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 ...
In Billing
Dec 11th, 2018
Effective March 16, 2018, Medicare will cover diagnostic laboratory tests using next generation sequencing (NGS) when ordered by a treating physician and performed in a Clinical Laboratory Improvement Amendments (CLIA) certified lab. Other specific requirements also must be met. The Centers for Medicare & Medicaid Services (CMS) revised the national coverage determination for NGS (NCD ...
Diagnosis code choice relies on a thorough understanding of the four classifications of abnormal cell growth severity. The good news about cancer coding is that it is generally straightforward. If you can familiarize yourself with a few key pathology words, you’ll be headed in the right direction. Stages of Cancer Cancer is not a disease ...
In CMS
Mar 14th, 2018
We’ve seen a surge of Department of Justice (DOJ) takedowns of doctors who committed prescription fraud and abuse of opioid drugs. As prescription opioid addiction grows, so does the crackdown on abuse of federal dollars funding physicians who are feeding patient addiction. On March 9, 63-year-old Jerrold N. Rosenberg, MD, of Rhode Island was sentenced ...
Familiarity with this body part can serve you well in more ways than one. January being Thyroid Awareness Month, let’s take a few minutes to consider what can go wrong with this body part, and how to know when it’s time to see your physician. Naturally, we’ll throw in a little coding, too. Get to ...