If inflation has hit your practice hard, we’ve got some good news for you on Medicare appeals fees. Update: Amount in controversy (AIC) rates are updated annually and often increase based on inflation. For a second year in a row, [...]
The number of Medicare enrollees continues to climb. “As of May 2022, 64,553,288 people are enrolled in Medicare,” the Centers for Medicare & Medicaid Services notes in a message to providers. “This is an increase of 103,837 since the last [...]
Artificial dates for cases that span Jan. 1 with new billing periods are at the top of the pitfall list. If you think you’re prepared for Notices of Admission to hit in the new year, you may want to think [...]
Reminder: CR modifier isn’t just for natural disasters. The earthquakes in Puerto Rico are a reminder that natural disasters are not just seasonal events but can hit at any time, anywhere. And with weather-related catastrophes on the rise, you must [...]
Be extra cautious with auto-populating POS codes. You’ll find no shortage of coding and billing guidelines to keep track of so long as you know where to look. One of the more comprehensive sources for radiological coding guidelines comes from [...]
Keep watertight documentation at hand before reporting secondary repairs. You are all too aware of sprained ankle ligament coding if your practice receives a large number of athletes. However, are you paying close attention to terms such as primary and [...]
Question: A patient presents with a badly injured left ankle. During the course of a level 5 E/M, the ED physician diagnoses a dislocation of the ankle with some diminution of the pulses in the foot. The emergency physician promptly reduces [...]
The HH&H MAC workload for provid-ers in Maine, Massachusetts, New Hampshire, Rhode Island, Vermont, and Connecticut has transitioned from NHIC to National Government Ser-vices, NGS notes in an e-mail message. Do this: For affected providers, "it will be necessary to [...]
Software providers appear to be on track to meet the October 2002 deadline for compliance with the Transactions and Code Sets rule. A recent survey by the Healthcare Information and Management Systems Society examined 25 leading healthcare software products, which [...]
Take this primer and stay clear of RACs by correctly classifying patients. If you're fuzzy on the distinctions between inpatient and outpatient status, it's likely that you're headed straight for audit scrutiny. Understand the answers to these four questions to [...]
