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 […]
An archeologist will excavate a site to uncover artifacts and other remains that update what we know about the past. These newly discovered objects help expand our understanding of our past and provide a bigger picture. The yearly updates to the ICD-10 CM code set work in much the same way– new codes and guidelines […]
Unintentional injuries are the fourth most common cause of death in the US amongst all age groups and the number one cause of death in people of all genders and races for ages 1-44. In 2020 a total of 200,955 people died from unintentional injuries. The leading causes of death due to injury in the […]
CMS is releasing a new proposed rule protecting access to emergency care and additional outpatient services for people in rural communities. CMS is establishing the Conditions of Participation (CoPs) for Rural Emergency Hospitals (REHs). The proposed rule will allow small rural hospitals to seek this new health care provider designation and provide continued access to […]
This proposed rule would set forth routine updates to the Medicare home health and home infusion therapy services payment rates for calendar year (CY) 2023 in accordance with existing statutory and regulatory requirements. This proposed rule discusses home health utilization; proposes a methodology for determining the difference between assumed versus actual behavior change on estimated […]