Latest report has a new look and offers insight into the agency’s top targets. Since 2022, the HHS Office of Inspector General (OIG) has issued 30 reports that target Medicare Advantage compliance, nine specifically in the last year. And a [...]
Latest report has a new look and offers insight into the agency’s top targets. Since 2022, the HHS Office of Inspector General (OIG) has issued 30 reports that target Medicare Advantage compliance, nine specifically in the last year. And a [...]
Medicare regulators must hit the sweet spot between oversight and clinical need. Commenters on the PPS proposed rule are hoping CMS will relent on its onerous 14-day timeline to perform functional assessments. Can HHAs and the feds meet in the [...]
Say goodbye to HHABN by Dec. 9. The more things change, the more things stay the same — at least when it comes to patient notices for home care. After announcing a new Home Health Change of Care Notice (HHCCN) [...]
Even if you aren't the brains of a large scale fraud scheme, you can still get some stiff penalties for breaking the rules. That's what seven home care workers found out when a federal judge handed out sentences for their [...]
Maxim Healthcare Services is getting more bad press, this time due to a labor law lawsuit settlement. The Columbia, Md.-based national home care chain will pay $160,000 and send a letter of condolence to the survivors of former Maxim nurse [...]
Question: We've seen conflicting information on reporting clotting factor units to Medicare. Do we report the number of IUs administered or something else?California SubscriberAnswer: Typically, you should calculate units by dividing the amount administered by the amount listed in the [...]
Question: Pathology reports came back indicating a malignant carcinoid tumor of the lung. Our charge sheet shows 162.9, but I think 209.21 is correct. Which should I use?Rhode Island SubscriberAnswer: You should report 209.21 (Malignant carcinoid tumor of the bronchus [...]
Plus, welcome several new family history codesEvery fall, you-re faced with a slew of new diagnosis codes, and this year will be no different. Take a look at these highlights now to be sure you-re prepared by the time Oct. [...]
Final list will appear in early summerIn the fall, you will have some new ICD-9 codes to get used to because ICD-9 2008 will take effect Oct. 1.Coders who want to stay ahead of the curve should note these ICD-9 [...]
