ICD-10 Updates Include New COVID-19 Code

The ICD-10 (International Classification of Diseases, 10th revision) now includes a diagnosis code for COVID-19. Although new ICD codes are implemented every year on Oct. 1, the new code—U07.1, COVID-19—was…

Comments Off on ICD-10 Updates Include New COVID-19 Code

Physician asset protection: 5 practical lessons

An examination of asset protection issues from current news headlines highlights the defensive measures doctors and healthcare executives must consider. Physicians face many risks beyond medical malpractice. A shocking case…

Comments Off on Physician asset protection: 5 practical lessons

Evaluation and Management – Looking Beyond COVID-19

Now that the initial wave of Covid-19 has passed and providers have mastered the telehealth billing requirements, it is time to turn attention to the 2021 Evaluation and Management (E&M)…

Comments Off on Evaluation and Management – Looking Beyond COVID-19

The Definition of Medical Necessity in the Era of COVID

Sometimes, in an audit, it comes down to the definition of “medical necessity.” While the coronavirus pandemic is horrible already, it seems to be getting worse. But COVID has forced…

Comments Off on The Definition of Medical Necessity in the Era of COVID

Coding tips to help your practice integrate behavioral health

The need to improve patient access to mental and behavioral health services is undeniable, and tools from the AMA and others are available to help primary care practices integrate these…

Comments Off on Coding tips to help your practice integrate behavioral health

Treating COVID-19

The 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…

Comments Off on Treating COVID-19

Coding scenario: Type 2 diabetes

In our Coding Case Studies, we will explore the correct coding for a specific condition based on a hypothetical clinical scenario. This scenario involves a patient presenting with symptoms of…

Comments Off on Coding scenario: Type 2 diabetes

New ICD-10-CM code changes for CLI may ‘empower’ patients, physicians

Critical limb ischemia, also known as chronic limb-threatening ischemia, is an undertreated disease that often leads to amputation and/or mortality. One reason for undertreatment and underdiagnosis was coding. Until recently,…

Comments Off on New ICD-10-CM code changes for CLI may ‘empower’ patients, physicians

CMS Expands Telehealth yet again under the PHE

Is this “new normal” a false reality? As we are now well into October, many months into COVID-19, I think we all have to look at what all the associated…

Comments Off on CMS Expands Telehealth yet again under the PHE

ICD-10 coding guideline changes for 2021

For 2021, there are 490 new, 47 revised and 58 deleted ICD-10-CM codes. We will cover the ICD-10-CM guidelines in this article and the ICD-10-CM code changes next month. There…

Comments Off on ICD-10 coding guideline changes for 2021

Updates on COVID-19 Billing and CS Modifier Audits

The pandemic continues to impact Medicare reimbursement. COVID-19 continues to make news on the regulatory front with two new directives from the Centers for Medicare & Medicaid Services (CMS), centering…

Comments Off on Updates on COVID-19 Billing and CS Modifier Audits

8 Things to Know about Vaccine Planning

In the United States, there is currently no authorized or approved vaccine to prevent coronavirus disease 2019 (COVID-19). Operation Warp Speed has been working since the pandemic started to make a…

Comments Off on 8 Things to Know about Vaccine Planning

6 best practices to sharpen physicians’ use of telehealth

The COVID-19 pandemic sparked rapid growth in the use of telehealth, and what’s perhaps most surprising to seasoned experts on telemedicine is how smoothly the transition has fared for so…

Comments Off on 6 best practices to sharpen physicians’ use of telehealth

Lessons Learned About Antibodies

The term “antibody” has entered our main-stream vocabulary due to the advent of SARS-CoV-2 with manifestation of disease as COVID-19. Antibodies are also called immunoglobulins. They are protein/carbohydrate structures of…

Comments Off on Lessons Learned About Antibodies