Question: The ob-gyn does an ultrasound and discovers a single intrauterine pregnancy in the vertex position with an estimated fetal weight of 4,281 grams, placing her in greater than the 90th percentile. Amniotic fluid index is normal at 13.8. There [...]
Question: The ob-gyn does an ultrasound and discovers a single intrauterine pregnancy in the vertex position with an estimated fetal weight of 4,281 grams, placing her in greater than the 90th percentile. Amniotic fluid index is normal at 13.8. There is [...]
How do you compare to your peers? If you pride yourself on your spotless HIPAA record, you may want to reconsider. In announcing increased scrutiny of small breach report cases (see story, p. 281), the HHS Office for Civil Rights [...]
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 [...]
Latest decision memo finally illuminates payment rules for left atrial appendage closures. If you’ve been waiting patiently for CMS to release its national coverage determination (NCD) for left atrial appendage closures, the time has finally arrived. The agency posted its [...]
NVAF diagnosis requirement points you to I48.- category. If your cardiologist performs left atrial appendage closure, be sure to check the latest NCD news. CMS has posted its final decision memo, stating, the payer “covers percutaneous left atrial appendage closure [...]
National requirements for FDA-approval and local requirements for code use could affect your claim. CMS released a proposed decision memo presenting a plan to limit coverage for left atrial appendage closure (LAAC) therapy using an implanted device to services in [...]
New E/M bundles concentrate on clinical immunology. You’ll have to add a slew of new E/M-related Correct Coding Initiative (CCI) edits to your coding arsenal, thanks to version 20.1, implemented on April 1. Edits involving immunology and E/M services, and [...]
Plus: Additional payments for hospital transitions could boost your income if finalized. CMS--the governing body that oversees Medicare and Medicaid--is offering an innovative new approach to medicine that offers some good news for pediatricians if it's finalized by the end [...]
Primary care physicians, internal medicine practitioners have cause to rejoice.Next year's proposed fee schedule could hold unpleasant news for cardiology and ophthalmology practices as CMS trims reimbursement as part of its multiple procedure payment reduction. Basics: On July 6, CMS [...]
