In Coding
Mar 8th, 2018
On World Kidney Day, March 8, take a moment to refresh your understanding of chronic kidney disease (CKD) and how to properly code this unfortunate diagnosis. One in seven Americans has CKD — more women than men: CKD affects 16 percent of women and 13 percent of men, according to the National Institute of Diabetes and ...
In Coding
Feb 18th, 2015
By: Gouri Pathare MBBS, CPC Kidney transplantation is a treatment option for most patients with End Stage Renal Disease (ESRD). The procedure may be deceased-donor (cadaveric) or living-donor transplantation. Living-donor renal transplants may be genetically related (living-related) or non-related (living-unrelated) transplants. Diabetes mellitus, hypertension, cystic kidney disease, urologic cond...
In Audit
Jun 1st, 2012
The Centers for Medicare & Medicaid Services (CMS) has posted on its website the MLN Quarterly Provider Compliance Newsletter for April. The top billing errors for this month, detected by Comprehensive Error Rate Testing (CERT) and recovery auditors, all pertain to inpatient hospitals. Three-day Rule At the top of the list is a CERT finding ...
In Coding
Oct 1st, 2010
The U.S. Food and Drug Administration (FDA) approved Krystexxa (pegloticase) Sept. 14 to treat the painful condition known as gout in adults who do not respond to or who cannot tolerate conventional therapy. Gout, which falls under ICD-9-CM diagnosis code 274.x, occurs due to an excess of the bodily waste uric acid, which is eventually ...
In Audit
Oct 1st, 2010
The Centers for Medicare & Medicaid Services (CMS) recently released two special edition MLN Matters articles that disseminate high dollar improper payment and coding vulnerabilities identified during the Recovery Audit Contractor (RAC) demonstration. With the expansion of the RAC program and the initiation of complex medical necessity review in all four RAC regions, inpatient hospitals ...