Per CPT1, modifier -52 is used when a service or procedure is partially reduced or eliminated at the provider's discretion. Such a situation is identified by using the service's usual HCPCS/CPT code and adding modifier -52, signifying that the service is reduced.
Some interesting tidbits of information can be gleaned from the most recent release of the AHA Coding Clinic for ICD-10-CM/PCS to help coders as they work in the new code set.
The Office of the Inspector General (OIG), which provides oversight of other government entities, released a report in September 2015, OCR Should Strengthen Its Followup of Breaches of Patient Health Information Reported by Covered Entities, that included recommendations on how the entity charged with administering the HIPAA privacy and security rules should improve.
Identify the new audit process that will be used by one of the two quality improvement organizations in charge of short stays under the 2-midnight rule.
This week’s updates include an NCD for single chamber and dual chamber permanent cardiac pacemakers; a Medicare Compliance Review of Boca Raton Regional Hospital, Inc., for 2011 and 2012; and more!
