With reimbursement gains whittled down by CMS' attempt to remedy unlawful cuts to 340B drug payments, complying with updated Outpatient Prospective Payment System (OPPS) policies is key to protecting reimbursement. Take a closer look at CMS' latest policies and ensure your organization is in compliance.
Vaccine administration is a routine part of healthcare services, so it's important to know how to correctly code for them. Brush up on coding guidance for vaccines to ensure you're up to speed on the latest rules.
Determining the principal diagnosis is a basic function of CDI review and critical to prioritizing subsequent reviews, but is often a challenging process and requires careful consideration and interpretation of regulatory guidance and collaboration with coding professionals. Use these tips to ensure your CDI and coding teams are on the same page.
Medicare finalized a care management service for chronic pain management (CPM). Effective January 1, CPM services can be reported by a wide range of providers, including primary care practitioners.
CMS confirmed in the 2023 Medicare Physician Fee Schedule final rule that it will adopt the framework of the revised AMA E/M guidelines, including payment based on medical decision-making (MDM) or time, effective January 1, 2023. Laura Evans, CPC, explains how the agency will diverge from the AMA on some points, however.
Coding and billing professionals must ensure that medical record information is accurate, up to date, and compliant. In this article, Holly Cassano, CPC, CRC, defines late entries, corrections, and addendums, and explains the proper methods used to alter health records while maintaining Medicare compliance.
Ensure you're on top of the latest ICD-10-CM rules for coding principal diagnoses for newborn encounters, conditions that may be community acquired or due to birth complications, common newborn conditions that are often coded incorrectly, and 2023 codes for newborn apnea that took effect October 1.
Coding and billing professionals must ensure that medical record information is accurate, up to date, and compliant. In this article, Holly Cassano, CPC, CRC, defines late entries, corrections, and addendums, and explains the proper methods used to alter health records while maintaining Medicare compliance.
The 2023 update to the ICD-10-CM code set includes over 60 new codes for intracranial injuries with loss of consciousness, status known. This article covers codes from the 2023 ICD-10-CM update that pertain to traumatic injuries of the brain, specifically the cerebrum, cerebellum, and brainstem.
