Manual coding could introduce errors. The new requirement to report home health telehealth services and telemonitoring hits in just a couple of weeks, but it may not be easy. Background: In its 2023 home health final rule issued last fall, [...]
Medicaid regulations, dementia respite care, and model employment agreements rate mentions. President Joe Biden and other members of his administration have been raising the profile of home care with public mentions of its importance in recent months, and now the [...]
Tip: Look to Section M in your ICD-10-CM book. Before you became a coder, you may have associated gout with historical fiction or period films. But gout can cause a lot of pain for modern patients, and the nuances can [...]
Differentiating acute, chronic will be key in identifying the right code. When your podiatrist sees a gout patient, your diagnosis coding choices aren’t as straightforward as you might think. Why? Because there are multiple types of gout, the condition can [...]
Increasing cap overages, ratio of for-profit providers concerns the advisory body. Take a look at the facts and figures the Medicare Payment Advisory Commission recently put into policy and lawmakers hands to aid in decision-making about hospice reimbursement and other [...]
MedPAC highlights an average live discharge rate of 43% for 10% of hospices. MedPAC lines up a lot of facts to support its recommendations for a rate freeze and 20 percent cut to the per beneficiary cap. But hospices see [...]
Question: A 35-year-old male patient came into the podiatrist’s office complaining of pain in his left ankle. His history indicates that he broke the ankle 18 years earlier while playing high-school football. My podiatrist determines that the patient has post-traumatic [...]
Question: We saw a patient with gout and we aren’t sure how to report this condition, because the ICD-10 code book contains dozens of codes for this condition. Can you advise? Ohio Subscriber Answer: Gout is a condition that occurs [...]
Hint: The fifth character in a gout Dx code tells you the exact anatomic location. Since ICD-10-CM offers so many diagnosis codes to choose from, it can be difficult to know which ones you should report on specific claims. For [...]
These 3 scenarios will help you make the best M15-M19 code choice. Coding arthritis can be tricky. Part of the reason is because the term “includes over 100 different conditions,” according to the Centers for Disease Control and Prevention (CDC) [...]
