Inpatient rehabilitation facility documentation compliance is coming under scrutiny. Learn how you can improve processes, strengthen compliance, and avoid costly audits.
Put CMS’ proposed changes in perspective to see the bigger picture. Comments are due June 24, so hospitals will need to conduct a careful analysis to determine the impact of the proposed changes and submit specific feedback.
The most commonly reported CPT codes are getting a much-needed makeover. Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, writes about E/M code changes implemented this year and changes for implementation over the next two years.
Healthcare organizations and providers are experiencing a shift in outpatient reimbursement: from fee-for-service to Alternative Payment Models and value-based reimbursement based on quality outcomes.
Adriane Martin, DO, FACOS, CCDS writes about the signs and symptoms of peripheral arterial disease (PAD) and ICD-10-PCS guidelines for reporting the condition.
Reduced and discontinued service modifiers indicate to the payer when service is either less than the HCPCS code indicates (reduced) or the procedure was stopped before completion (discontinued).
Findings from an Office of Inspector General (OIG) audit show that Essence Healthcare Inc. submitted claims with high-risk ICD-10-CM codes for acute stroke and major depressive disorder that did not comply with federal requirements, resulting in at least $158,000 in overpayments to Medicare Advantage.
