All posts by Sarah Terry

CMS Relaxes Inpatient Admission

Good News: CMS Relaxes Inpatient Admission Order Requirements

Here’s why you still should keep physicians providing this type of documentation

The Centers for Medicare & Medicaid Services’ (CMS) hospital compliance requirements are ever-changing and evolving. But sometimes, the CMS Hospital Conditions of Participation (CoP) requirements and Hospital Inpatient Prospective Payment System (IPPS) rule revisions change for the better. Case in point: You can expect changes More..

Acromioplasty Coding

Don’t Let Acromioplasty Coding Rest Heavy on Your Shoulders

Make sure the documentation supports coding 29826

If you’re running into problems when reporting CPT code 29826 for acromioplasty, you’re not alone. Follow these expert tips to ensure that you’re coding properly and avoid unnecessary claim denials. Crucial: The most important thing to remember when reporting code 29826 is that it’s not More..

2019 CPT Updates

CPT Update: Modifier 25 Holds Hidden Traps for Coders in 2019

Broadening scrutiny of claims involving modifiers will affect a wide variety of specialties

Modifier 25 used to be your friend, but it may soon become your biggest foe when reporting 2019 CPT codes. Now, government and private payers alike are flagging claims involving modifier 25 for denials and severe payment cuts. Get the guidance you need on modifier More..