A policy that UnitedHealthcare was poised to roll out that would have allowed it to retroactively deny ED claims isn’t moving forward yet. But that doesn’t mean case managers shouldn’t prepare for the payer, or others, to implement such policies.
Approximately 34.2 million Americans, or 10.5% of the U.S. population, were diagnosed with diabetes in 2018, according to the Centers for Disease Control and Prevention. Review signs and symptoms of diabetes mellitus types 1 and 2 and ICD-10-CM coding for these conditions.
Modifier -XE (separate encounter) is used to indicate a separate surgical operative session on the same date of service or a distinct encounter after the patient has left the hospital or changed status/locations within the facility. Use this flowchart to support accurate use as a template for your organization.
This week’s Medicare updates include download files for the 2022 ICD-10-CM codes, the July 2021 update of the Ambulatory Surgical Center Payment System, revised guidance on emergency preparedness requirements, and more!
This week's note from the instructor discusses coding, documentation, and billing requirements for polysomnography services in light of multiple recent OIG reviews of the topic.
This week’s Medicare updates include billing information for a new monoclonal antibody treatment for COVID-19, additional items on the OIG Work Plan, an MLN fact sheet on billing for cardiac device credits, and more!
