Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21st Century Cures Act failed to meet the requirements, according to audit results released January 19 by CMS.
Q: While no one has a crystal ball, I am wondering what changes we might be expecting in the near future as the new administration makes its mark. How might case management be impacted?
In a year of unprecedented disruption and uncertainty, coding productivity managed to hold steady, according to the results of our 2020 Coding Productivity Survey. Learn how facilities adapted and how yours compares.
Q: I've noticed an increase in denials for diagnoses of gram-negative pneumonia. How can we ensure that our providers are accurately documenting the appropriate clinical indicators?
The 2021 update to the ICD-10-CM code set introduced 43 new codes to Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. Review new codes for sickle-cell diseases, hemolytic anemias, and cytokine release syndrome.
Our coding experts answer questions about CPT reporting for spinal decompression procedures, using medical decision-making to report E/M levels, and more.
