On July 20, the Office of Inspector General (OIG) released a report that found that hospitals are overbilling or upcoding hospitals to the tune of $1 billion. OIG reviewed 200…
Hospitals are urged to devote the resources to ensure that medical necessity is met, and the proper status is ordered. The attention given to total joint replacement has been a…
Claims denials can be frustrating for a physician practice to deal with, but leaving them unattended leaves a significant amount of revenue uncollected, says Andria Jacobs, RN, CPHQ, chief operating…
When a physician’s telehealth visit with a Medicare patient on FaceTime cut out after five minutes, they shifted to an audio-only visit, with the physician and patient speaking on the…
Podiatry coding is becoming increasingly complicated, and even the smallest reporting mistakes can lead to claim denials and reduced reimbursement. Worse, the stakes tend to escalate, with minor unchecked errors taking…
Republican Gov. Brian Kemp signed legislation into law July 16 that aims to curb instances of surprise medical billing in Georgia. Three things to know:1. The legislation, HB 888, outlines…
The AMA Current Procedural Terminology (CPT®) Editorial Panel has adopted a new CPT code to report antigen testing of patients suspected of SARS-CoV-2 infection. The code joins other COVID-19 testing…
The FY21 ICD-10-CM codes were released by the Center for Disease Control and Prevention (CDC) on July 1, 2020. The new and updated diagnosis codes are another part of the…
Get maximum reimbursement for treating asthma with the right codes. Getting paid requires accurate documentation and selecting the correct codes. In our Coding Case Studies, we will explore the correct…
Telemedicine has become an indispensable part of clinical training during the COVID-19 pandemic, but care has to be taken to ensure both faculty and learners are set up to succeed…
A federal court last week rejected arguments put forward by the American Hospital Association (AHA) and other hospital groups alleging that the Centers for Medicare & Medicaid Services (CMS) Transparency…
The American Medical Association (AMA) recently updated Current Procedural Terminology (CPT) to enable proper COVID-19 coding and billing of antigen tests performed on patients suspected of being infected with the…
As healthcare organizations develop strategies to secure financial well-being during the COVID-19 pandemic, they can glean critical insights from workflow, business intelligence and denial management technologies. That was the key…
We hear increasing calls for greater government involvement in health care as the solution to future pandemics and health care problems in general. Ironically, the pandemic illustrates exactly the opposite. The…
The Centers for Medicare & Medicaid Services (CMS) has provided some guidance within the “Medicare and Medicaid Programs Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency”…
ASCs were in line for substantial growth before the COVID-19 pandemic, and while patient volumes dropped to as low as 20 percent in April, recovery has been swift and the…