Preliminary findings released by the Massachusetts Health Policy Commission (HPC) show that maximized coding may have increased statewide commercial spending for inpatient services by nearly 11% between 2013 and 2018.
Your heart may flutter when you’re nervous, but if this happens on a regular basis, it could be a sign of a serious heart condition. Atrial fibrillation (AF), a common and potentially fatal cardiovascular condition, is an irregular heartrate that can cause blood clots, stroke, and other heart-related complications.
Findings from a retrospective study recently published in the Journal of Cardiac Failure show that pulmonary hypertension is frequently identified but rarely coded in electronic health records.
While the calendar year 2020 OPPS proposed rule is shorter than in prior years (819 pages for the display version), the proposed policies therein pack a punch and may be thought of as a new day dawning for the future of hospital services.
The American Medical Association recently released the 2020 CPT code set, adding 248 new codes including many for online E/M services and drug-delivery device implantations, set to go into effect January 1.
Q: How should we handle canceled inpatient-only procedures? Are these are still coded to the full intended procedure under OPPS and modified with a -73 or -74 modifier? Most of these cases result in changed orders to outpatient due to the patient being discharged the same day. Can the original inpatient order be used?
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?
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).
Perhaps the most momentous Quality Payment Program (QPP) news in the proposed 2020 Medicare physician fee schedule is the Pathways (MVP) version of the Merit-based Incentive Payment System (MIPS) — but that’s not happening until 2021.
