Nov 1st, 2018
Learn what’s in store for facilities billing under the Home Health Prospective Payment System in the coming years. For 2019, the Centers for Medicare & Medicaid Services (CMS) will recalibrate scores for the case-mix adjustment variables, clinical and functional thresholds, payment regression model, and case-mix weights using 2017 claims data. The 2019 market basket update ...
In Billing
Oct 23rd, 2018
An important update has been made to the Medicare National Coverage Determinations (NCD) Manual regarding coverage of magnetic resonance imaging (MRI) for patients with certain implantable cardiac devices. In a National Coverage Analysis (NCA), the Centers for Medicare & Medicaid Services (CMS) determined there is sufficient evidence to conclude MRI for patients with certain implantable ...
In Coding
Oct 22nd, 2018
As we all just implemented ICD-10 changes for 2019, ICD-11 is being worked on. Don’t worry, it is not going to be implemented next year, but it is being planned for some time after 2022, which is actually not very far away. We will have just gotten used to ICD-10 when we will have to start ...
In Billing
Oct 19th, 2018
A beginner’s guide to claims code editing logic. The U.S. healthcare system is highly complicated and extremely expensive. There are many layers between the provider of medical services and the payment for those services. This overly complex system leads to inefficiencies resulting in incorrectly paid claims and the need to spend even more time and ...
In ICD-10
Oct 9th, 2018
October is here and it’s the month of spooks, vampires, witches, and werewolves. With the celebration of Halloween, here are some ICD-10 codes you may see this season. Ghosts Did you just hear something creepy or is your mind playing tricks on you? If a ghost whispers in your ear or you see a headless specter, there is a code ...