DME Documentation Guidelines

Put Your Best Foot Forward To Avoid DME Denials

Sidestep Revenue Loss: Follow Proper CMS Documentation Guidelines

Durable medical equipment (DME) billing continues to be scrutinized by Medicare and other commercial carriers. The Centers for Medicare and Medicaid Services (CMS) offers extensive and detailed documentation guidelines for DME in general, as well as other guidelines for documentation that can be found in More..

CMS Discharge Planning

Changes to Discharge Plan Requirements Still in the Works at CMS

Releases Without Adequate Post-Care Information Lead to Readmissions

Proposed adjustments to the Medicare conditions of participation (CoPs) for discharge planning could mean 2018 will be much different for case management departments in hospitals, home care agencies and other healthcare facilities that work on discharge planning. Those changes, said Toni G. Cesta, owner of More..

Coding Updates 2018

Coding Updates Virtual Boot Camp Hits High Notes for 2018

Learn Everything You Need to Know About ICD-10 and CPT Code Changes

Coding and billing accuracy has never been more critical to your practice’s financial survival. From the Medicare Access and CHIP Reauthorization Act (MACRA), which requires medical practices to submit specific data to meet value-based payment requirements, to the rise of high deductible health plans (HDHPs), More..

Disorder Patient Records

New Privacy Rules for Substance Abuse Complicate HIPAA Compliance

Stricter Confidentiality Affects Nurses, Physicians, Compliance Officers and Even Risk Managers

Patients seeking treatment for substance abuse are afforded special privacy protections under a rule that went into effect in 2017: Is your hospital prepared to comply with this complicated new regulation? The rule for Confidentiality of Substance Use Disorder Patient Records—42 CFR Part 2—requires that More..

Pediatric Codes

Pediatric Code Changes for 2018 Focus on Leveling of Care

Avoid Coding Errors by Getting Updated Quickly

Documenting services and understanding the appropriate levels of care in the coding guidelines is especially important in pediatrics, where under-coding for routine visits is a common mistake. CPT® is confusing and trying to understand new codes is not easy, said Donelle Holle, an RN with More..