To get paid for all you do, you must correctly code each and every procedure performed—which sometimes means unbundling codes using modifier 59 (Distinct procedural service). However, to decide if and when modifier 59 is appropriate, you must do some heavy lifting. Appending modifier 59 More..
If you think your hospital’s work is done when it comes to price transparency, think again. Posting your chargemaster online is enough to comply with the CMS mandate, but you’re not doing your patients any favors. Reminder: According to the 2019 IPPS Final Rule, hospitals More..
Emergency Medical Treatment and Labor Act (EMTALA) violations are expensive—and they’re not all that hard to come by. Unfortunately, the myriad regulations around the law’s components can trip up even the most compliance-minded hospital staff. EMTALA requires that you maintain a central log, proper EMTALA More..