Question: I am coding for a radiology encounter from an independent diagnostic testing facility (IDTF). The radiologist didn’t document any specific conditions in the report’s findings. Can I use the reason for the radiology exam listed in the referring provider’s medical [...]
Separate payment for nonhospice items gets more attention. A new joint report from the Department of Justice and HHS Office of Inspector General shows home health and hospice agencies remain firmly in the feds’ crosshairs. In the Health Care Fraud [...]
Extreme judgments may be a precursor of things to come. Time and again, fraudsters try to sidestep the feds’ wrath. And that’s why unlawful lab referrals and unnecessary testing remain a thorn in Medicare’s side. Last month’s junket of off-the-chart [...]
Fraud enforcements bring hefty fines - and prison. Unlawful lab referrals and unnecessary testing remain a thorn in Medicare's side. Last month's junket of extreme judgments may be a precursor of things to come. 3 for 3: A trio of [...]
Start with 29888, but check global package and add-ons for your most complete claim. With football season in full swing, your orthopedic surgeon will probably treat some weekend warrior injuries — especially for Anterior Cruciate Ligament (ACL) damage. Good news: [...]
Industry takes another popular press beating. Day of the week, service setting, location, and ethnicity made a difference when it came to Medicare hospice patients receiving “professional” services at end of life, a new study shows. Of the 661,557 Medicare [...]
Industry takes another popular press beating. Day of the week, service setting, location, and ethnicity made a difference when it came to Medicare hospice patients receiving “professional” services at end of life, a new study shows. Of the 661,557 Medicare [...]
Don’t miss this Excludes1 note underneath M25.6. If you’re used to reporting 719.5x right now, then you should know that your stiffness in joint NEC codes explode after October 1. ICD-9-CM Codes: Currently, you should report these codes with: 719.50, [...]
Determine which testing option is best for your providers. You don’t want to be surprised by denials when ICD-10 rolls around in the fall. So now’s the time to test out your know-how with the new codes and make changes [...]
CMS says test claim submissions are going well. It appears that ICD-10 really will be implemented this year, with a recent Congressional hearing confirming that the government doesn’t plan to push back the new diagnosis coding system any further than [...]
