This open and expandable procedural code set is nothing to be intimidated by. When outpatient coders talk about ICD-10, they typically mean the ICD-10-CM (diagnosis) code set. But there’s another ICD-10 code set: ICD-10-PCS. If you’re unfamiliar, here’s an introduction. PCS Describes Inpatient Procedures The ICD-10-PCS code set is used to code inpatient procedures; PCS ...
Adhere to the Medicare requirements and bundling rules for SNF coverage payment. If you don’t work in a skilled nursing facility (SNF), you may not understand how SNF consolidated billing (CB) affects you. The way you answer the following two questions may help you to see the connection: Have you ever had a Medicare patient ...
In CMS
Dec 5th, 2018
U.S. hospitals that are putting quality over quantity will fare well next year for their efforts. Out of  approximately 2,800 hospitals across the country, more than 1,550 will see an increase in their 2019 Medicare payments. For the rest? Well, the news isn’t so good. Where Does the Money Come From? The Centers for Medicare ...
Secure hospital revenue integrity by implementing best practices for compliant charge capture. When billing hospital services, it’s important to know the fundamental elements of the Charge Description Master (CDM). Here’s guidance to ensure your CDM is correct and compliant to keep your hospital’s financial livelihood strong. Recognize CDM Functionality CDM, commonly referred to as the ...
In Billing
Nov 15th, 2018
The Centers for Medicare & Medicaid Services (CMS) issued several blanket waivers, Nov. 13, for those who are evacuated, transferred, or otherwise displaced as a result of  the California wildfires. These waivers are retroactive to Nov. 8, and allow healthcare providers to continue caring for Medicare patients affected by the emergency without having to apply ...