One-third of determinations reversed after rebuttal. A for-profit Miami home health agency is the latest to see its OIG audit findings aired publicly. After a contracted auditor reviewed 100 claims from 2015 and 2016 submitted by The Palace at Home, [...]
‘Bilateral’ addition will be only difference in new codes. “Otosclerosis” is the term for an abnormal bone growth in the middle ear that causes hearing loss because the eardrum can’t vibrate in response to sound waves. ICD-9 has several [...]
One moratorium area has twice as many agencies per bene. Home health agencies’ own claims data is what is hanging them in moratorium areas. These are the 2012 stats the Centers for Medicare & Medicaid Services used to help determine [...]
You’ll need better documentation of anatomic location to choose the correct diagnosis. Otosclerosis is a condition characterized by an abnormal, sponge-like bone growth in the middle ear that causes hearing loss. Your current diagnosis code choices are based on a [...]
Do your clinicians understand what one wrong answer can do to your agency's bottom line? The points awarded for answers to certain OASIS questions add up to a clinical, functional and resource utilization severity score, represented by CxFxSx in the [...]
The 8.2 version of the Correct Coding Initiative, effective July 1, 2002, contains numerous changes that can affect radiologists. Still, the edits offer no reason to panic for the savvy radiology coder, says Cindy Parman, CPC, CPC-H, co-owner of Coding [...]
Age-related hearing loss, presbycusis, also called presbyacusis (388.01), is estimated to occur in 30-35 percent of adults aged 65-75 and 40-50 percent of those over the age of 75. Nearly every internist faces the need to accurately diagnose this common [...]
