Remember the quirkiness of the Index. You probably know that a fear of confined spaces is known as claustrophobia. You might also know how to find the ICD-10 code for the condition by beginning with the entry “Fear of” in [...]
Choose different codes for atherosclerosis of bypass grafts vs. native arteries. If you find peripheral artery disease (PAD) and peripheral vascular disease (PVD) coding confusing, you’re not alone. Read on for some helpful insight on how best to maneuver this [...]
Question: Notes indicate the provider treated a patient with “ligamentous laxity, R wrist.” I’m not seeing a diagnosis code that tracks to this term. Can you help? Missouri Subscriber Answer: The proper diagnosis code for the condition you describe is M24.231 (Disorder [...]
If you’re feeling the heat of state fraud scrutiny, you are not alone. Home health agencies had the third-most open fraud investigations with Medicaid Fraud Control Units in 2020 at 804, the HHS Office of Inspector General says in a [...]
Here is why you should have that ABN handy. Blood transfusion claims are easy if you can discriminate between the collection and transfusion processes. There is clear guidance for autologous blood transfusion in the Medicare Claims Processing Manual (Chapter 4, [...]
Heads up: Bill one unit of 36430 for every transfusion. Platelet transfusion is not the same as blood transfusion. Platelets are a component of blood, and you have specific CPT® and HCPCS codes from which to choose. Find out how [...]
Be prepared to back up your code usage in medical review. You’ll be at risk of losing your rightful reimbursement under PDGM if you count on the Medicare claims system to automatically adjust your claims for institutional stays. Why it [...]
Code utilization could be a problem. With a recent focus on CMS’s audit-recovery success, an HHS Office of Inspector General (OIG) report signals that you can expect more stringent collection efforts for your general surgery practice in the near future. [...]
Emphasize 4 areas to beat the odds. The HHS Office of Inspector General (OIG) recently put the spotlight on CMS’s audit-recovery success, so you can expect more stringent collection efforts to impact your lab in the future. Read on to [...]
When the feds decide you owe the government money, they want it paid back ASAP. A new report from the HHS Office of Inspector General suggests the Centers for Medicare & Medicaid Services can do more to take back money [...]
