Disorders of mineral metabolism (275)

Isn’t 275 DRGs enough to prorate? You could see favorable hospital referrals slow if Medicare adopts a new recommendation from a federal watchdog agency. Recap: The Centers for Medicare & Medicaid Services prorates hospitals’ MS-DRG payment amounts if they discharge [...]

Question: A couple of residents in my facilities have fallen in the past six months, some who had injuries that qualify as “major.” I noted the falls and injuries when they happened, but all of the falls are still triggering [...]

Critical questions remain unanswered. CMS has released instructions that will streamline the messy correction process for payment errors under hospice payment reform, but the new procedure still leaves the situation confusing. The problem: When hospice payment reform took effect in [...]

Brace yourself for J1900 coding to become a much higher-stakes endeavor. The thought of a resident having a fall that results in an injury will surely give you chills. After all, falls with major injury impact your quality measures (QMs), [...]

Keep an eye out for 8 new CPT® codes to get deserved telehealth reimbursement. If you’re one of the many healthcare providers who’ve been wishing for more Medicare coverage for services you deliver via telehealth, the Centers for Medicare & [...]

Learn how the point ranges will change to earn each star rating. It seems like the Centers for Medicare & Medicaid Services (CMS) has gone crazy for quality data, and now you have a whole set of new quality measures [...]

Florida leads the way on lagging HHAs. The red tape that comes along with the Home Health Value-Based Purchasing pilot may be keeping some affected home health agencies from participating — at least so far. Back in the Centers for [...]

Question 1: What’s the proper way to document respite care in the MDS 3.0? Answer 1: “Respite refers to short-term, temporary care provided to a resident to allow family members to take a break from the daily routine of caregiving,” [...]

Question 1: Do I have to complete a 14-day assessment if I know there is going to be a COT and the 14-day PPS assessment will not be used for payment? Answer 1: All required, that is scheduled, PPS assessments [...]

Question: Below is the operative note that describes the procedures our surgeon did on the patient’s knee. "The patient’s right knee was prepped and draped in the usual sterile fashion under endotracheal anesthesia. She was given prophylactic antibiotics. Examination showed [...]