In CMS
Nov 20th, 2018
Monumental changes to Medicare policy finalized in the 2019 Physician Fee Schedule (PFS) final rule warranted a Centers for Medicare & Medicaid Services (CMS) national call, held Nov. 19. Here’s a summary of what you may have missed. First Up: Evaluation and Management Services CMS started out with an explanation of the Patients Over Paperwork ...
When it comes to diagnosis coding, make the Table of Drugs and Chemicals your best friend. The diagnosis codes on a claim should tell the story of the patient’s encounter at a healthcare setting with a provider. Telling the story becomes more complicated when there are definitions and sequencing involved, as is the case with ...
Here is what you need to know to avoid obsolete coding practices. Over the past few years, CPT® coding for spinal surgical procedures has changed significantly. Have you kept pace? Let’s double-check to make sure you’re still reporting correctly. Fusion Levels When it comes to counting fusion levels, it helps to remember the “cream filling” ...
Here is what you need to know about recent changes that will help you differentiate the two. The past few years have brought changes in CPT® and HCPCS Level II coding for presumptive toxicology screenings (screens) and definitive confirmations (confirms). Here’s what providers, billers, coders, and auditors need to know about these developments. Research and ...
Know CPT® critical care criteria and communicate the documentation rules to providers. Critical care services must meet specific criteria, per CPT® guidelines. But providers don’t necessarily define critical care in the same way CPT® does, and neither will they automatically document to support coding. Coders can help providers by communicating three documentation requirements for reporting ...