Revenue CycleLeveraging Coders to Improve HCC Accuracy
This interdisciplinary team will be positioned to identify and address concerns and act quickly to implement education and policy updates.
Revenue CycleCPT Coding for E/M Visits With Wound Care
The service must be performed for a condition unrelated to the scheduled visit and must be a new condition that...
Revenue CycleOIG: Nevada-based Hospital Overcharged Medicare $23.6M for Rehabilitative Services
The OIG found that Sunrise Hospital & Medical Center in Winchester, Nevada complied with Medicare billing requirements for 46 of...
Revenue CycleUnderstanding Clinical Indicators, ICD-10-CM Reporting for CRS
Elevated levels of cytokines in an overactive immune system can cause harmful levels of inflammation throughout the body and disrupt...
Revenue CycleKLAS Crowns Winner of Revenue Integrity/Underpayment Services
Software helps clients receive owed reimbursements and fix processes that lower payments.
Strategy'Substantial Increase' Found in Medicare Advance Care Planning
A Health Affairs study also found prevalence of annual wellness claims to be below 7.5% for all fee-for-service Medicare patient...
Revenue CycleQ&A: Revenue Code Assignment for COVID-19 Monoclonal Antibodies
To prevent triggering a copay or deductible, CMS instructs institutional providers to bill monoclonal antibodies similar to vaccines.
Revenue CycleCPT Coding for a Subchondroplasty Procedure
Often, a physician will decide to perform a subchondroplasty during arthroscopic joint surgery to treat subchondral bone defects (microfractures).
Covid-19Q&A: Querying for COVID-19 POA
Due to the complexities of the condition and incubation period of COVID-19, it cannot be assumed the infection occurred after...
Revenue CycleCMS Recovery Auditors Target Documentation and HCPCS Coding for Knee Orthoses
The newsletter outlines key differences between off-the-shelf (OTS), custom fitted, and custom fabricated knee orthoses, which dictate HCPCS coding and...
Covid-19Querying for COVID-19 POA
Coders should be mindful of the POA reporting guidelines found in appendix I of the 2021 ICD-10-CM Official Guidelines for...
Revenue CycleQ&A: ICD-10-CM Coding for Acute and Chronic Knee Injuries
Codes for acute musculoskeletal injuries are located in Chapter 19 of ICD-10-CM.