This week’s Medicare updates include the implementation transmittal for the 2020 Medicare Physician Fee Schedule, two Special Edition MLN Matters articles on the implementation of the Patient-Driven Groupings Model, home health billing compliance information, and more!
Q: I'm told, although I'm not convinced, that our payment for Keytruda is denied by Anthem when we use ICD-10-CM code Z51.11 (encounter for antineoplastic chemotherapy) first followed by the code for cancer, i.e., C34.12 (malignant neoplasm of upper lobe, left bronchus or lung). I reviewed the coding guidelines again and that is our instruction. Does anyone have experience with this issue?
Is your hospital doing enough to manage patients with diabetes both in the hospital and when they transition to the next level or care or to home? A recent survey of more than 600 people in 408 U.S. hospitals, finds that some hospitals might be falling short.
Behavioral health facilities and professionals experience some unique challenges when it comes to handling PHI and patient requests. The following article offers tips for handling those challenges and scenarios to consider.
Our experts answer questions about conflicts between coding guidelines and payer requirements, documentation requirements for psychiatric assessments, and more.
