Did you know that tetanus vaccines are only covered under Medicare Part B when given for treatment? Preventative tetanus vaccinations are non-covered. Sure enough, the Centers for Medicare & Medicaid Services Internet-Only Manuals Pub...
More InfoExactly 1,468 new diagnosis codes will be added to the ICD-10-CM code set for fiscal year (FY) 2023. Moreover, 251 codes will be deleted, 35 code descriptors will be revised, and 36 codes will be converted to parent codes. The changes go into...
More InfoRecognition of the impact that social determinants of health (SDOH) have on patients’ outcomes is growing, as is the desire to incorporate SDOH factors into patient-care plans. But awareness of an existing data infrastructure that could help...
More InfoUtah Imaging Associates began notifying nearly 600K of a healthcare data breach, and Eskenazi Health began notifying over 1.5 million individuals. Covered entities must post a notice on the home page of its website for at least 90 days if there...
More InfoThe ICD-10-PCS codes can be found in the XW0 Table for the drug infusions. There were new ICD-10-PCS codes implemented on Aug. 1, involving substances associated with the treatment of COVID-19. As we know, these codes are not to be assigned...
More InfoFive terms lead the way to determining primary diagnosis codes. When we select diagnosis codes for billing, we are telling the story of a patient’s healthcare encounter. Patients often present with multiple conditions — some related, some not...
More InfoOne of the codes, 99072, is for reporting additional supplies used to mitigate spread of the virus. The American Medical Association (AMA) announced, Sept. 8, two new Category I CPT® codes to meet the changing needs of the healthcare industry...
More InfoMedicare spending on acute-care inpatient hospital services will increase by about $3.5 billion in FY 2021 As the healthcare industry continues to be buffeted by the unrelenting coronavirus pandemic, the Centers for Medicare & Medicaid...
More InfoThe COVID-19 pandemic has brought about robust changes to the traditional practice of healthcare in the United States. In a time of social distancing and widespread quarantining, regulatory bodies, including the Centers for Medicare &...
More InfoChanges to ICD-10-CM Diagnosis Code mean NCD coding changes. ICD-10-CM Diagnosis Code changes went into effect Oct. 1, as usual, and the Centers for Medicare & Medicaid Services (CMS) is updating National Coverage Determinations (NCDs) to...
More InfoJust like our patients, proper OB coding and billing for obstetric patients can be…complicated. As a coding instructor and compliance auditor, I field a lot of questions from new students and experienced billers alike. In this article, I’ll break...
More InfoBy now, many hospitals have received denials for emergency department level-of-care coding. We could legitimately ask, “how did this happen?” Today we shall address how it started, why it’s important, and potential institutional responses...
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