Studies have been showing for a while a glaring problem in the U.S. – inadequate care for patients who show up at emergency departments (EDs) with behavioral health challenges. In the defense of ED staff, these challenges are difficult to assess. Add to that the More..
When your entire way of doing something changes, adjusting takes time – especially when that “something” is 41 pages of detailed changes to the already unwieldy hospital Conditions of Participation (CoPs). These extra changes to radiology and nuclear medicine have many hospitals confused, particularly when More..
If you’re not using modifier Q6 correctly, you could be leaving thousands of dollars or more on the table. This modifier (and its proper use) is crucial to getting deserved reimbursement for locum tenens services. Don’t let a physician’s illness or vacation devastate your practice’s More..
Whether you’re new at coding or an experienced coder, you face a great risk of falling into certain evaluation and management (E/M) coding traps – which can cost your urology practice its reimbursement. You need to stay current on the most prevalent causes of denials More..
Supporting residents to set their own goals is a Centers for Medicare and Medicaid Services (CMS) requirement. CMS regulatory tag F553 gives residents the right to participate in their care planning and be included in decisions regarding care and treatment, and tag F655 states that More..
It’s no secret that more and more practices are using skilled non-physician practitioners (NPPs) to provide efficient and patient-centered care – and why shouldn’t they? A 2014 Medical Group Management Association (MGMA) analysis reports that 68 percent of highly functioning practices employed NPPs. And with More..
Nobody’s perfect—including your hospital staff. Patients will complain. But you have a responsibility to your patients and to your hospital to comply with the grievance requirements called for by the Centers for Medicare and Medicaid Services (CMS), the Office for Civil Rights (OCR), and the More..
Almost every Food and Drug Administration (FDA) inspection includes a review of standard operating procedures (SOPs), and adverse agency findings often stem from SOP administration issues. Everyone should have good (if not great) SOPs—they are required for all life sciences sector companies. Yet the FDA More..
Coding spinal fusions is confusing enough, but coding them when the surgeon used spinal instrumentation is even more perplexing. And thanks to the many significant CPT code changes in 2017 and 2018, you have a lot on your plate to figure out before you can More..
Think fast: how quickly can you name the different components of hysterectomy, hysteroscopy, and laparoscopy services? Chances are coding for these and other gynecological services can trip you up, as they often do even the most seasoned coder. Unless you’re well-versed in best-practice coding, you More..