In CMS
Aug 17th, 2018
If you’re interested to learn more about the 2019 Medicare Physician Fee Schedule Proposed Rule, you’ll get your chance on Monday, August 27. The Centers for Medicare & Medicaid Services (CMS) will host a webinar that day, from 2:00-3:30 p.m. (Eastern time). The planned overview of the 2019 Medicare Physician Fee Schedule Proposed Rule will ...
In Audit
Aug 16th, 2018
Improper payments stem from noncompliance. Hospitals do not always comply with Medicare requirements for reporting cochlear devices replaced without cost, according to a report issued by the Office of Inspector General (OIG). The U.S. Department of Health and Human Services branch office, charged with protecting program integrity, bases its conclusion on prior compliance reviews in which it identif...
In Coding
Aug 9th, 2018
Improve your claims payment success rate by understanding bundling and add-on code rules. Electrophysiology studies and arrhythmia ablation can be tricky to report due to the number of bundled and add-on codes. Here’s a step-by-step approach to coding these medical procedures with confidence. The Value of EP Studies Electrophysiology (EP) studies are used to both diagnose ...
In Audit
Aug 9th, 2018
Create a policy that addresses gray areas, optimizes results, and refines documentation. Performing internal provider documentation audits with follow-up education is a very important piece of a corporate compliance plan. The goal is to improve compliance with healthcare regulations, but the process also shows providers you are a valuable resource and improves the coder/provider relationship ...
In Coding
Aug 9th, 2018
From ICD-10-CM to CPT® to HCPCS Level II, capture correct codes in your CLL claims. Chronic lymphocytic leukemia (CLL), reported using ICD-10-CM code C91.10 Chronic lymphocytic leukemia of B-cell type not having achieved remission, is the most common type of adult leukemia in the western world. Here’s what you should know to properly code the ...