Hospitals may aim for a smooth and coordinate patient discharge process, but they’re not reaching that goal often enough according to Medicare. This year, under the Hospital Readmissions Reduction Program (HRRP), Medicare is penalizing around more than 2,500 hospitals for readmissions considered unnecessary, according to More..
“Incident to billing” is perhaps one of the most confusing aspects of healthcare compliance, given the complex requirements and the evolving rules regarding direct supervision. Insufficient understanding of what services are “incident to,” as well as who is qualified to provide them, adds to the More..
Nobody loves an audit, certainly not the office staff responsible for coding and documentation accuracy. But if you’re proactive—and learn to think like an auditor—you’ll be able to develop better clinic policies and practices before auditors come knocking. For 2018, CPT® code changes have no More..
Resistance to antibiotics is one of the greatest modern health threats, according to the World Health Organization (WHO), with doctors fighting to treat an increasing number of diseases previously easily cured with a dose of antibiotics. Thanks to overuse and overprescribing of antibiotics, “bad” bacteria More..
Each day, urologists perform increasingly complicated operations involving multiple surgical procedures and different CPT® codes. Such complex procedures can trip up even the most seasoned coder, especially when several of the procedures performed are surgically unrelated and can’t be bundled. As part of the Virtual More..
In recent years, the Centers for Medicare & Medicaid Services (CMS) has increased the level of detail required for proper hospice coding—not only for reporting the direct reason a patient was put into hospice care, but also for any comorbidities not directly related to the 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..
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..
With 2018 come more CPT® and HCPCS code updates for podiatry care providers. While these changes and the myriad insurance requirements and coverage exceptions that come with them can feel overwhelming, a good practice is to start with a review of coverage determinations. When it More..