Like many costs these days, an Administrative Law Judge-related expense will go up next year. Currently, the amount in controversy (AIC) threshold stands at $180 for ALJ hearings, and that number will stay the same for calendar year 2023, according [...]
If you’re filing an Administrative Law Judge (ALJ) request, expect one thing to remain status quo in 2023 — and another to increase. Currently, the amount in controversy (AIC) threshold stands at $180 for ALJ hearings, and that number will stay [...]
Carrot: Paying aides legal overtime gives you a competitive advantage, DOL says. The spotlight continues to get hotter on the topic of agencies failing to pay their non-medical home care workers the legally required amount. For example: A federal judge [...]
Question: Patient has a normal spontaneous vaginal delivery (NSVD) with bilateral sulcus tear. My ob-gyn’s documentation says it took about an hour to complete the repair, but I can’t say that it was a third degree. Is there a code [...]
Question: My ob-gyn did a vaginal delivery (59400) only to take the patient back to the operating room to repair the uterine cervix (57720). Is there a CCI edit bundling these two codes? If so, can I use a modifier [...]
Question: The patient delivered on the same day as the following surgery: PREOPERATIVE DIAGNOSIS: Postpartum hemorrhage. POSTOPERATIVE DIAGNOSES: Postpartum hemorrhage with a large amount of clots in the uterus, as well as cervical laceration. OPERATIONS: 1. Exam under anesthesia. 2. [...]
15+% depends on whether you call an evacuation a complication or surgery portion. Avoid denials and accidentally reducing the allowable fee on multiple services by testing your modifier 51 versus modifier 78 savvy with this complicated ob op note. First, [...]
Question: How should I report a complication during a vaginal and/or cesarean delivery? Georgia Subscriber Answer: For complications of pregnancy, the old rule "some are easy, some are hard" comes to mind. If the complication required extra work (such as [...]
Question: My ob-gyn performed a lysis of postpartum vaginal adhesions. Should I report 623.2? The CPT code is what confuses me. How should I report adhesiolysis of vaginal adhesions?Colorado Subscriber Answer: Because you seem to be indicating that the adhesions [...]
Payment system discourages medical students from geriatric path.While the U.S. population is aging rapidly, medical schools are failing to train enough geriatricians and other professionals who specialize in treating older adults to meet future needs. As a result, there will be [...]
