A death row inmate develops a lump near his breast and is sent to a local hospital for an examination. The physician wants to perform medical imaging to diagnose the lump, but correctional staff won't remove his shackles. It's impossible to perform the test wearing restraints. He returns to the prison without a diagnosis.
Not only do case managers have a role to play when inmates are treated at their facilities, but they can also help former prisoners get ready to reenter society.
CMS corrected edit 84, added five APCs to the I/OCE, deleted two APCs, and changed the description of another as part of the April updates to the I/OCE. In addition, CMS deleted all of the genetic testing modifiers, retroactive to January 1.
Our experts answer questions about modifiers for diagnostic interventional procedures, Medicare recognition of CPT® code 9066, reporting add-on code for psychotherapy with interactive complexity, reporting G0378 for all payers, and wound care coding.
This year's Recovery Auditor Benchmarking Report surveyed 325 respondents, representing both small and large hospitals, from all four Recovery Auditor regions. It may not come as a huge surprise to many that the main theme of this year's survey is the expanding state of the Recovery Auditors (RA), and the fact that they continue to gain speed and extend their reach.
