Oct 10th, 2019
CMS moves to empower patients to be more active participants in the discharge planning process. A final rule revises and implements discharge planning requirements that hospitals, critical access hospitals (CAHs), and home health agencies (HHAs) must meet as a condition of participation (CoP) in the Medicare and Medicaid programs. These facilities have until Nov. 29, ...
In Coding
Oct 9th, 2019
Part 2: Strengthen your ICD-10-PCS coding for lumbar spinal fusion procedures. Coding spinal fusion in an outpatient or ambulatory surgery center (ASC) setting with CPT® is very different than coding spinal fusion in the inpatient setting with ICD-10-PCS. For example, as illustrated in Figure 1, CPT® divides the spine into three columns: Anterior (anterior two-thirds ...
In Billing
Sep 26th, 2019
When calculating an evaluation and management (E/M) level or auditing an E/M service, every Medicare Administrative Contractor (MAC) has always had the points assigned for a new problem under the Number of Diagnoses or Treatment Options based on a new problem to the examiner. This means that, although a problem may be established for a ...
In CMS
Sep 9th, 2019
The goals of value-based programs are to boost quality of care, promote health, and lower healthcare costs. The Centers for Medicare & Medicaid Services (CMS) is on a constant mission to transform the delivery of healthcare and how they reimburse healthcare providers. Former President Barack Obama’s healthcare law and subsequent legislation, such as the Medicare ...
Sep 6th, 2019
Part 1: Proper payment starts with understanding lumbar spinal fusion anatomy and procedures to better code them in the facility setting. Spinal fusion (arthrodesis) procedures are performed every day around the world. Coding spinal fusion in an outpatient or ambulatory surgery center (ASC) setting with CPT® is an entirely different animal than in the inpatient ...