Although the inpatient-only list has evolved over the years it's remained a common source of easily avoidable denials. Brush up on the details of the requirement to improve compliance at your organization.
A physician advisor (PA) can be a powerful ally for case managers. Organizations should be certain to take full advantage of what this role can offer by structuring the position properly.
A report released last month by the American Hospital Association (AHA), called Commercial Health Plans’ Policies Compromise Patient Safety and Raise Costs, found that not only is the cost of private health insurance raising affordability issues for American consumers, but policies, such as prior authorization requirements, may increasingly be putting patients at risk and driving up hospital administrative costs.
Bronchoscopy is a procedure that allows a pulmonologist to assess the lungs and air passages. Review ICD-10-PCS coding for bronchoscopy with bronchoalveolar lavage and suction of a mucus plug.
Effective October 1, the ICD-10-CM code set will be updated to include over 1,100 new codes before counting code revisions and deletions. This article covers new codes for musculoskeletal and genitourinary conditions including muscle wasting, rib and sternal fractures, drug-induced neuropathy, and endometriosis.
