Feb 3rd, 2023
After 12 PHE declaration renewals, the feds’ wind-down will drop a significant workload on providers. The Biden administration has been signaling the end of the COVID-19 public health emergency (PHE) since late last summer, but now there’s a concrete end date — which means you need to start preparing for it immediately. In an August ...
Jul 6th, 2022
Check updated survey memo to ensure your facility is working in compliance. With the COVID-19 public health emergency (PHE) fully into its third year, providers have been wondering about their ongoing responsibilities for emergency preparedness (EP) testing. Now they have an answer. How Often to Providers Have to Conduct EP Testing? In a final rule ...
In Coding
Feb 19th, 2020
Comments Off on 7 Top Tips for Mastering ICD-10-CM 7th Characters
Diagnosis coding brings the unique challenge of knowing when to use a 7th character on your ICD-10-CM code and then determining which character applies. These tips will help you refine your diagnosis coding skills.  Tip 1: Don’t Ignore 7th Character Requirements  If ICD-10-CM indicates a code requires a 7th character, you must report a seven-character code. Payers will not ...
In Coding
Dec 5th, 2019
Comments Off on Translate CPT® 2020 Tissue Grafting Code Descriptors for Accurate Claims
“Other” tissue graft code 20926 turned into a sort of catch-all code over the years, but that will change with the  CPT® 2020 code set. On Jan. 1, 2020, you’ll have five new medical codes to use in place of 20926. Be ready with these helpful pointers. Look at 15769–15774 Instead of 20926 In the CPT® 2019 code set, ...
In Audit
Nov 21st, 2019
Comments Off on Meet the Latest Modifier-Related RAC Topics
You may know that medical coding modifiers can affect payment and bundling rules for your claims, but did you know modifiers are on the radar for Recovery Audit Contractors (RACs), too? Here are some of the recently added audit issues that have links to modifier use. Quick background: Medicare’s RAC program is used to identify and correct improper Medicare payments. RACs review ...