Question: We performed the following services: Dexamethsone: 10:03-10:20 Benadryl®: 10:25-10:40 ULTOMIRIS®: 11:13 – 11:57 3300mg We split the claim to Medicare as the drug charge is in excess of $99,999. However, we are getting an N522 denial as the drug [...]
Tip: Keep track of your Provider Relief Funds and CAAPs. Over the last year, the neverending stream of COVID-19-inspired regulatory rollbacks and provider funding programs have caused mass confusion across the board. Some have used that uncertainty to their advantage [...]
If you received Provider Relief Funds, make sure you know these updates. The Department of Health and Human Services (HHS) released guidance for various coronavirus relief funds — and the specificity of certain aspects may come as a surprise. Make [...]
Warning: You may have to pay back funds. If you’ve been patiently awaiting the reporting guidelines for Provider Relief Fund (PRF) payments that the Department of Health and Human Services (HHS) promised ages ago, you’re in luck. However, the updated [...]
Where do you fall under HHS' newly issued guidance? You may not know what you think you know about Provider Relief Fund reporting, thanks to the much-delayed arrival of specific guidelines from the Department of Health and Human Services. Old [...]
Follow these instructions when entering dash values for items Whether you’re new to MDS coding, or just need a refresher, here are a handful of fundamental coding rules from the RAI Manual (pages 3-3 through 3-5) that you should always [...]
Shell out $3285 as cost for providing MOON, and more. If you have been anxious about the roll out of the Medicare Outpatient Observation Notice (MOON), you may breathe a sigh of relief, at least till October. In a turn [...]
Ready or not, ICD-10 testing is here. Your MAC will allow you to submit test claims using ICD-10 codes on them from March 3 to March 7 if you’ve registered to participate. Here’s what you need to know about the [...]
Question: Our patient has an implanted port with a localized Staphylococcus aureus infection that is resistant to penicillin and bacitracin. How should we code for her? California Answer: Currently, you would list the following codes for this patient: 999.33 (Local [...]
Question: Our patient has an implanted port with a localized Staphylococcus aureus infection that is resistant to penicillin and bacitracin. How should we code for her? Answer: List the following codes for this patient: M1020a: 999.33 (Local infection due to [...]
