Injury to blood vessels of head and neck (900)

Find out how to code related conditions. Bacterial pneumonia is the most common type of pneumonia, but figuring out which ICD-10-CM code to report can be tricky for even the most seasoned pulmonology coders. Revenue Cycle Insider examined the ICD-10-CM [...]

Prescription fraud, E/M upcoding, and more factor in latest settlements. You might have noticed that the feds seem to be ramping up their midyear fraud enforcement activity. In fact, June was a particularly busy month with more than 35 civil [...]

Prescription fraud, E/M upcoding, and more factor in latest settlements. You might have noticed that the feds seem to be ramping up their midyear fraud enforcement activity. In fact, June was a particularly busy month with more than 35 civil [...]

Scaled-back cut won’t stave off access problems, industry reps warn. A meager 0.8 percent reimbursement rate increase for home health services next year spells bad news for both home health agencies and their patients, even if it is a bit [...]

Maryland and Virginia may be just the beginning. Two more veteran nonprofit hospices are combining forces, this time in the Mid-Atlantic region. Maryland-based Montgomery Hospice & Prince George’s Hospice and Virginia-based Blue Ridge Hospice plan to affiliate, creating “a new [...]

Quit moving the Value-Based Purchasing goalposts, commenters tell CMS. Many home health agencies are just starting to get their feet under them when it comes to Value-Based Purchasing, and the last thing they need is for Medicare to shift the [...]

From CAHPS issues to surveyor shortfalls, serious faults dog the program — and could close hospices’ doors. From CAHPS data to surveyor inconsistencies to fraud confusion, Medicare’s proposed Special Focus Program for applying more scrutiny to poor-performing hospices will do [...]

Public feedback amount fluctuates significantly. Just how much Medicare officials will listen to home health providers’ pleas may rest, at least in part, on the number of folks who are speaking up. This year, the Centers for Medicare & Medicaid [...]

Appropriations act passed on the night before Christmas Eve. Home health agencies are getting both presents and lumps of coal in the $1.7 trillion omnibus spending bill that averts a government shutdown. The House passed the Consolidated Appropri­ations Act, 2023, [...]

Expect more equity-centered policies going forward. The pandemic revealed that many of the most vulnerable patients lack access to affordable healthcare. The feds want to reverse that trend and help beneficiaries by bolstering their value-based initiatives — and that starts [...]