Face-to-face continues to be a killer. Round 3 of the Targeted Probe and Educate medical review program is underway, and that could mean drastic consequences soon. However, new TPE stats show that agencies’ performance is improving over time. For the [...]
Therapy episodes would get reimbursed less. If your claims are dominated by episodes with high therapy, no recent hospital stays, or patients with behavioral health conditions such as schizophrenia, bipolar disorder or drug addiction, Medicare’s draft for HH PPS payment [...]
Don’t neglect a risk analysis. If you allow employees to use web-based document sharing applications without thoroughly evaluating the risks, you’re leaving your organization wide open to a HIPAA violation and a breach incident. Learn from these most important lessons [...]
Learn from this hospital’s experience. Using web-based document sharing applications could undermine your organization’s data security and expose it to disastrous consequences. Read on to learn how to avoid sharing St. Elizabeth’s Medical Center’s (SEMC’s) fate. Background: On July 10, [...]
Don’t let portable devices go without proper encryption and proper security precautions. If you allow employees to use web-based document sharing applications without thoroughly evaluating the risks, you’re leaving your organization wide open to a HIPAA violation and a breach [...]
Plus: Hospital settles for $218,400 over HIPAA violation. CMS uses many approaches to catching fraud, and its high-tech analytics system is one of the most lucrative tools for the agency. On July 14, CMS announced that its Fraud Prevention System [...]
Don’t forget to additionally report causative organism. When reporting a diagnosis of urinary tract infection (UTI), you’ll have to look at documentation to see if your clinician has identified the site of infection to enable you to zero in on [...]
Don’t forget to additionally report causative organism for proper reporting. If you’re reporting a diagnosis of urinary tract infection (UTI), you’ll have to look at the documentation to see if your clinician has identified the site of the infection to [...]
Question: Our urologist performed a cystourethroscopy with urethral biopsy. The biopsy was performed via open approach, not through the cystoscope. We coded 52000 and 53200 using 595.2 and 223.81. The payer disallowed 52000 as bundled. Do you agree with this adjudication? [...]
Question: Our physician reported interstitial cystitis in a patient who had hematuria. How can we code for this diagnosis? What will be the ICD-10-CM options for us in the next year? Florida Subscriber Answer: The ICD-9-CM code for interstitial cystitis is 595.1 [...]
