Shifting hospital discharges from facilities to home care helped shave $17 million off Medicare spending. A new analysis of Medicare’s Comprehensive Care for Joint Replacement (CJR) model shows that home care can produce savings for the benefit program. Reminder: Under [...]
Hint: Proposal would cause one practice in our sampling to lose $25,000 in a year. If your practice often complains about the limitations that the 1995 and 1997 E/M guidelines place on E/M coding, CMS may have delivered a gift [...]
Abandon the mysterious “mid-cervical” term for more specific options. After October 1, ICD-10-CM will revise the way you report cervical disc disorders and takes away the mystery of what “mid-cervical” actually means. Instead, you will have to identify the C4-C7 [...]
Don’t ignore these often-overlooked diagnosis codes. Submitting claims for your pediatric visits can get tricky when it feels like none of the diagnosis codes apply to your claim, or you need to support your diagnoses by explaining secondary reasons for [...]
Tip: Pay attention to codes with locally-controlled pricing.CMS released its annual update to influenza vaccine payments in early October, with implementation backtracking to August 1, 2012. Here's your quick look at the latest pricing based on the MLN Matters article [...]
Tip: Pay attention to codes with locally-controlled pricing. CMS released its annual update to influenza vaccine payments in early October, with implementation backtracking to August 1, 2012 for any patients visiting your office. Here's your quick look at the latest [...]
New CMS directive says claims with E codes as primary diagnoses unprocessable.If you're submitting paper claims to Medicare with E codes in the primary diagnosis slot, don't expect a favorable response from the Centers for Medicare & Medicaid Services. The [...]
Whether you bill electronically or on paper, you'll get an instant denial if your primary dx is an 'E' code. Most practices know that they'll face immediate denials if they report an 'E' code as the primary diagnosis on their [...]
Beware: Never use E codes as primary code. Accidents happen, and your physicians probably see the evidence in patients of all ages. Round out your diagnosis coding for accidental injuries by adding 'E codes' to your ICD-9 roster, and you [...]
Tip: Never list E codes as primary diagnoses. Accidents happen, and your physicians probably see the evidence in patients of all ages. Round out your diagnosis coding for accidental injuries by adding 'E codes' to your ICD-9 roster, and you [...]
