News & Analysis

December 1, 2021
Case Management Monthly

The 2022 OPPS final rule is out, and as predicted, CMS reversed its plan to eliminate the inpatient-only list over the next three years.

December 1, 2021
Briefings on APCs

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. 

November 1, 2021
Briefings on APCs

The fiscal year 2022 ICD-10-CM code set introduced 165 new codes, effective for encounters on or after October 1. Read about notable changes including new codes for anemia and thrombolysis, COVID-19-realted conditions, depression, and gastric metaplasia.

November 1, 2021
Briefings on APCs

Read up on documentation requirements and CPT coding for psychiatric diagnostic evaluations and psychotherapy services.

October 1, 2021
Briefings on APCs

Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, breaks down CPT coding for diagnostic services performed during the second and third trimesters, and provides an overview of an obstetric (OB) hospitalist's role in caring for high-risk maternity patients.

October 1, 2021
Briefings on APCs

Several CPT modifiers have similar definitions, which can make distinguishing between them challenging. Review guidance for the appropriate application of modifier -51 versus -59 and discontinued service modifiers -52, -53, -73, and -74.

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