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Hint: You must know if the patient also has angina pectoris or not. Coding for atherosclerosis can be complicated. ICD-10-CM offers many different codes to choose from, and you must know specific details such as which artery is affected, what [...]
Hint: You must know if the patient also has angina pectoris or not. Coding for atherosclerosis can be complicated. ICD-10-CM offers many different codes to choose from, and you must know specific details such as which artery is affected, what [...]
Report 92943 and +92944 for chronic total occlusion. In the session “Cardiovascular Pathophysiology Diagnostics and Therapeutic Procedures” during Regional HEALTHCON 2022, speaker Tyler Griffeth, CPC, CPRC, coding consultant at Intermountain Healthcare, discussed many types of cardiovascular diseases and treatment options. [...]
For hospice, terminal prognosis continues to be providers’ Achilles heel. Targeted Probe and Educate medical review is back, and it’s soaking up agencies’ precious time and resources. But before TPE, post-payment medical review from the HHH Medicare Administrative Contractors resumed [...]
Ortho aftercare is one new topic under the medical review gun. If you’re one of the home health and hospice agencies that hoped Medicare would listen to reason and hold off on the resumption of Targeted Probe and Educate review, [...]
Long LOS may flag your claims for TPE review. While operational details are still somewhat hazy, more information is emerging about the relaunched Targeted Probe and Educate medical review program. That includes the topics targeted for TPE review. CGS HHH [...]
Just because CGS is the last HHH MAC to announce hospice topics, doesn’t mean it will be the easiest on agencies. One HHH Medicare Administrative Contractor has finally landed on the hospice medical review topics it wants to pursue, now [...]
Hospices’ reprieve didn’t last long. One HHH Medicare Administrative Contractor has finally landed on the hospice medical review topics it wants to pursue, now that review is back in effect. Reminder: In August, the three HHH MACs released their topics [...]
Medical review resumption is proceeding, despite COVID-19 burdens. The three HHH Medicare Administrative Contractors have released information on their medical review topics in light of the Medicare’s program decision to resume medical review this month. Palmetto GBA: Palmetto lists “General [...]
MACs reveal new medical review topics. Medical review resumption is proceeding, despite COVID-19 burdens. The three HHH Medicare Administrative Contractors have released information on their medical review topics in light of the Medicare’s program decision to resume medical review this [...]
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