Feb 26th, 2020
On Dec. 31, 2019, as many of us here in the U.S. were celebrating New Year’s Eve, a pandemic quietly began in the Chinese province of Hubei. First identified in Wuhan, the provincial capital, coronavirus (more accurately known as COVID-19 or 2019-nCoV) has spread rapidly in the two ensuing months, resulting in infections, and even ...
In Coding
Feb 11th, 2020
Lobar pneumonia references a form of pneumonia that affects a specific lobe or lobes of the lung. This is a bacterial pneumonia and is most commonly community acquired. Antibiotics are almost always necessary to clear this type of pneumonia. The antibiotic is chosen based on the causative organism identified or suspected. This type of pneumonia ...
In Billing
Jan 22nd, 2020
Chronic low back pain (cLBP) is traditionally treated with both pharmacologic (opioids) and non-pharmacologic (therapy) medicine. Acupuncture has long been considered by some a safer, more effective alternative to conventional therapies. Last year, the Centers for Medicare & Medicaid Services (CMS) opened a national coverage analysis (NCA) on the benefits of acupuncture for managing cLBP. ...
In Billing
Jan 21st, 2020
New patient evaluation and management (E/M) claims are being denied when the patient was previously seen by a specialty physician assistant or specialty nurse practitioner on staff. This is happening when another provider of a different specialty in the same multi-specialty group sees the patient for the first time and bills a new patient E/M ...
In Audit
Jan 3rd, 2020
Coding initial hospital care became more challenging after Medicare stopped paying for inpatient consult codes several years ago — but that can’t be the only factor driving the startling error rates for evaluation and management (E/M) codes 99223 and 99214. In the report “2019 Medicare Fee-for-Service Supplemental Improper Payment Data,” the Centers for Medicare & ...