We’re now in the middle of October, which can only mean one thing: Your head is full of coding updates. ICD-10-CM updates took effect on the first of the month, and Current Procedural Terminology (CPT®) codes will arrive January 1, 2019. With more than 50 More..
Do you know the difference between durable medical equipment (DME) for lower extremities and home care supplies—especially as defined by Medicare? If not, your practice could be facing a lot of unnecessary denials. Time to brush up on Medicare’s DME classification, payment responsibility rules, and More..
As a HIPAA-covered entity, your medical establishment is required by the HIPAA Breach Notification Rule to provide notification following a breach of unsecured protected health information (PHI). Depending on the number of individuals your PHI breach affects, you may need to notify each affected individual, More..
For years, you’ve endured an agonizingly slow claims appeals process due to the enormous backlog of pending appeals. But now, the U.S. Department of Health and Human Services (HHS) Office of Medicare Hearings and Appeals (OMHA) is rapidly speeding things up. Find out what this More..
If you’re like most anesthesia coders, you’re so busy with the day-to-day that you don’t have the time (or the support) to get up to speed on all the code changes coming your way. But nothing would make you happier than to see your claims More..
It’s not hard to violate Stark law without realizing it, which means you’re always exposed to Stark law violations. Also, there are certain situations in when Stark does not apply—making your compliance strategy even trickier to master. Good news: Recent Stark law amendments and case More..
There are times when coding for stones in the urinary tract may feel as painful as actually having one—namely, when discerning which modifier to use for ipsilateral multiple stones. Many guidelines are vague and open to interpretation. Not only that, you and payers may not More..
A significant number of cases of eye care fraud have been reported in the news this year—including the eye care provider in Georgia convicted of collecting more than $1 million from Medicare and Medicaid for services she never performed. Then there was the eye doctor More..
Let’s face it: You work in a fast-paced environment where codes are added, deleted, and revised on a regular basis. You’re preparing to implement the new ICD-10-CM codes on October 1, 2018 and the new CPT® codes on January 1, 2019. What you need are More..
You have a whole host of Current Procedural Terminology (CPT®) coding changes to deal with for 2019 – and you can’t afford to overlook a single new, revised, or deleted code. From significant revisions to coding fine needle aspiration (FNA), to new ultrasound elastography codes, More..