In one case, a criminal deposited fraudulent checks after pleading guilty. If you’re wondering why states are cracking down on Medicaid fraud, look no further than a case in Minnesota. Attorney General Keith Ellison has charged five persons linked to [...]
The crackdown on overtime pay violations continues. Case #1: The U.S. Department of Labor has recovered nearly $138,000 in back wages and damages from a Lubbock, Texas home care provider. Lubbock Essential Home Health Care Inc., operating as Essential Home [...]
Another year, another blow to home health agency payment levels. Home health agencies may be experiencing death by a thousand cuts, as shown in the latest Medicare rate update. The third year of the Centers for Medicare & Medicaid Services’ [...]
You’ll need more details for foreign body removal under ICD-10. It’s not unusual for you to need to check chart specifics with a surgeon’s office because your anesthesia provider didn’t get all the necessary details for coding a procedure. That [...]
You’ll need more details for foreign body removal under ICD-10. It’s not unusual for you to need to check chart specifics with a surgeon’s office because your anesthesia provider didn’t get all the necessary details for coding a procedure. That [...]
Foreign body coding gets specific. When your surgeon removes a foreign body from the digestive tract and doesn’t specify the site (such as stomach or colon), you have just one code choice in ICD-9. But you’ll need to know [...]
Check out these errors -- and how to steer clear of them. When you think of MACs auditing "high-dollar payments," you're probably envisioning reviews of surgical claims or lengthy hospital visits. But a recent OIG audit revealed something different altogether -- a smattering [...]
Surprise: New changes could actually make life easier for providersGetting in the loop on revisions to the Medicare claims appeals process is relatively painless - and could help save time and money.Provisions in the Medicare Modernization Act (42 U.S.C. 1395ff) [...]
Question: One of our radiologists sent me an x-ray report for a 21-month-old child. The report read, "X-ray performed due to suspicion that the child swallowed something. No foreign body was found. Normal chest x-ray." Should I report 938 as [...]
