Plus: Neuro diagnosis codes are most common, data shows. As hospice continues its explosive growth trajectory, policy- and lawmakers are looking at how to get a handle on the benefit and ensure its program integrity. To that end, the 2024 [...]
>‘Other industries have piles of money to throw around, but we have the best people with the best stories,’ industry veteran says. >Home health agencies and their representatives are not about to take the proposed 4.2 percent cut to Medicare [...]
Payer policies will differ for these services. When a patient reports to the PM specialist for a paravertebral facet joint injection in the cervical/thoracic or lumbar/sacral areas, you'll report the service with one or more of the following codes, depending [...]
Remember, not all payers have identical approved diagnoses. When a patient reports to the PM specialist for a paravertebral facet joint injection in the cervical/thoracic or lumbar/sacral areas, you'll report the service with one or more of the following codes, [...]
Track these seven categories to get the NRS payment you deserve. Nonroutine Medical Supplies can earn valuable case mix points, which means morereimbursement for your agency. But how these points are calculated isn't always straightforward. Get the background you need [...]
Here are the seven categories you should track to get the NRS payment you deserve. Nonroutine Medical Supplies can earn valuable case mix points, which means more reimbursement for your agency. But how these points are calculated isn't always straightforward. [...]
Mind your sequencing to get all the case mix points you're entitled to. Under the prospective payment system, sequencing impacts the number of nonroutine supplies points you'll earn for reporting diagnoses in the seven selected case mix categories. When a [...]
Proper sequencing can boost your reimbursement. If you're confused about how to calculate non routine supply (NRS) points, you're not alone. Use this handy tool to determine which diagnoses impact NRS to be sure you're getting the full reimbursement you're [...]
Medicare isn't a big fan of reimbursing tetanus vaccines, but there are exceptions. Think getting Medicare to pay for tetanus shots is like taking a shot in the dark? The medical necessity for providing a tetanus shot can unlock coverage. [...]
Don't forget add-on codes for non-Medicare carriersAs an experienced anesthesia coder, you know that Medicare doesn't reimburse for qualifying circumstances codes 99100-99140. But don't overlook this chance for additional reimbursement--and more accurate claims--when your anesthesia provider's service is "above and beyond" [...]
