Question: Can I use the equation for calculating adult body mass index (BMI) — (weight in pounds x 703 divided by height in inches) — to determine a child’s BMI? Michigan Subscriber Answer: Although adult BMIs are calculated with an [...]
Know how the height/weight calculation impacts your coding choices. You may have heard whispers about residents who are morbidly obese or have a certain body mass index (BMI) boosts your facility’s reimbursement through an additional point for the non-therapy ancillary [...]
Question: Our physician has recently started performing gastric bypass surgeries and we’re trying to get a handle on how to calculate BMI. Can you advise? Codify Subscriber Answer: Both ICD-10 and the Centers for Disease Control and Prevention (CDC) describe [...]
Know how the height/weight calculation impacts your coding choices. You're probably familiar with the basic concept of body mass index (BMI). But do you know how it is calculated? More important, do you know how to use it when coding [...]
Just be sure your provider makes the call. It was discovered by a Belgian statistician almost 200 years ago in an attempt to understand the norms of human height and weight. But it wasn't until 1972 that the medical profession [...]
Discover how the pressure ulcer QM has now changed. The Centers for Medicare & Medicaid Services (CMS) has so much in store for skilled nursing facilities’ (SNFs’) reimbursement and policies in fiscal year (FY) 2017, which begins on Oct. 1, [...]
Question: A patient had an ingrown toenail removed, but it was not a permanent removal. A digital block was performed for both an anesthetic and for postop pain. Should I use CPT® code 11730 or 11750? Would the digital block be [...]
More than 70% of denied claims were due to F2F in a recent probe. Whether Medicare will make elimination of the physician narrative for face-to-face retroactive is a vital issue for many home health agencies, including those with claims reviewed [...]
More than 70% of denied claims due to F2F in recent probe. Whether Medicare will make elimination of the physician narrative for face-to-face retroactive is a vital issue for many home health agencies, including those with claims reviewed in a [...]
Question: A Medicare patient presented with a painful ingrown toenail, and our dermatologist trimmed the nail. Which code should I use? Also, since the patient doesn't have a systemic condition, will Medicare cover the procedure? Utah Subscriber Answer: Medicare carriers [...]
