Question: Our PM physician is treating a patient for postoperative pain after total shoulder replacement surgery. The patient reported recently for treatment, and the physician performed a brachial plexus block with ultrasound (US) guidance. How should I report this encounter? [...]
Question: Our PM physician is treating a patient for postoperative pain after total shoulder replacement surgery. The patient reported recently for treatment, and the physician performed a brachial plexus block with ultrasound (US) guidance. How should I report this encounter? [...]
The patient’s source of admission would matter under payment revamp. Under Medicare’s Home Health PPS payment reform plan, the Home Health Groupings Model, home health agencies would see their reimbursement determined by four steps: Step 1: Classify episodes into four [...]
Therapy episodes would get reimbursed less. If your claims are dominated by episodes with high therapy, no recent hospital stays, or patients with behavioral health conditions such as schizophrenia, bipolar disorder or drug addiction, Medicare’s draft for HH PPS payment [...]
Get friendly with HETS. You may feel you are ready for hospice payment reform taking effect Jan. 1, but are your billing and supporting systems ready too? Many clients of Astrid Medical Services billing company in Corpus Christi, Texas, think [...]
Ring in the New Year with tighter billing oversight. If you’re not paying attention to billing details in 2016, you could be costing yourself significant reimbursement and not even know it. Under hospice payment reform finalized in the 2016 payment [...]
Question: A patient came to our office for evaluation of her trach tube with pain at the trach site. The physician used the diagnosis of 519.02 (Mechanical complication of tracheostomy). This was denied by the payer as an invalid diagnosis. What [...]
Agencies seek answers as the new F2F implementation date nears. With Jan. 1 right around the corner, do you know how to furnish information to the certifying physician that may save your claim from denial? In its 2015 HH PPS [...]
Look at associated symptoms until your physician gets to the final diagnosis. Though ICD-10 offers a direct one-to-one match for multiple sclerosis, you have to keep options open to report symptoms. This is because it may take a while for [...]
Follow these 4 steps to help boost your bottom line. It’s not uncommon for a pain management specialist to provide concurrent care – that is, to work with other physicians to provide a patient’s care. Coding can get dicey if [...]
