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CMS Improves Upon PECOS Enrollment System Now that the government shutdown is behind us, CMS has started sending out its updates once more, and the latest word is actually a bit of good news. Providers who have experienced issues accessing [...]

Your physician may be a hard worker, but can you say he works more than 24 hours in a day? That’s doubtful—and what led to the indictment against a Texas physician who is accused of billing over 4,970 false and [...]

After you calculate your score, consider studying any diagnosis coding areas where you struggled. Do you feel like you aced our 2011 ICD-9 coding quiz on page xx? Check out the following answers and determine whether you're a pro. Answer [...]

Try your hand at this critical care scenario.When an internist in the emergency department takes care for a patient with cocaine poisoning, do you know what to do? A new code effective Oct. 1, 2010, changes what you should report.Here's [...]

Try your hand at this critical care scenario.When the emergency department calls your cardiologist to care for a patient with cocaine poisoning, do you know what to do? A new code effective Oct. 1, 2010, changes what you should report.Here's [...]

Jaw pain, drug OD codes highlight new ED-relevant Dxs.On Oct. 1, ED coders will have several more arrows in their coding quivers to prove high-level ED E/Ms.Reason: That's the date you'll start using ICD-9 2011. "Many of these new codes [...]

Jaw pain, drug OD codes highlight new ED-relevant Dxs.On Oct. 1, ED coders will have several more arrows in their coding quivers to prove high-level ED E/Ms.Reason: That's the date you'll start using ICD-9 2011. "Many of these new codes [...]

Plus: Michigan clinic manager pleads guilty to defrauding Medicare to the tune of $6.5 million -- over a six month period. Medicare could be getting gouged on standard power wheelchair costs. "Medicare and its beneficiaries paid almost four times the [...]

Here's how one agency's lack of due diligence put it on regulators' bad side. If you aren't sure whether your subsidiaries and new acquisitions are following the rules, now's the time to find out. Unfortunately, an Ohio home care agency [...]

$4,000 extra charge leads to more than $65,000 in damages-Balance billing- led to a plastic surgeon being knocked off balance.  Connecticut surgeon Charles Gianetti treated Allison Siglinger for her injuries in an automobile accident and received $1,980.80 from her insurance [...]