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..
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..
The rise of electronic health records (EHR) has created significant challenges for providers that go beyond typical data storage and breach concerns. After all, providing patient care often requires sharing patient information—the privacy of which the Health Insurance Portability and Accountability Act of 1996 (HIPAA) More..
Statistics on foodborne diseases are startling, to say the least: Each year, such illnesses are responsible for the hospitalization of approximately 128,000 people, as well as 3,000 deaths and 48 million illnesses, according to the Centers for Disease Control and Prevention (CDC). As shocking as More..
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..
The U.S. Food and Drug Administration (FDA) is putting weight behind its effort to protect public health by encouraging the prescription of generic drugs. That effort, while good for consumers, is creating tension among the agency, physicians, and creators of medical products which are sometimes 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..
Pain management coders: There are scores of new and modified codes to be aware of in 2018, warns Amy Turner, a coding pro. So let’s dig in! Turner recently covered coding changes for the field in her conference for AudioEducator, “2018 CPT and ICD-10 Updates More..