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HCFAC rakes in $5 billion. Hunting health care fraud is big business for the feds, and the latest annual Health Care Fraud and Abuse Control Program Report shows why it will continue. “During Fiscal Year (FY) 2021, the Federal Government [...]
Pro tip: Calling a payment to a physician a ‘copay’ doesn’t mean it’s not a kickback. Hunting health care fraud is big business for the feds, and the latest annual Health Care Fraud and Abuse Control Program Report shows why [...]
Here’s how to ensure you’re reporting the correct scan types and the right timeframes. Claims for bone density scans can drain your practice if you neglect details in these simple procedures. You need to be clear for the types of [...]
Stronger claims come from choosing correct scan types and diagnoses. Paying attention to three details for your patients’ bone density scans can make or break your claims success. Follow our experts’ advice regarding the types of tests, appropriate diagnoses, and [...]
Question: Which diagnosis code should I use for an SI joint fracture? Ohio Subscriber Answer: When looking at these types of fractures, you should keep in mind that you can’t have a sacroiliac (SI) joint fracture because you can’t fracture a joint, [...]
Four types of bone density scans mean numerous CPT® options. If you’re confused about which bone scan code to report, you’re not alone. To strengthen your claims for bone scans, you need to pay attention to the type of test [...]
Four types of bone density scans mean numerous CPT® options. If you’re confused about which bone scan code to report, you’re not alone. To strengthen your claims for bone scans, you need to pay attention to the type of test [...]
Question: A patient who was treated for a closed pelvic ring/pubic ramus fracture visited scheduled an appointment with practice. Our physician treated her with a steroid injection for pain relief (it’s been four months since the original injury but this [...]
Question: A patient who was treated for a closed pelvic ring/pubic ramus fracture visited scheduled an appointment with practice. Our physician treated her with a steroid injection for pain relief (it’s been four months since the original injury but this [...]
Coders may need to delve into the doctors’ notes to find diagnoses. If you’re presented with an incomplete superbill, you don’t have to say goodbye to reimbursement. In reality, if the doctor in your office fails to indicate the ICD-9 [...]
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.