BEHAVIORAL AND DEVELOPMENTAL DISORDERS DRG Code 886

Easing staffing woes is an important plus. With the benefits of telehealth for home health patients plentiful, why hasn’t Medicare started paying for it directly? That’s one of the many questions posed by commenters on the 2023 home health proposed [...]

Care planning-related deficiencies top surveyors’ lists. The survey climate for hospices is getting worse, and that trend is only bound to intensify in the wake of the HHS Office of Inspector General’s latest reports on hospice surveys. So indicates the [...]

If you meet certain survey criteria, the watchdog agency wants extra eyes on you. Policy- and lawmakers will refer to statistics from the HHS Office of Inspector General’s latest reports on hospice surveys when deciding on a multiple of topics [...]

You saw how three ophthalmologists would fare under the proposed E/M payment changes —now check out what the impact would be to three optometrists whose data we sampled. Using the current E/M payment levels and comparing them to the proposed [...]

Look to your MAC for guidance on medical necessity. Don’t let slipshod observation and assessment documentation impede your bottom line. Detailed notes can help you garner the reimbursement you deserve. Careless charting may be the culprit of a recent rash [...]

Do meds you list as new or changed fit within this MAC’s time frame? Will sloppy observation and assessment documentation cost your agency its deserved reimbursement? That may be what happened to many home health agencies that recently underwent a [...]

You’d better make sure your documentation for patients with the highest clinical and functional domain scores is bulletproof, because one HHH Medicare Administrative Contractor is putting claims for them through the wringer. Palmetto GBA announced a service-specific probe for claims [...]

Question: A patient presents to the emergency department after he cut the tip of his finger off while removing the grass catching attachment from his lawnmower. In addition to the E/M documentation, the chart notes read as follows: “13:51 Hemostasis: Moderate [...]

Question: A patient presents to the emergency department after he cut the tip of his finger off while removing the grass catching attachment from his lawnmower. In addition to the E/M documentation, the chart notes read as follows: "13:51 Hemostasis: [...]

Question: A patient presents to the emergency department after he cut the tip of his finger off while removing the grass catching attachment from his lawnmower. In addition to the E/M documentation, the chart notes read as follows: "13:51 Hemostasis: [...]