Endoscopy Services

Don’t Make These Mistakes When Billing for Endoscopy Services

Learn the right way to code ‘incomplete’ colonoscopies

Billing Medicare and other payers for endoscopy services is pretty different from billing for other types of procedures. And if you’re like most coders/billers, you’re probably making some common mistakes that can cost you lost time and valuable reimbursement dollars. When billing for endoscopy services, More..

SNF Survey Process

Prepare Your SNF for a Brand-New Survey Process

Have these items on hand when surveyors walk through the door

Like most skilled nursing facilities (SNFs), you and your staff are likely neck-deep in preparations for the new survey requirements of participation (RoPs). SNFs are in the midst of Phase 2 implementation, which includes a new survey process, as well as updated Interpretive Guidance (IG), More..

critical care codes

Keeping Track of Time: The Best Way to Code for Critical Care

Key: Amount of Time Spent with Patients Indicates Which Code to Use

Coding for physician inpatient services, especially critical care, is deceptively straightforward. The reality is that the details of each code requirement can complicate things to the point of complete confusion. Despite the challenges, there are specific strategies you can use to correctly identify when critical More..

EMTALA On-Call Physician

Higher EMTALA Penalties Mean You’d Better Check Your On-Call Systems

CMS and OIG Urge On-Call Physician Training for Emergency Departments

Medical professionals working in emergency departments (ED) constantly have to make split second decisions in a stressful, crowded, and often understaffed environment. Failure to comply with federal regulations can mean severe penalties not only for the hospital itself, but also for on-duty and on-call staff. More..

CMS Discharge Planning Standards

Dig Deeper into the IMPACT Act: Is Your PAC Facility Prepared?

Reduce Readmission Rates through Improved Discharge Standards and New Data Elements

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..