A scan of healthcare news sources or the Office of Inspector General work plan often finds psychiatry and mental health practices under scrutiny. Laurie Bouzarelos, MHA, CPC, reviews revenue cycle functions, provider contracting/credentialing, and coding and documentation tips to avoid denials.
The National Correct Coding Initiative released the 2024 NCCI Policy Manual in early December, which will be effective January 1. This article covers the changes—both big and small.
The 2024 OPPS final rule details changes to price transparency compliance, reimbursement changes and, updates to numerous other hospital programs. Additionally, CMS is moving forward with its proposals to address unlawful payment reductions to 340B drug reimbursement.
Hamilton Lempert, MD, FACEP, CEDC, writes about the complexities of reporting and billing for certain ED services, as well as what coders should watch out for in documentation.
Niki Crawford, CCS-P, CPC, RCC, CCP-AS, CCP, QMC, describes a new addition to the Category III CPT code set with add-on code 0715T. She summarizes the procedure, reviews the associated technology, and gives coding tips and a clinical example.
Review common wound care techniques of dressing changes, casting, negative pressure wound therapy, and the necessary documentation to report them in CPT.
Hospitals could be in for a price transparency compliance shake-up if CMS moves forward with its proposals in the 2024 Outpatient Prospective Payment System (OPPS) proposed rule. Learn how these proposals could affect your organization.
Providers and coders alike can find NCCI policies challenging to follow and apply. Denise Williams, COC, CHRI, explains the basics of NCCI by defining the initiative, edits, modifiers, and clinical procedure examples.
Cardiopulmonary resuscitation (CPR) is a lifesaving treatment used when the heart or lungs cease to function. Whether CPR is conducted alone or with other services, Nancy Reading, RN, CPC, CPC-P, covers the various ways that CPR can be reported and how to do so.
