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..
With the 2018 ICD-10-CM and CPT® changes now released and in effect, cardiology is one of the specialties most impacted, with over 100 new, revised and deleted codes. There are also a few surprises that weren’t in the 2018 proposal, and that you may not More..
2018 promises to be a year of important changes for pathology, with the introduction of approximately 40 new CPT® codes for labs this year. Multianalyte Assays with Algorithmic Analysis (MAAA) and Genomic Sequencing Procedures (GSP) are both seeing modified codes, while several codes have also More..
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..
The new year is finally here, and with it several changes to CPT® codes—314, in fact. However, orthopedists won’t see too many new codes focused on their practices. Instead, the changes they do see reflect changing trends in orthopedics, mainly the rising preference of musculoskeletal More..
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..
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..
Cardiology coding is undergoing massive changes in 2018. There are 34 new, 12 revised and 28 deleted codes for CPT®, and these 74 code changes will have a major impact on your 2018 reimbursement. The 2018 ICD-10-CM codes that used for discharges occurring from October More..
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..
It’s time to put down the egg nog and get back to work, ushering in new otolaryngology CPT® codes. Examining the new codes now and understanding how they will impact coding and billing for your otolaryngology practice is the key to kicking off a profitable More..