In Billing
Nov 15th, 2019
Beginning Jan. 1, 2021, all U.S. hospitals will be required to disclose standard charges for items and services offered to patients. Although many hospitals do this already, the Centers for Medicare & Medicaid Services (CMS) finalized Nov. 15 polices that will require hospitals to be more accountable of the prices they charge and more forthcoming ...
In Coding
Oct 31st, 2019
Help physicians and patients understand exactly what it all means. One of the most asked questions coders get from patients at an orthopedic practice is: “Why is there a surgical code on my bill for an office visit?” It’s a valid question coming from a patient who was seen in the clinic, treated for a ...
In CMS
Oct 24th, 2019
A movement toward increased transparency about abuse and neglect will further help to ensure nursing home quality and safety. Earlier this month the Centers for Medicare & Medicaid Services (CMS) announced a significant enhancement of the information available to nursing home residents, families, and caregivers on the Agency’s Nursing Home Compare website. Beginning Oct. 23, ...
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 ...