Tip: Remember CMS does not permit attestations on physician's orders. If you've noticed an increase in documentation scrutiny for Medicare claims, you're not alone. Physician and NPP order signature rules are being enforced by MACs more often, resulting in higher [...]
Don't waste your time appealing a denial due to a technicality. The Medicare Program Integrity Manual (PIM) rule requiring physicians who order patient services to personally sign those orders is not new, but providers are starting to see denials citing [...]
MACs are zeroing in on physician signatures. The Medicare Program Integrity Manual rule requiring physicians who order patient services to personally sign those orders is not new, but providers are starting to see denials citing such technicalities. Medicare Administrative Contractors [...]
Physician and NPP order signature rules are being enforced by MACs, resulting in Medicare claim denials. If you've noticed an uptick in denials for Medicare claims, you're not alone. Luckily, there may be a simple fix to prevent future denials. [...]
Question: A physician ordered a hepatic function panel for a 32-week pregnant patient with suspected Hepatitis C based on symptoms of pruritus. How should we code this? Codify Subscriber Answer: You should bill test as 80074 (Acute hepatitis panel). A general rash [...]
Question: A physician wants to order hepatic function studies on her OB patient. Only symptom the patient has is pruritus. Would these diagnosis codes be appropriate: O99.713, L29.9, Z3A.32? New Hampshire Contributor Answer: Yes, you can report O99.713 (Diseases of the skin [...]
Here’s your second look at how familiar codes will change in October. The time until the new ICD-10 updates go into effect is counting down, with October 1 as the official implementation date. Last month we looked at how your [...]
Here’s your second look at how familiar codes will change in October. The time until the new ICD-10 updates go into effect is counting down, with October 1 as the official implementation date. Last month we looked at how your [...]
HHA appeals caseload nearly doubles from 2011 to 2012. While the number of redeterminations for home health agencies has skyrocketed, all those extra appeals don’t seem to be doing agencies much good. Why? From 2008 to 2012, the number of [...]
Question: What is the correct code for Charcot's arthropathy when there is no documentation of syphilis? Is it correct to report code 094.0 (Tabes dorsalis)? Missouri SubscriberAnswer: Code 094.0 is not the appropriate code for Charcot's arthropathy when there isn't any [...]
