2019 was my first AAPC National Conference since 2008. Although there were many big changes since 2008, a few major differences I noticed particularly were that the size of attendance has quadrupled, and the education quality, as well as the food quality has gone up. One of the coolest additions to HEALTHCON since I first ...
In Billing
Apr 26th, 2019
Clinical diagnostic laboratories that fulfilled orders for targeted genomic sequence analysis panel CPT code 81455 between March 16, 2018, and March 31, 2018, may need to resubmit these claims to Medicare. Some claims may have been denied due to non-coverage for the given diagnosis. However, since the Centers for Medicare & Medicaid Services (CMS) announced ...
In Coding
Mar 4th, 2019
Maintain appropriate documentation and reporting for this valuable tumor treatment option. A recent Office of Inspector General (OIG) review found $25.8 million in hospital overpayments for intensity modulated radiation therapy (IMRT) planning, which suggests a need for greater education around reporting of these services. This article will provide insight into what IMRT is, its uses, ...
Feb 13th, 2019
Every year, there are reports of measles outbreaks among children who have not been vaccinated, and it can be fatal. “While death rates have been falling worldwide as more children receive the measles vaccine, the disease still kills more than 100,000 people a year, most under the age of 5,” according to Mayo Clinic. Here is ...
Know the lingo, sequencing, and progression to capture the correct condition codes. Diagnostic coding for neoplasms — especially malignant neoplasms — affects not only provider payment, but (more significantly) patient outcomes and healthcare priorities. The National Cancer Institute estimated that in 2018 more than 1.7 million new cases of cancer would be diagnosed in the ...