Make Your Revenue Smarter - Medical Reimbursement Education - Page 22

CWTC [Episode 142] IGC Selection, Blue Cap Booster Reporting, Multiple Hernia Repair via One Access Point

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Congratulations Denise for winning today’s “mugging”! We appreciate your support! Coffee with the Coder® loves your questions.  To watch episode 142,… Please log in to view this content.

CWTC [Episode 141] Questionnaires as Part of EM Level, Billing Locum

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During the “Insiders” portion of Episode 141, Paula Digby explains why Z28.310 (unvaccinated for COVID-19) may be giving your provider… Please log in to view this content.

IPPS and LTCH Proposed Rule FY2023

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On April 18, 2022 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1771-P) that provides updates to the fiscal year (FY) 2023 Long-Term Care Hospital Quality Reporting Program (LTCH QRP). This rule includes three Requests for Information (RFI) which include: future measure concepts for the LTCH QRP; inclusion of the new […]

Webinar “Collecting the Clues to Support Medical Necessity for Sepsis” Thursday, June 2nd

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Sepsis, the Conundrum that keeps on giving! Are you experiencing denials or frustrations with payers related to protocols and medical necessity for your sepsis admissions?  Listen in as the coder and clinical consultant discuss the recent challenges  and solutions related to sepsis reporting. Part 2 will focus on admission protocols, denials and appeals. Our goals […]

CWTC [Episode 140] Reporting Autism, Sequencing for Etiologic, Uncertain Dx for IRF PAI and UB

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During the “Insiders” portion of Episode 140, Paula Digby describes CPT modifiers affecting the payment for that service. Nancy asked… Please log in to view this content.

Listen to “Coffee with the Coder” on Monday

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The next episode of our audio blog “Coffee with the Coder®” is coming soon. CWTC features expert coders answering interesting (or popular) questions. Designed to take less time than a coffee break, CWTC is the conference call you don’t want to miss. And it’s FREE to listen. (717) 908 1834 access code 772888# or find […]

CWTC [Episode 139] Office Visit by Two Providers, Guillain-Barre on IRF PAI and UB, and PT Under Direction of NP

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Paula Digby tells the “Insiders” during Episode 139 about the opioid crisis, which she calls “pandemic” because of its inpacted.… Please log in to view this content.

March 2022 New COVID Codes

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On March 29, 2022, the FDA amended the Moderna COVID-19 vaccine emergency use authorization (PDF), including new packaging for vaccine boosters (blue cap). CMS issued new codes, effective March 29, 2022, for the vaccine booster and administration: Code: 91309 Long descriptor: Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, […]

IRF PPS Proposed Rule FY2023

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For FY 2023, CMS is proposing to update the IRF PPS payment rates based on the proposed IRF market basket update less a productivity adjustment. CMS is proposing a permanent cap on year-to-year wage index decreases. Additionally, CMS is soliciting comments on the methodology used to update the IRF facility level adjustments (specifically, the rural, […]