Site neutral payment to hit provider-based departments. The much awaited 2017 hospital Outpatient Prospective Payment System (OPPS) final rule has arrived. Are you ready to embrace the provisions of the 2015 Bipartisan Budget Act? Read on for a rundown of [...]
One MAC maintains nearly a 100 percent denial rate. The face-to-face physician encounter rules that took effect last year are plaguing both physicians and home health agencies, and a recent audit reveals that most practitioners aren’t up to speed with [...]
One MAC’s rate is a staggering 97 percent. Your reimbursement may be doomed under face-to-face physician encounter rules that took effect last year, even when you know the ropes. The proof: In the Probe & Educate medical review initiative Medicare [...]
Question: Which diagnosis code should I use for an SI joint fracture? Ohio Subscriber Answer: When looking at these types of fractures, you should keep in mind that you can’t have a sacroiliac (SI) joint fracture because you can’t fracture a joint, [...]
Question: A patient who was treated for a closed pelvic ring/pubic ramus fracture visited scheduled an appointment with practice. Our physician treated her with a steroid injection for pain relief (it’s been four months since the original injury but this [...]
Question: A patient who was treated for a closed pelvic ring/pubic ramus fracture visited scheduled an appointment with practice. Our physician treated her with a steroid injection for pain relief (it’s been four months since the original injury but this [...]
Question: How do we report a fracture of the sacroiliac joint and ilium that the patient sustained in a road traffic crush injury?Ohio SubscriberAnswer: Assuming that this was a closed fracture, you look for codes for sacral, coccygeal, and ilium [...]
New neoplasm codes don't make the grade. The 2012 ICD-9 updates brought a plethora of changes for home health. And there are some unpleasant surprises included in the new list of case mix codes. There are several new codes that [...]
Welcome improved dementia reporting. If you thought you'd have minimal 2012 ICD-9 updates to remember when completing M1020/M1022/M1024 because of the focus on transitioning to ICD-10 in 2013, you're in for a surprise. As of Oct. 1, you'll have more [...]
Determine if fracture is open or closed to select the right code.As of Oct. 1, you'll have two new codes for to apply for pelvic fractures: 808.44 (Multiple closed pelvic fractures without disruption of pelvic circle)808.54 (Multiple open pelvic fractures [...]
