This week's note from the instructor explores considerations chargemaster coordinators should make regarding routine services in general medical/surgical units, specialty/intensive care units, and incidental nursing or bedside procedure charges.
Q: When a diabetic patient has arteriosclerotic peripheral artery disease (PAD), should an additional ICD-10-CM code be assigned from subcategory I70.2- (atherosclerosis of native arteries of extremities) to describe the affected vessel and laterality?
This week's note from the instructor explores considerations chargemaster coordinators should make regarding routine services in general medical/surgical units, specialty/intensive care units, and incidental nursing or bedside procedure charges.
This week’s Medicare updates include a fact sheet on HIPAA privacy requirements, enrollment information for opioid treatment programs, implementation of end-stage renal disease payment rate updates, and more!
The Patient-Driven Payment Model (PDPM) has so many nuances that can impact reimbursement that it is near impossible for SNFs to consider and capitalize on them all. Check your processes and procedures to ensure you’re taking advantage of or protecting against the following aspects of PDPM.
The University of Rochester Medical Center (URMC) recently paid a $3 million civil monetary penalty to the Office for Civil Rights for HIPAA violations that include failing to encrypt mobile devices. URMC is one of the largest health systems in New York with more than 26,000 employees.
An August report from the Office of Inspector General (OIG) found that Oceanside Medical Group, a clinic providing mental health services in Santa Monica, California, received $2.6 million in overpayments for psychotherapy services by failing to comply with Medicare billing and documentation requirements.
Q: Does a psychiatrist need to document a physical examination and a review of prescriptions in order to support the reporting of CPT code 90792 (psychiatric diagnostic evaluation with medical services)?
This week's note from the instructor explores coding and billing for the new care management services established by the Medicare Physician Fee Schedule final rule.
