The 2020 IPPS final rule introduced several MS-DRG changes within Major Diagnostic Category 8, effective October 1, which could affect reimbursement for certain orthopedic infections, neuromuscular scoliosis, secondary scoliosis and kyphosis.
Q: If a patient comes in twice a day over the course of a week to receive an IV infusion of Vancomycin and the same line is used daily, would the coder report one initial infusion CPT code per day?
Q: Can a cloud provider like Amazon Web Services or Microsoft Azure, when considered a business associate (BA), be held liable for breach notification requirements?
A federal judge rejected CMS’ motion to reconsider or issue a stay on her September order to vacate cuts to reimbursement to grandfathered off-campus provider-based departments.
Emerging literature recommends adding social isolation to the social determinants of health, particularly for older adults. Social factors, inclusive of education, race, social supports, and poverty, account for more than 30% of total deaths in the U.S. annually.
A retrospective study based on ICD-10-CM data from 16,884 emergency department (ED) visits found that individuals who received emergency medical care due to cannabis poisoning were substantially more likely than other patients to experience mental health disorders.
Q: Is there a recommended practice for how modifiers should be included in the chargemaster? Is it preferred to add them as a separate field or included in the HCPCS field?
Q: We had a patient with Type 2 diabetes who was admitted for hypoglycemia with metabolic encephalopathy. The patient also had stage 2 chronic kidney disease (CKD) and a diagnosis of hypertension (HTN). Which ICD-10-CM codes should we assign for this patient’s encounter?
