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…
Covid-19 Opens up Vast Opportunities for Today’s Snake Oil Salesmen The COVID-19 crisis in the United States has opened vast opportunities for fraud of every type. The scale and scope…
The American Medical Association (AMA) has a release an update to the Current Procedural Terminology (CPT) which includes a new code for reporting antigen testing of patients suspected to be…
When CMS issued sweeping regulatory changes on March 30 to address COVID-19 patient surge, Cleveland Clinic assembled a team of IT, coding and billing experts to help translate the new…
What if doctors had more time to spend addressing their patients' concerns? That's the thrust behind the push for integrating artificial intelligence (AI) into medicine. By using complex algorithms to…
Health disparities proven by Medicare claims data during the COVID-19 crisis underscore the need to transition to value-based reimbursement, according to CMS. Yesterday, the federal agency announced COVID-19 outcomes based…
HIPAA’s Privacy and Security Rules specify 18 data elements that an individual could use as a means to determine a patient’s identity. The majority of this vulnerable data are easily…
With concerns of COVID-19 having a disproportionate impact on certain individuals, such as minorities and the elderly, public health experts are requiring more detailed data, provided on a real-time basis…