Are you doing enough to address caregivers' problems? End-of-life spending, obese patients' access to hospice, and caregiver depression were the topics of recently released studies that illuminate both hospices' benefits and the areas where the service can help even more. [...]
It’s not just federal authorities who will be scrutinizing you for fraud. State Medicaid Fraud Control Units (MFCUs) were responsible for 1,721 indictments, 1,564 convictions, and $1.8 billion in criminal and civil recoveries in 2016, the HHS Office of Inspector [...]
It’s not just federal authorities who will be scrutinizing you for fraud. State Medicaid Fraud Control Units (MFCUs) were responsible for 1,721 indictments, 1,564 convictions, and $1.8 billion in criminal and civil recoveries in 2016, the HHS Office of Inspector [...]
Access to financially beneficial care restricted for obese beneficiaries. Hospice services have a rising profile in public awareness, and a growing body of research may be one result. Recently released studies are illuminating both hospices’ benefits and the areas where [...]
Even one-to-one matches can hold surprises -- check the index for clarity.When ICD-10 replaces ICD-9 in 2013, one lesson you'll need to remember is that inclusion lists may differ between the two code sets. That means that ICD- 9 and ICD-10 [...]
Are these coding misconceptions costing you over $300?If you assume eyelid procedures are purely cosmetic, you're missing out on reimbursement your practice may ethically deserve.Tackles these four common myths that often prevent dermatologists from billing medical necessary blepharoplasties.You could bolster [...]
Show the procedure isn't cosmetic with proper Dx coding and documentation. Don't assume all eyelid procedures are cosmetic. You could be cheating your practice out of insurance reimbursement if the surgery is medically necessary. Ophthalmic surgeons who perform blepharoplasty know [...]
Coding symptoms can yield proper reimbursement. Where can you find the ICD-9 code for the rare neurologic disorder Holmes-Gang Syndrome? In this case -- like many rare conditions -- your only choice is to code symptoms and/or the associated conditions. In 1984, [...]
Congress will battle over Medicare cuts next month.While your costs are going up, your Medicare payment rates are likely to go down next year--unless you can sway some influential lawmakers to your side.The U.S. House of Representatives passed a bill [...]
Get ready for another possible expansion to the post-acute transfer policy.After a promise of stability, home care providers are likely to see a new threat to their post-hospital patient referrals.Background: When the Centers for Medicare & Medicaid Services cut hospitals' [...]
