MINOR BLADDER PROCEDURES WITHOUT CC/MCC DRG Code 664

Critical: Know which ones require repayment, and which ones don’t. Home health and hospice agencies struggling financially under the COVID-19 quarantine and pandemic — or expecting to — now have new funding available from three distinct federal resources. Payments and [...]

Reminder: Your payments hinge on a Medicare-compliant plan of care. Therapists must pay closer attention to documentation to ensure compliance. That is the takeaway from findings in an audit that the HHS Office of Inspector General (OIG) conducted recently. The [...]

Recent audit showed that just 57 percent of claims were Medicare-compliant. When it comes to Medicare claims, documentation is everything—and that’s especially true for physical therapists, whose payments hinge on a Medicare-compliant plan of care. Unfortunately, the OIG recently found [...]

Don’t make this $10,000 angioplasty mistake. In a recent audit, the OIG found that MACs overpaid physicians to the tune of $33.4 million for incorrectly coded services that took place between January 2010 and September 2012. “Physicians performed these services [...]

Place of service errors cost CMS over $33 million. The OIG’s 2015 Work Plan indicated that the agency would be taking a close look at place of service (POS) coding this year—and it looks like the feds are wasting no [...]

Tip: Avoid this problem by educating your staff on the differences between the POS codes. When the HHS Office of Inspector General (OIG) had indicated in its 2015 Work Plan that it would be taking a closer look at place of service (POS) coding [...]

Place of service errors cost CMS over $33 million. The OIG’s 2015 Work Plan indicated that the agency would be taking a close look at place of service (POS) coding this year—and it looks like the feds are wasting no [...]

Place of service errors cost CMS over $33 million. The OIG’s 2015 Work Plan indicated that the agency would be taking a close look at place of service (POS) coding this year—and it looks like the feds are wasting no [...]

Question: What’s the best way to code the vaginoperioneoplasty portion of this procedure:  FINDINGS: Shortened vaginal outlet secondary to vaginal scarring from second degree laceration after delivery and also 9 cm uterus. DESCRIPTION OF PROCEDURE: The patient was taken to the [...]

Question: Patient has perineal scarring after traumatic vaginal delivery repaired with perineoplasty. I have a couple of questions regarding what codes to use. Patient delivered on 10/1/12, and we are doing repair on 1/9/13 so we are past a typical [...]