This week's note from the instructor looks at the payment implications and disproportionate share hospital calculations affected by the Becerra vs. Empire Health Foundation lawsuit currently being heard by the U.S. Supreme Court.
ICD-10-CM codes for traumatic fractures specify the type of bone injury, affected area of the body, and in some cases, the degree of soft tissue damage. Review orthopedic terminology and documentation requirements for traumatic fractures to resolve the coding challenges.
Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO, writes about key regulatory updates in the 2022 Outpatient Prospective Payment System (OPPS) final rule, including increased price transparency penalties, changes to the inpatient-only list, and payment changes.
The complexity of hospital charges and billing has generated confusion among the general public. Taking practical steps to improve communication, outreach, and education can help clear up misconceptions.