Insufficient documentation continues to plague HH claims. Not all the details are out about Medicare’s latest annual improper payment rate findings, but it’s clear that home health agencies continue to make fewer claims errors. The Centers for Medicare & Medicaid [...]
Question: I need help with a diagnosis for this follow-up visit after surgery in the ER which our doctor did not perform. Can I use 59430 with Z39.2? My next option was to bill an E/M using Z09 as primary and [...]
If you’re in a Round 2 Competitive Bidding area for durable medical equipment, you can now find out what suppliers will be serving your patients as of July 1. The Centers for Medicare & Medicaid Services has executed 586 DMEPOS [...]
Question: I saw a notice that our LCD for Noninvasive Vascular Testing (L31712) was revised. How has it changed?North Carolina SubscriberAnswer: The Palmetto GBA local coverage determination (LCD) you refer to has had multiple revisions since September 2011. Two add [...]
Question: I saw a notice that our LCD for Noninvasive Vascular Testing (L31712) was revised. How has it changed?North Carolina SubscriberAnswer: The Palmetto GBA local coverage determination (LCD) you refer to has had two revisions since September. Both add ICD-9 [...]
Know what comes first when coding for hypertension. Coding correctly for a patient with hypertension can take several codes. Try your hand at these coding scenarios to see if you know how to report this condition accurately. Scenario #1: Your [...]
Question: How do I know when to list a code for renal insufficiency rather than renal failure? I've been listing 585.9 (Chronic kidney disease, unspecified) for chronic failure and chronic insufficiency, 584.9 (Acute renal failure, unspecified) for acute failure and [...]
Don't just skim over those little black boxes when you're looking up codes. Using codes in M0230 and M0240 that the ICD-9-CM manual defines as mutually exclusive will result in claims returned to providers -- and a cash flow slowdown for your [...]
But renal failure no longer justifies urine culture If your practice treats patients with diabetes, renal failure or cardiac problems, then the latest set of coverage announcements from the Centers for Medicare & Medicaid Services could be important to you. [...]
CMS Announces 4 New Coverage Actions The Centers for Medicare & Medicaid Services is hard at work to decide which services you'll be able to bill in the future. Recently CMS: opened a tracking sheet for coverage of bacterial [...]
