Plus: Neuro diagnosis codes are most common, data shows. As hospice continues its explosive growth trajectory, policy- and lawmakers are looking at how to get a handle on the benefit and ensure its program integrity. To that end, the 2024 [...]
One ophthalmologist in our sampling would lose $39,000 a year under the new proposal. Although eye care practices have the option of reporting either ophthalmological services codes or E/M codes for their patient encounters, many ophthalmologists and optometrists bill the [...]
Therapy episodes would get reimbursed less. If your claims are dominated by episodes with high therapy, no recent hospital stays, or patients with behavioral health conditions such as schizophrenia, bipolar disorder or drug addiction, Medicare’s draft for HH PPS payment [...]
Read these frequently asked questions before coding your next eyelid procedure claim. Coding for eyelid procedures can be tricky, and even the most experienced coders have questions about clean claims and reimbursement. Read on for our expert answers to your [...]
Read these frequently asked questions before coding your next eyelid procedure claim. Coding for eyelid procedures can be tricky, and even the most experienced coders have questions about clean claims and reimbursement. Read on for our expert answers to your [...]
Question: A Medicare patient came in to see our pulmonologist to get clearance for her knee replacement surgery upon the request of her orthopedic surgeon. The orthopedic surgeon wants to make sure her lungs are strong enough to handle the procedure [...]
Here’s what you should do when your orthopedist treats both knees. Physicians administer hyaluronate or hyaluronic acid injections (commonly known by brand names Synvisc, Synvisc-One, Hyalgan, Supartz, and others) for osteoarthritis of the knee, but you need to look beyond [...]
Hint: These closed/open guidelines are the same — the displaced/nondisplaced guidelines are new. You’re most likely making headway with your ICD-10 preparations. Check your answers with ours, and see how you fared. Expand Your 715.xx Codes into Multiple Categories Answer [...]
Hint: These closed/open guidelines are the same — the displaced/nondisplaced guidelines are new. You’re most likely making headway with your ICD-10 preparations. Check your answers with ours, and see how you fared. Expand Your 715.xx Codes into Multiple Categories Answer [...]
In Table 3 of the 2014 Home Health PPS Final Rule, the Centers for Medicare & Medicaid Services lists the deleted codes most used in 2012. The top deleted codes used were: 1. 401.0 (Malignant essential hypertension), 34,207 episodes; 2. [...]
