Caution: The 2023 FCA settlement numbers may shock you. Per usual, the feds are off and running in 2024 with several million dollar settlements — many targeting clinicians. Backtrack: Though 2024 is looking like it’s going to be a banner [...]
Though 2024 is looking like it’s going to be a banner year for Medicare enforcement, the 2023 statistics show last year was one for the ages, according to the Department of Justice. For the fiscal year 2024, which ended on [...]
Here’s how to avoid going on a phishing expedition. Healthcare data breaches continue to rise. Breaches of unsecured protected health information (PHI), many from hacking or IT incidents, increased from 247 in 2022 to 543 in 2023, according to data [...]
Question: Does the ICD-10-CM code set have new codes for gastrointestinal tumors? If so, which MS-DRG groups do they fall into? Colorado Subscriber Answer: Yes, the ICD-10-CM Code Set, applicable Oct.1, 2016, onwards, does offer seven new codes for gastrointestinal [...]
Tip: ICD-10 combines some code choices for small intestine. Many times, you aren’t exactly sure how you’ll report anesthesia until after the procedure when your provider knows exactly what the surgeon did. That will remain the case when your providers [...]
Don’t forget bleeding indication. If your surgeon performed procedures today that led to a diagnosis of colon and small intestine bleeding diverticulosis, would you know how to report the findings? Even if you can answer “yes” to that question, will [...]
New OIG report highlights preventable adverse events and hospital readmissions. Will a new report foster meaningful quality improvement in the post-acute setting — or simply provide surveyors with a new plan of attack? While the leaders of several groups representing [...]
Don’t forget bleeding indication. If your surgeon performed procedures today that led to a diagnosis of colon and small intestine bleeding diverticulosis, would you know how to report the findings? Even if you can answer “yes” to that question, will [...]
Heed peritonitis while coding for acute appendicitis. As you explore ICD-10 options for appendicitis, remember to emphasize detailed documentation that lets you pinpoint the exact site of pathology and the diagnosis. “While we can all recognize the need for more [...]
Other diseases of appendix get more accuracy from next year. Think of a gastroenterology practice and you get visions of patients with abdominal pain. Abdominal pain most commonly translates to appendicitis, so understanding how to report appendicitis will reduce your [...]
