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In what reads like a cheesy TV script, a McAllen-area, Texas physician is being charged of healthcare fraud and abuse by abusing patients and money laundering by the Department of Justice (DOJ) to the tune of $240 million. Jorge Zamora-Quesada faces a...
Here’s a summary of the changes for the July update to the 2018 Medicare Physician Fee Schedule Database (MPFSDB). Changes are effective for dates of service on and after July 1, 2018. Indicator Change for RHC and FQHC Care Management Codes For the fo...
It is expected that testing facilities will not routinely modify diagnostic test orders from the ordering physician. Although diagnostic test orders may conditionally request an additional diagnostic test, the conditional request must come from the or...
Colorectal cancer typically develops from colon polyps, which are abnormal growths of tissue (neoplasms). Most polyps are benign, but may become cancerous. When selecting an ICD-10 diagnosis code for polyp(s) of the colon, you will need to know the pr...
Starting Oct. 1, hospital discharges to hospice care qualify as a post-acute care transfer and may have payment adjustments for Medicare patients. According to the Centers for Medicare & Medicaid Services (CMS) Transmittal 2055, change request ...
When reporting echocardiography, you must be careful to differentiate complete (93306) vs. limited or follow-up studies (93308). Complete Study: 93306 Code 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mod...
A lot of people have been asking questions about how to code FESS surgeries with the new combination codes when three or four sinuses are operated on. Sinus and FESS We have been expecting an AMA CPT® Assistant article with guidance this year, but no ...
If you don’t think there is a need for more research on medicinal marijuana, just turn to Parkinson’s disease (PD) patients: cannabis gives them hope of subsiding tremors and alleviating dyskinesia. For example, there is Rochester, New York’s Frank D...
What is chikungunya, and how do you code it? Chikungunya is an alphavirus[1] transmitted to humans by the bite of an infected mosquito. The virus was first detected in Africa, Asia, Europe, and the Indian and Pacific Oceans. It entered the Caribbean ...
Twenty-three National Coverage Determinations (NCDs) for clinical diagnostic laboratory services have been updated to reflect the April 2018 quarterly release of the edit module for such services. ICD-10-CM codes in effect April 1 affect coverage for ...