“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..
2018 brings plenty of coding updates for pulmonary medicine, says Jill Young, an expert coder and CEO of Young Medical Consulting. Young covers what is new and modified for the field in her conference for AudioEducator, “2018 Updates for Pulmonary Medicine.” New Codes for Trachea More..
There are tons of new codes for 2018—but just a relative few impact those in pediatrics, said Donelle Holle, a coding expert who recently held a conference for AudioEducator, “2018 Coding Updates: Virtual Bootcamp.” Still, it’s important to brush up on the changes. Knowing the More..
Each day, urologists perform increasingly complicated operations involving multiple surgical procedures and different CPT® codes. Such complex procedures can trip up even the most seasoned coder, especially when several of the procedures performed are surgically unrelated and can’t be bundled. As part of the Virtual More..
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..