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Nonprofit hospices are on the move. As a large health system shuts down its hospice operations in Arizona, a publicly traded chain builds its presence in the state. The Pennant Group Inc. has acquired Southwestern Palliative Care and Hospice in [...]
Despite funding cuts HHS and company remain vigilant in their fight to recover assets. As the stakes continue to rise in healthcare, the opportunity for fraud increases. A recent Office of Inspector General (OIG) publication illustrates that offenders continue to [...]
Make sure you have these crucial documents on-hand for surveyors. If you’re wondering which key action points and preparation tasks you need to do right now to prepare for an annual survey, you can rest easy. Utilize this to-the-point checklist [...]
Watch CCI edits for reporting different fracture treatment methods in different sites. When you’re coding mandibular fractures, you will need train your sights on the anatomical location of the fracture, the type of treatment that your oral surgeon performs, and [...]
Question: What ICD-10 codes would you assign to the following case? Hx. of present illness. This is a 52-year-old man who was involved in an interpersonal altercation about 1:30 AM this morning. He was presented to the ED with complaints [...]
Rule out some specific types before you jump over to ‘other’ seizures. Not able to categorize epilepsy? Currently, you’ll submit your claim with ‘Other forms of epilepsy’ or ‘unspecified epilepsy,’ depending upon your neurologist’s documentation. ICD-10 offers you an advantage [...]
Make sure you're using the revised CMS-802 form. The MDS 3.0 is shaking up the survey and quality reporting realms. Here's a rundown of what to expect in various areas, according to a CMS presentation at the October 2010 American [...]
Question: An otolaryngologist performs a septoplasty, submucous resection of inferior turbinates, and open reduction and internal fixation of nasal fracture. The surgeon states that he performed septoplasty for the cartilage. The nasal fracture reduction and fixation treated the severe deformity [...]
Hint: Your ENT's recs are the ones to count under mgt options.When a patient has an E/M in which your ENT recommends the patient undergo a major surgery subject to a PCP preop exam, don't scratch your head over the [...]
Find out how one facility gets charts in tip-top shape for survey day. When MDS nurses stay on the survey management sidelines, facilities are more wide open to citations -- especially for assessment and care planning. Below experts identify three key [...]
No more scouting the Web for CMS info. Instantly search across Medicare manuals, transmittals, related CMS documents, and more from one page with DRG Coder.