Question: Encounter notes indicate that the surgeon treated a patient with “synovitis, toxic/wrist.” I cannot find an ICD-10 code to match this condition. Can you help? Texas Subscriber Answer: You’re not going to find toxic synovitis in any of the [...]
A home attendant program in New York City has to pay in the high six figures for employing an excluded individual. Make sure you don’t make the same mistake. The Chinese-American Planning Council Home Attendant Program (CAPCHAP) entered into an [...]
Follow a few crucial tips to find the right diagnosis code. When diabetes leads to vision issues, patients are likely to come to your office more than once a year. For correct ICD-10-CM coding, you’ll have to know not only [...]
Yet another glitch is affecting the processing of no-pay Requests for Anticipated Payment and related claims. The problem: Claims may be inappropriately returning with Reason Code U5391, HHH Medicare Administrative Contractor Palmetto GBA says in its claims processing issues log. [...]
Question: An established patient with rheumatoid heart disease and rheumatoid arthritis (RA) of the wrist reported to the orthopedist for a checkup of the condition. The provider performed a level-three evaluation and management (E/M) service. I know to report 99213, but [...]
Question: An established patient with rheumatoid heart disease and rheumatoid arthritis (RA) of the wrist reported to the orthopedist for a checkup of the condition. The provider performed a level-three evaluation and management (E/M) service. I know to report 99213, [...]
From macular degeneration to screenings, make sure you’re applying the right ICD-10 codes. All eye care practices are probably aware by now that you’ll be selecting your office and outpatient E/M codes based on either medical decision making (MDM) or [...]
Big changes are on the way for the 2020 CY. On November 15, 2019, the Centers for Medicare & Medicaid Services (CMS) finalized its proposal to apply the special rule, previously designated for colonoscopy code families, to nasal endoscopic procedures. [...]
GAO wants more quality considerations injected into survey process. Hospice surveys are under fire again, this time from the Government Accountability Office. Like with a pair of HHS Office of Inspector General reports released this summer, a new GAO report [...]
If not, you could be risking payment suspension. You’ll soon receive a cost report reminder letter if, like the majority of providers, your cost report year ends with the calendar year. Medicare cost reports for the period ending Dec. 31, [...]
