CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC DRG Code 788

Number of HHAs has dropped 10 percent in 7 years. While MedPAC is headed toward recommending a 5 percent cut to home health spending for 2023, there was also a bright side to commissioners’ discussion of home health in the [...]

High-profile cases paint industry with fraud brush. The hospice industry continues to draw fraud-fighting attention from the feds, as shown in a recent report on the Health Care Fraud and Abuse Control Program operated jointly by the OIG and DOJ. [...]

The industry is still living down the Dr. Jacques Roy case. Don't expect fraud and abuse scrutiny to let up any time soon, with the HHS Office of Inspector General reporting $2.4 billion in judgements and settlements in fiscal year [...]

Take note: Clinical complications can make all the difference. Your diagnosis code choices for urine retention under ICD-10 are not much different from what you were accustomed to in ICD-9. You do have expanded options that allow you to code [...]

Plus: Pay attention to your extra diagnosis choice. When selecting an ICD-10 diagnostic code for retention of urine, you still have several codes to choose from, just as you did for all those years with ICD-9. But providers and coders [...]

Plus: Pay attention to your extra diagnosis choice. When selecting an ICD-10 diagnostic code for retention of urine, you still have several codes to choose from, just as you did for all those years with ICD-9. But providers and coders [...]

You’ll have an easy transition with these codes. During the Marshall-Marchetti-Krantz (MMK) procedure, the surgeon places sutures into the vaginal wall at the level of the urethra and bladder neck and anchors them to the pubic bone. Possible diagnoses for [...]

Question: What diagnosis codes should we use for screening and diagnostic prostate specific antigen (PSA) tests when ICD-10 goes into effect? Minnesota Subscriber Answer: Physicians typically order screening PSA tests using ICD-9 code V76.44 (Special screening for malignant neoplasms; other sites; prostate). [...]

Tip: Don’t use 99401-99404 if the patient is ill. Suppose your ob-gyn performs a problem-based E/M visit and also provides some preventive medicine counseling on an unrelated issue. If you’re not adding 99401-99404 to your claim, you could be leaving [...]

Hint: Understand the disease process and its associated symptoms. Knowing how to code when reporting a symptom, definitive diagnosis, or both, can be challenging because the rules make it complicated. Read on to refresh your knowledge of the various guidelines [...]