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..
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..
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..
On September 5, the American Medical Association (AMA) released the 2019 Current Procedural Terminology (CPT®) code set, containing more than 500 changed codes—that is, additions, revisions, and deletions. And coders for the ob-gyn specialty haven’t been spared from upheaval. Find out what to expect for More..
Despite the fact that colonoscopies and certain other gastrointestinal (GI) procedures are all too common, the coding rules for them aren’t exactly simple or straightforward. Here are a few tips to help you avoid the most common GI procedures code mistakes. Pay attention: Billing for More..
Although orthopedic societies have pushed to make shoulder surgery coding more akin to coding for other joint procedures, many Medicare guidelines still consider the shoulder as a one-compartment joint. In other words, while there’s been some movement toward the two-compartment viewpoint, many coding guidelines for More..
Your hospital’s claims for telemedicine services are coming under fire, and you could soon see a significant crackdown on your compliance efforts. Get ready for the Centers for Medicare & Medicaid Services (CMS) to change the rules of the game for nabbing telehealth reimbursement. Watch More..
Ground-breaking changes to Evaluation and Management (E&M) documentation and payment are on the horizon, and the impact will vary widely depending on your specialty. Can you look forward to a pay bump—or a reimbursement reduction? Read on to find out. The scoop: CMS recently released More..
Starting on Oct. 1, 2018, you will need to begin using the new codes in the updated 2019 ICD-10-CM/PCS. There were hundreds of new, deleted, and revised codes in the latest update, and the Ob-Gyn specialty wasn’t spared. Many of the changes that will impact More..
Pediatrics coders have a whole host of ICD-10-CM coding changes to learn by October 1, 2018, and you’re probably focusing quite a bit on the 25 new codes describing newborn complications in Chapter 16. But while you’re getting up to speed on those changes, don’t More..