Question: A patient, who is currently receiving treatment for right breast cancer, visited our radiology practice for bilateral diagnostic digital breast tomosynthesis and bilateral diagnostic mammography. We billed G0279-TC and 77066-TC with a C50.911 diagnosis code. The G code was paid, [...]
Hospital at Home programs are getting backlash from nurses, and that could affect their future trajectory. Union National Nurses United and its affiliate the California Nurses Association single out Kaiser Permanente for criticism in a release. “Nurses are horrified by [...]
Accrediting organizations may have to cough up more survey info. The current hospice survey system is failing to prevent patient harm as much as it could, a federal agency watchdog warns in two new reports. The HHS Office of Inspector [...]
LUPAs thresholds to vary under PDGM. The home care industry may hate the idea, but CMS is pushing ahead with its proposal to phase out Requests for Anticipated Payment under the newly proposed Patient-Driven Groupings Model. When the Centers for [...]
Get specific with laterality. When you still coded diagnoses based on ICD-9, your options for testicular biopsies were simple: 186.9 (Malignant neoplasm of other and unspecified testis) if malignant, and 222.0 (Benign neoplasm of testis) if benign. That changed once ICD-10 [...]
New report cites problem of hospice enrollment without patients' consent. The hospice industry's profile as fraud-prone continues to grow, indicates the HHS Office of Inspector General in a new report. In its 2019 budget justification report, the OIG notes that [...]
But it wants to put 8 more areas in the enforcement crosshairs. Fraud and abuse scrutiny is on the rise across the board for home care providers, but the HHS Office of Inspector General is only getting started on its [...]
VBP incentive must be of ‘sufficient magnitude,’ Medicare says. Home health agencies have made clear their desire to ease into Value-Based Purchasing by limiting the size of the potential adjustments, but Medicare hasn’t gone for the idea. Then: In the [...]
Neuro conditions lead the pack for long stays. When you struggle day in and day out to furnish hospice services to your patients under your reimbursement, why does MedPAC think you don’t need a pay increase in 2016? Take a [...]
Neuro conditions lead the pack for long stays. When you struggle day in and day out to furnish hospice services to your patients under your reimbursement, why does MedPAC think you don’t need a pay increase in 2016? Take a [...]
