Providers also plan to drop therapists — both contract and directly employed. The elimination of therapy as a case mix factor under the Patient-Driven Groupings Model is a game changer. How your peers plan to cope with the drastic difference [...]
Highest-ranking states may surprise you. Medicare’s payment error rate for hospices and home health agencies together varies widely from state to state, shows the latest Medicare payment error report. Among the many figures included in the report is a state-by-state [...]
High claims volume doesn’t necessarily translate to high error rates. Wondering where the feds might choose to crack down next with stepped up claims review or more intense fraud and abuse-fighting activity? Stats included in the latest Medicare payment error [...]
Failing to correctly report value and condition codes led to overpayments of $2.7 million in 2016. Providers: When Medicare issues a reminder, it's time to listen. And that's just what they did in October's issue of MLN Connects, CMS' weekly [...]
Look for instances when you can report an additional E/M. When your dermatologist performs incision and drainage (I&D) of a pilonidal cyst or sinus, you will have to know that there is a separate code set for this drainage procedure. [...]
Hint: Watch for presence of abscess as you did in ICD-9. When your FP diagnoses a patient with pilonidal cyst, you will need to check for presence or absence of abscess as it will affect your coding options. In addition, [...]
Check for instances when you can report an additional E/M. When your FP performs incision and drainage (I&D) of a pilonidal cyst or sinus, you will have to know that there is a separate code set for this drainage procedure. [...]
Look for instances when you can report an additional E/M. When your internal medicine specialist performs incision and drainage (I&D) of a pilonidal cyst or sinus, you will have to know that there is a separate code set for this [...]
Hint: Watch for presence of abscess as you did in ICD-9. When your physician diagnoses a patient with pilonidal cyst, you will need to check for presence or absence of abscess as it will affect your coding options. In addition, [...]
Some hospices receive corrected reports. Not all hospices received a PEPPER report, but you should make sure you didn’t get overlooked in error. Otherwise you’ll lose access to the stats that reviewers and other authorities are using to potentially target [...]
