Read this Q&A to better understand which telehealth programs were made permanent or temporarily extended for Medicare Part B patients until 2024 under the Consolidated Appropriations Act of 2023.
Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.
Complete and accurate reporting under the Hospital Inpatient Quality Reporting Program can result in increased reimbursement. Learn how to use coding and CDI teams to improve the collection of correct data under this program.
When coders think of reporting for neonates and critical care, most think of CPT codes. However, ICD-10-PCS also gives codes to use for procedures for newborns/neonates related to respiratory assistance quickly after birth, when necessary. Refresh your knowledge of these codes.
Incorporating annual Current Procedural Terminology (CPT®) code updates is a core part of HIM maintenance. Apply these tips to ensure CPT code changes are correctly implemented and staff are kept in the loop.
Fentanyl and other synthetic opioids are the most common drugs involved in overdose deaths in the U.S. Tonya Chandler, RHIT, examines ICD-10-CM reporting for fentanyl use, overdose, symptoms, and dependence through several coding scenarios.
Surgical osseointegrated bone prostheses have emerged as a popular alternative to hearing aids. Debbie Jones, CPC, CCA, defines how these devices work and how to report implantation, removal, and replacement of these devices in CPT.
Coders saw extensive code changes and expansion for ICD-10-CM category O35.- in 2023. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBG, reviews what coders need to know when reporting fetal conditions affecting the management of the mother.
Several proposals in the fiscal year 2024 Inpatient Prospective Payment System (IPPS) proposed rule signal that CMS is serious about a major overhaul of MS-DRG severity levels. Review these and other major proposals to help your organization prepare for the release of the final rule.
Coders are now tasked with reporting social determinants of health, or circumstances in patients’ lives that can influence the quality of their life and overall wellbeing. Understand how to improve documentation of these factors and ensure complete and accurate coding.
