Restraint and seclusion is a hot spot with both CMS and the Joint Commission—and an area where hospitals are frequently cited for being out of compliance. In a recently issued CMS memo summarizing all of the deficiencies against hospitals, the number one? You guessed it: More..
In recent years, the Centers for Medicare & Medicaid Services (CMS) has increased the level of detail required for proper hospice coding—not only for reporting the direct reason a patient was put into hospice care, but also for any comorbidities not directly related to the More..
The reporting deadline for the new Merit-Based Incentive Payment System (MIPS) is March 31, but did you know you must report your practice’s data by February? Missing that deadline will be costly. Under MIPS, failure to report your data results in a 4-percent Medicare cut More..
With so much regulation and scrutiny affecting the hospice industry, it can feel tough for hospice managers to keep their head above water, much less improve their industry ratings. But even with all the change roiling the industry, home health and hospice consultant Beth Noyce More..
If your life science organization fails to meet regulatory requirements during a Food and Drug Administration (FDA) audit, you can expect to receive a Form 483. While some 483 observations are resolved amicably, other cases have serious consequences for the concerned organization— ranging from warning More..
Durable medical equipment (DME) billing continues to be scrutinized by Medicare and other commercial carriers. The Centers for Medicare and Medicaid Services (CMS) offers extensive and detailed documentation guidelines for DME in general, as well as other guidelines for documentation that can be found in More..
With the 2018 ICD-10-CM and CPT® changes now released and in effect, cardiology is one of the specialties most impacted, with over 100 new, revised and deleted codes. There are also a few surprises that weren’t in the 2018 proposal, and that you may not More..
2018 promises to be a year of important changes for pathology, with the introduction of approximately 40 new CPT® codes for labs this year. Multianalyte Assays with Algorithmic Analysis (MAAA) and Genomic Sequencing Procedures (GSP) are both seeing modified codes, while several codes have also More..
Proposed adjustments to the Medicare conditions of participation (CoPs) for discharge planning could mean 2018 will be much different for case management departments in hospitals, home care agencies and other healthcare facilities that work on discharge planning. Those changes, said Toni G. Cesta, owner of More..
The new year is finally here, and with it several changes to CPT® codes—314, in fact. However, orthopedists won’t see too many new codes focused on their practices. Instead, the changes they do see reflect changing trends in orthopedics, mainly the rising preference of musculoskeletal More..