Besides having patients’ lives in their hands, clinicians must observe loads of rules and requirements. When it comes to directing the care of services performed by clinical staff (e.g., qualified healthcare professionals, ancillary staff, technicians, residents, fellows), it’s important to understand the levels of physician or non-physician practitioner (NPP) supervision required to satisfy billin...
Aug 1st, 2015
Part 2: Billing services incident-to the supervision of an NP or a PA. Several readers have questioned the accuracy of the Ask the Legal Advisory Board article “Don’t Let Incident-to Turn into ‘Incident-4’ Billing” (May, page 42). Their concerns are based on the Centers for Medicare & Medicaid Services’ (CMS) MLN Matters® SE0441  containing the ...
Jan 1st, 2013
By Denise Williams, RN, CPC-H CMS estimates an “overall” rate increase, but changes cost methodology. In the 2013 Outpatient Prospective Payment System (OPPS) final rule, the Centers for Medicare & Medicaid Services (CMS) bases payments on claims data submitted by hospital providers during 2011. CMS is changing the calculation based on median cost to geometric ...
In CMS
Apr 27th, 2012
The Centers for Medicare & Medicaid Services (CMS) has given preliminary approval to change the supervision requirement for 27 hospital outpatient therapeutic services from direct supervision to general supervision, effective July 1, reports AHA News. Most of the services deal with psychotherapy; the rest relate to bladder catheterization, immunization administration, and smoking and tobacco c...
Dec 1st, 2011
Learn ICD-10 obstetrics coding to help achieve a seamless transition from ICD-9. By Kerin Draak, MS, RN, WHNP-BC, CPC, CEMC, COBGC ICD-10 implementation will bring lots of changes to obstetrical coding. Coders and clinicians will need to work collaboratively to achieve a seamless transition from ICD-9. Detailed clinical documentation will allow coders to assign codes ...