Avoid using truncated codes. Dragging your feet to incorporate the latest ICD-10-CM codes could lead to denials for services covered by Medicare National Coverage Determinations (NCDs). Change Request (CR) 11491 describes changes to four NCDs that might impact coverage for [...]
See which updates are coming in 2020. Stay informed on recent updates to the to National Coverage Determinations (NCDs). The Centers for Medicare & Medicaid Services (CMS) recently released MLN Matters® 11491 and Change Request (CR) 11491, which includes nine [...]
You’ll see some changes to NCD 20.9.1 “Ventricular Assist Devices.” CMS recently released MLN Matters® 11491 and Change Request (CR) 11491, which made changes to several National Coverage Determination (NCDs). You will see nine changes in all, and five of [...]
Agencies’ have their work cut out for them in avoiding survey deficiencies. Some Interpretive Guideline changes are for the worse and some are for the better, but final IG sections that remained unchanged from the draft put home health agencies [...]
Even though you can report a modifier with 99483, modifier 59 may not be appropriate. January 1, 2018 has come and gone, so you should already be applying the ob-gyn edits included with the latest round of the Correct Coding [...]
Hint: Don’t confuse fear of flying for claustrophobia. When your psychiatrist diagnoses claustrophobia, you will have to look through the ICD-10 codes for situational phobias to arrive at the correct code for this type of phobia. You should also be [...]
In addition to scores, timing becomes crucial for the right GCS code. In the last issue of the Neurosurgery Coding Alert, you had a chance to review the NIHSS codes. Another similar scale used for neurological assessment is the Glasgow [...]
Beware: Medicare Part D now under scrutiny for upcoming fraud actions. The biggest Medicare fraud bust to date is teaching providers and law enforcement alike a myriad of important lessons. If you want to stay off the government’s fraud watch [...]
Government officials were quite busy last week, crossing the country to charge 243 different people with Medicare fraud totaling $712 million in false billings. The charges, which were brought against a variety of defendants, including 46 doctors, nurses and other [...]
In the largest ever raid effected by the Medicare Fraud Strike Force, 243 individuals were charged for approximately $712 million in false billing, according to a June 18 U.S. Department of Health and Human Services (HHS) press release. The strike [...]
