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Q: We have a diabetic patient with chronic kidney disease and hypertension who was admitted for treatment of chronic kidney disease (an Insertion of an arteriovenous graft for dialysis). Which ICD-10-CM code should be sequenced as the principal diagnosis – the diabetic complication code or the hypertensive renal disease code?

Learn how the Cleveland Clinic and Revint implemented tools and strategies to improve charge capture.

The October 2019 OPPS quarterly update reassigned certain injections from non-payable to separately payable. CMS also revised the status indicators for several recently approved advanced diagnostic laboratory tests (ADLT).

Q: How do you know when Category III CPT code 0505T is the appropriate code to assign for a femoral popliteal revascularization?

The Revenue Integrity Symposium is a conference that truly speaks to the contemporary and emerging issues that revenue integrity professionals grapple with.

Q: How are nonclinical resources being used by Medicare to improve health outcomes and access to care under Medicare Advantage?

The Office of Inspector General (OIG) will review Medicare’s diagnosis-related group (DRG) window policy to determine whether the program could save money by expanding the policy to include more days, according to an update to the OIG Work Plan.

Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?

CMS could have saved its beneficiaries an additional $2.9 million in 2017 had it implemented a more expansive price substitution policy for Part B drugs, according to an Office of Inspector General (OIG) report. 

Q: What would be reported as the principal diagnosis if a patient was admitted with both a urinary tract infection (UTI) and sepsis? What would be reported first if the patient developed a catheter-associated UTI with sepsis?