Don’t stop at base rate when gauging proposed cut’s effect on your pay. The base payment rate is just one factor in Medicare’s complicated payment update methodology for home health agencies. Make sure you’re looking at your entire reimbursement picture [...]
Home health survey rate expected to bottom out at 65% this year. Oversight efforts are much on policymakers’ minds, according to the latest budget proposal from the Biden administration. Hospice supervision comes up in a number of ways in the [...]
Question: We’re a little confused by the updated information on EHR requirements for MIPS-eligible providers under the Promoting Interoperability performance category for 2024. Did something change? Is the 2015 Edition CEHRT different now? Ohio Subscriber Answer: It’s more a case of the [...]
Avoid missing dollars by reviewing key coding notes. When the 2024 ICD-10-CM code set takes effect on Oct. 1, 2023, codes and descriptors aren’t the only things being added, revised, or deleted. Each year, the code set also includes several [...]
Pointer: Check out clarifications issued by HHH MACs. Whether you’ve got a full blown telehealth program up and running or are just considering getting into one, now’s the time to make sure you are in compliance with Medicare’s new requirement [...]
Hint: Numerous atherosclerosis codes will add Includes notes. The new ICD-10-CM codes for 2021 were recently released. You will see new COVID-19 code U07.1 in this manual. Although you won’t gain any brand-new cardiology-related ICD-10-CM codes in 2021, you will [...]
Documentation will be key to finding info to determine the right codes. As many coders may remember, last year brought the introduction of over a dozen codes that described pulmonary embolism and deep vein thrombosis — and although the codes [...]
Highlight these important takeaways and policy tips. Coding for chemotherapy involves much more than simply selecting the right infusion code — it also requires a coder to know the appropriate HCPCS and ICD-10-CM codes, creating more chances for errors and [...]
Tip: Review what’s in PECOS as soon as possible. If you’re already worried about denials, here’s another item to add to your claims checklist. The Centers for Medicare and Medicaid Services (CMS) is slated to reject hospital claims for Medicare [...]
Hint: Suggested E/M documentation changes could balance shortcomings. If a hefty portion of your Part B take-home pay is tied to E/M office visits, you may want to review recent Medicare proposals. However, depending on your specialty and the number [...]
