Tip: Prove medical necessity rather than preventive service. If you have been puzzling over whether or not Medicare reimburses tetanus shots, you are not alone. Here’s the lowdown on when you can expect to be paid and when your claim [...]
Question: What ICD-10 codes would you assign to the following case? Hx. of present illness. This is a 52-year-old man who was involved in an interpersonal altercation about 1:30 AM this morning. He was presented to the ED with complaints [...]
Get familiar with Medicare’s rules from medical necessity to choice of products. You could sit on the phone with your MAC for hours trying to determine how to collect for administering a tetanus shot, or you could simply ask one [...]
The White House hasn’t necessarily developed all the details of its plan, but its overall vision for Medicaid is clear. As the Deseret News of Salt Lake City reported Feb. 25: “The Bush administration told the nation’s governors Monday that [...]
To help ensure you select the right code for your patient’s wound, make sure to ask the following questions: Was the open wound a result of a trauma/injury? If so, you can report it as an open wound with a [...]
Overbilling Manual Therapy Claims Lands Maryland Woman in Prison Jacqueline Wheeler of Chevy Chase, Maryland, will have to pay $3.17 million in restitution, apart from serving a 75 month prison term for submitting "over 600 claims to D.C. Medicaid for [...]
Tally your score with the following three solutions.Determine whether you're ready for summer coding cases by checking your answers to our summer coding quiz on page 123 against these three solutions. You may also want to share this summer coding [...]
Get familiar with Medicare's rules from medical necessity to choice of products. Medicare's tetanus injection coverage riddle boils down to one issue: Is there an injury? Anticipate Coverage for Injury Treatment When the answer is, "Yes, the patient needed a [...]
Get familiar with Medicare's rules from medical necessity to choice of products. Medicare's tetanus injection coverage riddle boils down to one issue: Is there an injury? When administered as a preventive vaccine, Medicare does not cover a tetanus shot. However, [...]
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. [...]
