Abscess of lung and mediastinum (513)

Know the ins and outs of coding the conditions and treatments. As a gastroenterology coder, you’re bound to receive medical records that require the coding of intestinal fistula diagnoses and repairs. In this article, Revenue Cycle Insider dissects the appropriate [...]

Hint: Rely on the Alphabetic Index for one common corneal condition. While the ICD-10-CM coding choices for many ocular diagnoses are straightforward, some conditions can prove more challenging because the condition occurs less frequently or because the coding rules can [...]

See if you can zero in on the best-suited codes for each scenario. While coding for a significant portion of ocular diagnoses is relatively straightforward, there are always a few outliers that are more challenging. Familiarizing yourself with rare conditions [...]

Hint: Payers differ on Botox policies. When patients with excessive sweating present to your podiatrist seeking solutions, and when hyperhidrosis is the cause of that perspiration, your podiatrist may recommend procedures like chemodenervation, requiring the coder to navigate a vast [...]

Question: Encounter notes indicate that the provider performed a service for a patient with “CRPS 1, arm.” Which diagnosis code applies? Arkansas Subscriber Answer: Based on the information provided, the correct ICD-10-CM code is G90.519 (Complex regional pain syndrome I of unspecified [...]

Question: Encounter notes indicate that the provider performed an office evaluation and management (E/M) service for an established patient with ‘CRPS 1 arm.’ Total encounter time was 27 minutes and involved low-level medical decision making (MDM). How should I report this [...]

Hospice audits get a second spotlight. If you were hoping the HHS Office of Inspector General’s focus on hospice fraud scrutiny would be in your rearview, that’s not the case quite yet. In its new semiannual report to Congress, the [...]

Report to Congress conveniently omits the fact that OIG had to walk back nearly half of its noncompliant determinations in HHA audits. For anybody who missed the HHS Office of Inspector General’s slew of hospice audit reports this year, they [...]

Thanks to a federal watchdog agency, one HHH Medicare Administrative Contractor is now collecting more hospice per-beneficiary cap-related overpayments. When it examined cap year 2017, the HHS Office of Inspector found that Palmetto GBA “accurately calculated cap amounts but did [...]

Thanks to a federal watchdog agency, one HHH Medicare Administrative Contractor is now collecting more hospice per-beneficiary cap-related overpayments. When it examined cap year 2017, the HHS Office of Inspector found that Palmetto GBA “accurately calculated cap amounts but did [...]