Improving the hospital experience for patients, improving the quality of care, and reducing costs were the goals when case managers at Martin's Point Healthcare in Portland, Maine, stopped working independently and started working as teams.
For many patients, home health services can mean the difference between a successful recovery and a hospital readmission, but patients who need services go without because of confusion over eligibility requirements.
Consider this scenario: A physician orders three hours of hydration as well as a one-hour therapeutic antibiotic infusion for a patient. A nurse documents the hydration start time as 10 a.m. and the antibiotic start time as 11 a.m. Neither provider documents a stop time. What should coders report?
Our coding experts answer your questions about payment for items in OPPS Addendum B and skin substitutes, incomplete documentation for IV infusions, coding for amputation of finger and aftercare, facility codes for peritoneal dialysis
Providers and payers may have an additional year to transition to ICD-10-CM/PCS if the Department of Health and Human Services (HHS) finalizes a proposed rule released April 9.