Besides being a time for giving and promoting peace on earth, December is the month of holiday preparation, gathering with loved ones, and celebrating. With so many festivities and too…
CMS' 2019 final payment rule for ASCs and hospital outpatient surgery departments included a new code allowing separate payments to ASCs that use Pacira Pharmaceuticals' non-opioid pain management drug, Exparel.…
There's no horsing around when it comes to animal-related injuries. Here are 15 ICD-10 codes for animal-related incidents, as listed on ICD10Data.com: 1. Bitten by a cow — W55.212. Pecked…
Audits performed by the HHS Office of Inspector General (OIG) showed that hospitals received excess Graduate Medical Education (GME) Medicare reimbursement after counting residents and interns as more than one…
The American Medical Association revealed the 2019 Current Procedural Terminology code set, which includes significant changes to CPT codes and descriptors. Here's what you should know: 1. The AMA changed…
Medscape compiled a list of relevant ICD-10 codes to prepare physicians for holiday-related medical episodes. Here are 20 codes physicians may have to use: 1. W61.43: Pecked by a turkey…
One of the many benefits of working for a nation-wide company is visibility into payer actions from coast to coast. Our many customers send us comments about payer actions and…
Physicians hoping the Centers for Medicare & Medicaid Services (CMS) would modify some proposed changes to evaluation and management (E/M) codes got their wish Thursday when the agency issued its…
As momentum builds on Capitol Hill for legislation to curb outsize or surprise medical bills, provider and insurance trade groups have released a consumer guide on balance billing—a sign they…
For reimbursement claims, medical providers are required to use ICD-10-CM codes. According to the Centers for Disease Control and Prevention, treatment for Lyme disease after diagnosis requires an initial four-week…
In September 2018, HHS Office of Inspector General (“OIG”) issued audit Report No. A-01-15-00500 (the “Report”) finding that out of 220 randomly sampled inpatient rehabilitation facility (“IRF”) stays from 2013,…
Reflecting the reality that physicians and their staff spend an increasing amount of time engaging with technology to enhance and improve patient care, the 2019 Current Procedural Terminology (CPT®) code…
A poor patient experience with the hospital billing department can have an impact on patient payments and financial responsibility, according to a new survey published by Connance. The Connance Consumer…
Oct. 1 marks the beginning of the fiscal year for the Centers for Medicare & Medicaid Services. This milestone does not include the changes in Medicare payments that occur with…
Until the early 1500s, virtually everyone held the truth that the Earth was the center of the universe. Then the Polish scientist Nicolaus Copernicus proposed that the planets actually revolve…
The new International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes take effect on Oct.1. It is important to use all new codes on and after that date. Payer…