To no one’s surprise, the Internal Revenue Service has once again upped its mileage rate. “Beginning on Jan. 1, 2023, the standard mileage rates for the use of a car (also vans, pickups or panel trucks) will be: 65.5 cents [...]
Tip: Make sure your software is on the up and up. Health care fraud goes far beyond upcoding and unbundling. The reality is that the U.S. Department of Health and Human Services Office of Inspector General (OIG) is always looking for [...]
Don’t underestimate the importance of proving medical necessity. If you’re waiting for the feds to lighten up their fraud-fighting efforts, you’ll be waiting a long time. A new report highlights audits and investigations — and the numbers are staggering. In [...]
Tip: Use the feds’ targets as a compliance guide. If you’re waiting for federal fraud-fighting efforts to lighten up, you’ll be waiting a long time. And in its latest iteration, the U.S. Department of Health and Human Services Office of [...]
Report highlights importance of medical necessity. If you’ve ever wondered whether the U.S. Department of Health and Human Services Office of Inspector General (OIG) collects on its audits and investigations, a new report answers that question — and the numbers [...]
Question: One of my colleagues said that CMS has proposed an update to its national coverage policy for TAVRs. I haven’t heard about this. Can you explain what the proposal entails? Alaska Subscriber Answer: CMS recently released a proposed decision [...]
Question: Is it mandatory that loss of consciousness be documented for submitting diagnosis of concussion? Can you suggest how we can report for conscious patients with this condition using ICD-9 codes? Codify Subscriber Answer: A patient does not have to be unconscious [...]
Question: Is it correct to only report a concussion diagnosis code if the patient loses consciousness? Our physician treats many head injury patient who report conscious and have a diagnosis of concussion. Are we correct to report concussion as diagnosis for [...]
Question: We went to a seminar where they said to only report a concussion diagnosis code if the patient loses consciousness. We see a lot of student-athletes, so it’s common for our sports medicine physicians to diagnose head injuries. Which [...]
Report symptoms documented and do not ignore late effects. When you're coding your surgeon's concussion services, you could be sidelining your claims if you're omitting E/M work or missing the right diagnosis codes. Learn about three common myths that could [...]
