Code for quality of care, not just reimbursement. According to the Agency for Healthcare Research and Quality (AHRQ), over 2.5 million people in the United States are affected by pressure ulcers each year, with the total annual cost for treatment [...]
Question: A patient returns for follow-up. The provider notes improvement in the meibomian gland dysfunction (MGD) affecting the upper and lower lids of both eyes with eyelid scrubs and hot compresses. On exam, the ophthalmologist flips each lid, presses on them, [...]
Understand DED coding nuances to safeguard your practice’s reimbursement. Nearly half of all U.S. adults experience signs and symptoms of dry eye disease (DED), and roughly a third of patients in eye care clinics present with complaints related to dry [...]
Question: As a futurist and an oncologist, I’m fascinated by the ways researchers are using artificial intelligence (AI) to help diagnose their patients’ conditions. I would love to read more about studies involving AI and cancer diagnoses. Do you have any [...]
Question: What is the correct way to code for radium Ra 223 (Xofigo) therapy for a patient with advanced resistant prostate cancer? Texas Participant Answer: How you code this will depend on what your oncologist actually does in the therapy and whether [...]
An estimated 1.5 million people suffer a traumatic brain injury each year. Before Oct. 1, 2021, you were limited to using traumatic brain injury (TBI) codes to report brain compression conditions. Now, with newly added traumatic brain compression codes and [...]
Medicare Advantage plans may be finally catching on to the fact that covering non-medical home care services is a good idea for their members. So suggests a new report from The Long-Term Quality Alliance and research firm ATI Advisory. The [...]
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 [...]
You must prioritize your cost report accuracy. Hospice providers’ days of being cavalier about their cost report data need to come to an end ASAP. The Centers for Medicare & Medicaid Services bases its advanced care level payment rate increases [...]
Your data is leading to RHC cuts. With all the regulatory and billing pressures on hospices, it’s no surprise that cost report accuracy can sometimes get shuffled to the bottom of the priority list. But now’s the time to bring [...]
