This week's Medicare updates include a Quality Payment Program proposed rule; new guidance for formatting plans of correction; clarification regarding Conditions for Coverage for End Stage Renal Disease facilities; and more!
In ICD-10-CM, defining, diagnosing, and documenting the various forms of altered mental status and their underlying causes remains an ongoing challenge for physicians and their facilities.
Technology has transformed HIM. Today, challenges in the HIM department include EHRs, alphanumerical codes, quality metrics, and technology devices like scanners.
With healthcare billing growing in complexity each year, healthcare organizations must take extra steps to maximize reimbursement and maintain compliance.
Medicare Advantage beneficiaries often see greater racial disparity than traditional Medicare patients where readmissions are concerned, according to a recent Health Affairs study.
We have trouble billing multiple units of injections and infusions—mostly CPT add-on codes 96375 (injection, each additional sequential intravenous push of a new substance/drug) and 96376 (injection, each additional sequential intravenous push of the same substance/drug provided in a facility)—that are done during observation stays and exceed the medically unlikely edits number. What is the correct way to bill these and get paid?
This month's security Q&A answers readers' questions about accounting of disclosures, providing information to marketing departments, unencrypted emails, and terminating BAAs.
The release of the Quality Payment Program proposed rule introduced virtual groups as a way to reduce burden on small practices and clinicians. While the MACRA legislation laid out the initial concept of virtual groups, this proposed rule revealed many more details about how virtual groups will function.
Q: When multiple procedures are performed, is it appropriate to charge an additional set-up fee? For example, a facility performs a colonoscopy and an esophagogastroduodenoscopy, which took a total of 20 minutes in the procedure room. The facility charged two set-up fees plus an additional five minutes of OR time. Would this be considered a duplicate charge?
State-sponsored hackers may be planning to exploit multiple Microsoft vulnerabilities to launch large-scale attacks against healthcare organizations, HHS warned.
The ED will soon no longer serve as the welcome mat for the community because the role of the entire hospital in the continuum of healthcare services is going through rapid transformation.
