specific start date, home health and hospice agencies have been waiting for the other [...]

Tip: Ensure BAs have a handle on compliance. If you were just starting to get back into a groove at your practice, you may want to add HIPAA compliance to your staff training to-do list. The HHS Office for Civil [...]

A former home health agency owner holds the distinction of being indicted on “the first criminal charges for the intentional misuse of funds intended to provide relief to health care providers and maintain the access to medical care during the [...]

Tip: Keep track of your Provider Relief Funds and CAAPs. Over the last year, the neverending stream of COVID-19-inspired regulatory rollbacks and provider funding programs have caused mass confusion across the board. Some have used that uncertainty to their advantage [...]

Home health often gets painted with a broad Medicare fraud brush, and now it may get painted with a COVID-19 fraud brush too. In Michigan, an owner of a closed home health agency has been indicted on “the first criminal [...]

Medical review resumption is proceeding, despite COVID-19 burdens. The three HHH Medicare Administrative Contractors have released information on their medical review topics in light of the Medicare’s program decision to resume medical review this month. Palmetto GBA: Palmetto lists “General [...]