Nov 1st, 2018
Learn what’s in store for facilities billing under the Home Health Prospective Payment System in the coming years. For 2019, the Centers for Medicare & Medicaid Services (CMS) will recalibrate scores for the case-mix adjustment variables, clinical and functional thresholds, payment regression model, and case-mix weights using 2017 claims data. The 2019 market basket update ...
In ICD-10
Oct 9th, 2018
October is here and it’s the month of spooks, vampires, witches, and werewolves. With the celebration of Halloween, here are some ICD-10 codes you may see this season. Ghosts Did you just hear something creepy or is your mind playing tricks on you? If a ghost whispers in your ear or you see a headless specter, there is a code ...
In Audit
Oct 2nd, 2018
If you are a particularly observant medical coder, you’ve probably noticed that many codes identified as deleted were actually promoted to new roles. Nearly 50 codes were revamped to become parent codes of more specific codes,and it’s causing some confusion because some electronic coding systems mark them as deleted AND new. Same Codes Marked as Deleted/New Take ...
In Billing
Oct 1st, 2018
If you’re one of the medical coders who has been looking forward to perusing the 2019 GEMs files, you’re going to be pretty disappointed. The GEMs files have seen their day. GEMs Sunset Planned The GEMs file was developed as a crosswalk between ICD-9-CM and ICD-10-CM during preparation for ICD-10-CM’s implementation. Used by many as ...
In Billing
Jul 25th, 2018
Medical coders are at the front line of the fight to stop human trafficking with new ICD-10-CM codes effective October 1. And the American Hospital Association (AHA) is encouraging medical coders to identify signs in the documentation and use the new codes. Trafficking Terms in Documentation The AHA believes providers see victims of human trafficking ...