Make Your Revenue Smarter - Medical Reimbursement Education - Page 29

CMS Inpatient Only List CY2021

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The CMS Inpatient Only List is published in the Outpatient Prospective Payment System (OPPS) Final Rule as Addendum E. 2021 NFRM OPPS Addenda  (zip files, look for Addendum E) The specific set of items removed from this list are found here: Services Removed from the Inpatient Only (IPO) List for CY 2021 (zip file)

COVID Vaccines and MMA COVID-19 Infusion Program

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Medicare Part B Payment for COVID-19 Vaccines and Certain Monoclonal Antibodies during the Public Health Emergency are found at CMS in the drug pricing section. We link to it below.  CMS has released a set of toolkits for providers, states and insurers to help the health care system prepare and assist in swiftly administering these products once […]

CWTC [Episode 104] Documentation Concerns, Second Etiologic

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Paula Digby addresses two questions regarding physician documentation that doesn’t seem to make sense to the coder in Episode 104. An anonymous asker is concerned about using I96 as a second etiologic diagnosis for a patient in IGC 14.9 who had multiple trauma. Congratulations to Ashley for winning the “mugging” for this episode.     Dial […]

CWTC [Episode 103] MDM and Time in 2021, Is Obesity a Complication, Carpel Tunnel Revision Reporting

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In Episode 103, Ms Bryans speaks to Medical Decision Making and Time as components of the new E&M codes for 2021. She then explains “complication” and addresses whether obesity can be considered a complication of diabetes mellitus and then describes correct coding for an outpatient treated by a physician for carpal tunnel syndrome. Congratulations to […]

CWTC [Episode 102] Covid Test Reimbursement, Poorly Controlled Diabetes, Left Heart Cath FFR

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  Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee […]

CWTC [Episode 101] Conflicting Physician Diagnoses, What Happened to T07, Deconditioning as Diagnosis in IRF

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  Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee […]

CWTC [Episode 100] Signatures and Chiropractor Capabilities

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  Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee […]

CWTC [Episode 99] Stroke Deficits, Disuse Myopathy, Aftercare for Stoma

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Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee with […]

CWTC [Episode 98] Obs After Surgery, Order Plus POC, Selecting the PDx

On , in CWTC, by AQ-IQ LLC

Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee with […]