Legally induced abortion (635)

Despite funding cuts HHS and company remain vigilant in their fight to recover assets. As the stakes continue to rise in healthcare, the opportunity for fraud increases. A recent Office of Inspector General (OIG) publication illustrates that offenders continue to [...]

Here’s why you’ll apply ‘0’ — not ‘1’ or ‘2’ — to medically induced abortions. When a claim for an abortion hits your desk, you should know that some abortion diagnoses require fifth digits — and if you don’t submit [...]

HHH Medicare Administrative Contractor denies more than half of HH claims reviewed. Medical review results continue to show how impossible Medicare’s face-to-face documentation requirements are. HHH Medicare Administrative Contractor Palmetto GBA recently reviewed 1,218 claims with the HIPPS code 1BGPx, [...]

Question: A patient had an elective abortion elsewhere. She came to our clinic, and the ob-gyn performed a dilation and curettage for retained products of conception that were not completely removed from her previous procedure. Should we consider this a [...]

Question: Patient has HELLP syndrome and is 18 weeks pregnant. The ob-gyns decide to end the pregnancy to save the mother's life. She has laminaria and Cytotec suppositories and goes on to deliver a deceased fetus vaginally. My question is, [...]

Question: Patient has HELLP syndrome and is 18 weeks pregnant. The ob-gyns decide to end the pregnancy to save the mother's life. She has laminaria and Cytotec suppositories and goes on to deliver a deceased fetus vaginally. My question is, [...]

Are you putting the correct site-of-service data on your hospice claims? More hospice claims data means more billing rules for hospice providers. Now that hospices report site-of-service data on their hospice claims, Medicare is going to start editing claims to [...]

Here's why you-ll apply -0- -quot; not -1- or -2- -quot; to medically induced abortions When a claim for an abortion hits your desk, you should know that some abortion diagnoses require fifth digits -quot; and if you don't submit [...]

Incorrect caps could cost you.Warning: If you're a hospice whose Medicare reimbursement bumps up against the per beneficiary cap amount, you may have to give money back to Medicare for previous years. The Centers for Medicare & Medicaid Services has [...]

Question: While in the emergency department (ED), our gynecologist saw a 17-year-old patient who had an elective abortion elsewhere. Our gynecologist had never seen this patient before. The patient came to the ED with a fever and retained products of [...]