Renal sclerosis, unspecified (587)

Public feedback amount fluctuates significantly. Just how much Medicare officials will listen to home health providers’ pleas may rest, at least in part, on the number of folks who are speaking up. This year, the Centers for Medicare & Medicaid [...]

>‘Other industries have piles of money to throw around, but we have the best people with the best stories,’ industry veteran says. >Home health agencies and their representatives are not about to take the proposed 4.2 percent cut to Medicare [...]

Hold off on budget neutrality adjustments, case mix recalibration, commenters urge. The clock is ticking down to the release of the home health final rule, and the major changes it will require. Home health agencies hope the rule comes with [...]

Commenters want the behavioral cut gone. In a few short weeks or even days, home health agencies will know what their Medicare reimbursement rates for next year will be. As it does annually, the Centers for Medicare & Medicaid Services [...]

Telehealth misuse is now on the agency’s radar screen. Over the last year, the feds have ramped up their enforcement against those who aim to buck the Medicare system. And a new release suggests fraudsters will find themselves charged, excluded, [...]

Adopt procedure code 30283B1; the hemophilia diagnosis does not support the use of Kcentra. The Centers for Medicare and Medicaid Services (CMS) has extended the new technology add-on payment (NTAP) for Kcentra® (Prothrombin Complex Concentrate [Human]). CMS invited public comments on the [...]

Question: Our patient has hypertension, stage IV chronic kidney disease, and renal atrophy. How should we code for him? Pennsylvania subscriber Answer: List the following codes for this patient: M1020a: 403.90 (Hyperactive chronic kidney disease; unspecified; with chronic kidney disease stage [...]

Pay attention to the modifier indicator to determine which ones you can override and which you can’t. Every new year brings new, altered, and deleted codes that you must learn in order to keep your otolaryngologist’s reimbursement rolling in. And, [...]

Pay attention to the modifier indicator to determine which ones you can override and which you can’t. Every new year brings new, altered, and deleted codes that you must learn in order to keep your ob-gyn’s reimbursement rolling in. And, [...]

Add hundreds of pairs to your ‘restricted list.’ Each year brings new, revised, and deleted CPT® codes that you have to learn to keep your lab’s pay on the up and up. And hot on the heels of code changes [...]