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First, Paula Digby shares with the “Insiders” about the process of reporting a suspected issue, including a “story from the road” that may make you cringe. During Episode 115, Ms Digby replies to Anonymous, who wants to know the best way to correct when you realize you’ve been incorrect billing a service. Congratulations to Rebecca […]
Before Episode 114 begins, Paula Digby shares with the “Insiders” about vaccines and how to report them. During the episode, Ms Digby explains why lab values aren’t enough to report specific diagnoses, such as diabetes mellitus. The second query refers to a question from Episode 111 about pressure injury and POA. The final scenario concerns […]
Before Episode 113 begins, Heather Bryans shares with the “Insiders” about autism and how to report the various diagnoses in that category. During the episode, Ms Bryans answers all anonymous questions, beginning with how to utilize Modifier -22 for lysis of adhesions. Another person asks about reporting post-COVID syndrome in ICD-10. The final query is […]
On April 7, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for facilities under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2022. CMS is publishing this proposed rule consistent with the […]
Ms Digby begins the “Insiders” portion by telling of her own experience with a traumatic brain injury. She refers to this resource and discusses aspects of brain injuries. First, we speak to how much documentation is required to report a particular diagnosis as chief complaint, is prescribing medication sufficient? In some practices, several meds are […]
During the “Insiders” portion, Ms Digby discusses sleep disorders. She refers to this document. As the call begins, our first question concerns pressure injuries that progress to pressure ulcers during the inpatient stay and the necessary physician documentation for correct reporting. Next, Ms Digby addressed whether a Nurse Practitioner can perform and bill for physical […]
During the “Insiders” portion, Ms Digby tells about chronic kidney disease. During the regular session she completes those ideas providing coding options for various documentation details. Next, she addresses whether Modifier -95 must be used on all telehealth video visits or is it only for Medicare and Medicaid? Another questioner wonders about the potential for […]
During the “Insiders” portion, Ms Heather Bryans tells why Valentine’s Day is associated with the heart and explains how to correctly report CAD and Heart Failure. Our first question is from a Rural Health Clinic, where Sandy wonders about billing for venipuncture to commercial insurance payers. Ramona asks for clarification on selecting the Impairment Group […]
