Trip hazards are all around us. In the business of healthcare, we are a focus for multiple review agencies as well as the patients we serve. Even a little stumble could cause big ramifications. Are you concerned about tripping and falling into a challenging compliance situation? Join us as we bring insight into the top […]
This final rule updates policies affecting the calculation of payment rates and includes misvalued codes. It also adds services to the telehealth list including a third temporary category for services added under the PHE, as well as certain other revisions to telehealth services. It also addresses direct supervision as it relates to interactive technology, payment […]
The American Medical Association (AMA) today announced that the Current Procedural Terminology (CPT®) code set is being updated by the CPT Editorial Panel to include immunization and administration codes that are unique to the COVID-19 vaccine under development by AstraZeneca and University of Oxford. The new CPT codes will be effective for use on the […]
The field of Healthcare is forever is transforming, it seems like there is always a new approach to a procedure that provides less risk to patients, or new technology that is improving healthcare outcomes, or new ideas on how healthcare can continue to grow and improve lives. Those of us that work in medical coding […]
The Oxford Learners Dictionary defines a quantum leap as “a sudden, great and important change, improvement or development” and that describes exactly what is happening to the E&M code set in 2021 it is undergoing a huge, important transformative change meant to help make E/M office visit coding and documentation both simpler and more flexible. […]
Coding for Chemotherapy and Oncology Services has long been a challenging area for many coders nationwide. This seemingly universal struggle is due a variety of issues including the vast instructional notes related to the codes, the hierarchy rules – which can be hard to get a clear grasp on, and of course payer-specific policies. When […]
October 1 marks the official implementation date for the 2021 ICD-10-CM changes! Are you ready? Listen in as we discuss the over 500 changes to the guidelines and code set. Learn how implementing the changes could impact DRG assignment for inpatient encounters, the additional codes provided for consideration for outpatient coding, and the latest official […]
CMS issued a proposed rule on August 3, 2020, on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. This document is scheduled for publication in the Federal Register on August 17, 2020 Background on the Physician Fee Schedule Since […]
CMS issued the annual update for the Inpatient Rehabilitation Facility Prospective Payment System on August 4, 2020. This final rule also includes making permanent the regulatory change to eliminate the requirement for physicians to conduct a post admission visit since much of the information is included in the pre-admission screening documentation. This flexibility was offered […]