This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2024. As required by statute, this final rule includes the classification and weighting factors for the IRF prospective payment system’s case-mix groups and a description of the methodologies and data used in computing the prospective payment rates […]
With the COVID 19 national public health emergency coming to an end on May 11th, some in the healthcare community are left wondering how this will affect us. With less than 2 months until the PHE expires it is important that we have a clear understanding of what will be changing, when the changes will […]
When a physician or physical therapist takes vacation or family leave a gap is present in his or her place. In some circumstances, CMS allows substitutions, called Locum Tenens, to fill the gap. A Locum temporarily fills in for another provider, helping to fill the gap left behind. While Locums are commonly used across the […]
Portions of ancient architectural structures remain to this day as a testament to firm foundations. Healthcare organizations need firm foundations to weather the storms of ever-changing reimbursement schemas. The risks to architectural wonders includes time and weather. The risks for Emergency Departments include charge-capture and documentation of services. Listen to this presentation to gain an […]
2023 will see the updating of the CPT code set to align with the changes made to the outpatient office E/M codes in 2021. Since the changes made to the code set in 2021 we have been eagerly awaiting these changes to the rest of the code set to provide some cohesion. Its officially here […]
Popular television shows recently have been home-makeover or renovation shows. They remain as beloved now as ever. They are fascinating to watch because the builders, architects and interior designers updating the homes don’t completely destroy or throw out what was already there– they update to make it more livable with new technology and streamlined designs. […]
Though HCCs were first introduced nearly 20 years ago in 2004 it is only recently that real importance has been placed on HCC Coding. HCC codes are used to establish patient-specific payments for the following year by CMS. It is critical that these codes are captured year-round; if we miss or incorrectly capture these codes, […]
Sepsis is a multifactorial disease that can originate from many pathways. It seems to cause considerable confusion amongst coders and often leads us to queries due to a lack of clear documentation. Its symptoms can go from bad to worse in a very short time. One of the areas which adds confusion for coders when […]
