With radiology claims under tighter OIG scrutiny, compliance is always your safest bet. Radiology has faced compliance issues for years, according to Marianne Durling, MHA, RHIA, CPC, CCS, CDIP, CPCO, CIC, CDEI, AAPC Approved Instructor, in her HEALTHCON 2024 session [...]
Get a handle on these sweeping changes before the New Year arrives. Oncology practices across the country are eagerly anticipating implementing the annual CPT® code changes, which will allow them to report new, or more accurately document, services and procedures [...]
Agencies welcome some clarifications, although heavy burden remains. Home health agencies are privy to new details of the Review Choice Demonstration as Medicare presses forward with the unpopular medical review program. In another Office of Management and Budget paperwork [...]
Agencies welcome some clarifications, although heavy burden remains. Home health agencies are privy to new details of the Review Choice Demonstration as Medicare presses forward with the unpopular medical review program. In another Office of Management and Budget paperwork notice, [...]
Pre-Claim Review closed doors in first round, trade group maintains. Hopefully, Medicare officials will be in listening mode when it comes to the relaunched Pre-Claim Review/Review Choice Demonstration. CMS’s notice announcing its plans to initiate a second, revised round of [...]
Despite funding cuts HHS and company remain vigilant in their fight to recover assets. As the stakes continue to rise in healthcare, the opportunity for fraud increases. A recent Office of Inspector General (OIG) publication illustrates that offenders continue to [...]
Question: Our radiologist was called upon to analyze chest X-ray images (frontal) for a patient with viral pneumonia. How can we bill for X-ray interpretation when the office does not own or lease the equipment? Florida Subscriber Answer: As you do not [...]
Question: Our pulmonologist was recently called upon to analyze chest x-ray images (frontal) for a patient. How should I bill for x-ray interpretation when the office does not own or lease the equipment? Idaho Subscriber Answer: As you do not own [...]
Take advantage of these helpful definitions to guide your Section G coding. Activities of daily living, behavior, non-medication pain intervention, pressure ulcers and much else received the attention of the Centers for Medicare & Medicaid Services (CMS) in the revisions [...]
Enjoy a third K0710 example to guide your MDS coding. Section A wasn’t the only part of the MDS that received significant changes in the RAI manual update released on Sept. 15. The Centers for Medicare & Medicaid Services (CMS) [...]
