Look up a DRG code to immediately get the fee details from IPPS and LTCH PPS, including type, relative weight, Geometric Mean LOS, Arithmetic Mean LOS, and more.
Forum
Have a question about DRG Code 869 ? Start a discussion here
HHAs warn rebasing cuts are killing the home care industry. Home health agencies (HHAs) have little reason to celebrate when comparing the proposed and final PPS rules for 2015. However, the episode base rate of $2,961.38 in the Final Rule [...]
No last-minute reprieve for HHAs on rate reduction. There isn’t much change to home health agencies’ reimbursement cuts when comparing the proposed and final PPS rules for 2015 — either way, they’ll be adding to agencies’ financial burdens. But how [...]
It will be IPS all over again if CMS moves ahead with rate slashing, commenters warn. The feds seem intent on undercutting one of their most cost effective services, judging from the prospective payment system proposed rule for 2015. So [...]
Rebasing to cost industry hundreds of millions. The news on face-to-face may be good, but home health agencies will continue to have to tighten their budget belts under another year of rebasing reimbursement cuts. In its 2015 home health prospective [...]
Brace for wave of closures and sales. CMS has pared back the home health agen-cy rate cuts it proposed this summer, but the slight improvement won’t avert disaster for many providers. The Centers for Medicare & Medicaid Ser-vices will slice [...]
Look for transcutaneous hemoglobin limitations, too. Think you’re ready to use all those brand new CPT lab codes? Not so fast. You better learn Correct Coding Initiative (CCI) restrictions first, before you start billing Medicare for services using new CPT [...]
One State Just Says 'No' to OIG RecoveryThe OIG wants New Mexico to recover $11 million from a Medicaid home care provider, but the state isn't going along with the idea. Coordinated Home Health claimed at least $11 million improperly [...]
You should have lots of good reasons for taking the time to check your staff against the OIG's exclusion list -- maybe more than 80,000 of them.After it self-disclosed conduct to the OIG, a home health agency in Wichita, Kan., agreed [...]
Kansas provider pays up for employing excluded individual.You should have lots of good reasons for taking the time to check your staff against the OIG's exclusion list -- maybe more than 80,000 of them.After it self-disclosed conduct to the HHS Office [...]
Check out this matter-of-fact 14301/J2001 edit. Are you using CPT 2010's new skin repair codes? Beware because they received the brunt of the Correct Coding Initiative (CCI) version 16.0's edits. Get to know them well by their mutually exclusive and [...]
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.