Nonradiographic axial spondyloarthritis (nr-ax-SpA) will have an ICD-10 code come October. And that gives patients with the condition a chance to feel empowered knowing their diagnosis is accurate. When vendors…
The American Medical Association (AMA) today published an update to the Current Procedural Terminology (CPT®) code set that includes two code additions for reporting medical services sparked by the public…
Even the most vocal critic of the American health care system cannot watch coverage of the current Covid-19 crisis without appreciating the heroism of each caregiver and patient fighting its…
Yesterday, CMS unveiled the highly anticipated Inpatient Prospective Payment System (IPPS) final rule for the 2021 fiscal year (FY). Chief among the rule’s updated policies is a 2.9 percent increase…
During this week’s Monitor Mondays broadcast, Ronald Hirsch, MD, vice president at R1 RCM, reminded listeners how confusing all the waivers and flexibilities associated with the COVID-19 pandemic have been,…
Modifier 25 is a particularly meaningful coding tool for physicians who bill for evaluation and management (E/M) services. CPT guidelines define the 25 modifier as “Modifier 25 is defined as…
COVID-19 data reporting will no longer be voluntary for hospitals participating in Medicare and Medicaid programs, according to a new interim final rule from CMS. The rule released yesterday updated…
Centers for Medicare & Medicaid Services are proposing to eliminate the inpatient-only list over the next three years. Medicare’s often-misunderstood inpatient-only list may soon be departing, as the Centers for…
The COVID-19 pandemic has driven digital transformation across healthcare at an unprecedented speed. Telemedicine has emerged as an essential tool for maintaining patient/doctor communication during the crisis, enabling clinicians and…
Under normal circumstances, the biggest difficulty practices encounter when trying to engage in physician education is timing. Coordinating everyone’s schedules, pulling providers out of the operative and visiting rooms, and…
Physicians and parents are warned about the re-emergence of this illness. In October 2018, ICD-10monitor reported initially on acute flaccid myelitis (AFM). The Centers for Disease Control and Prevention (CDC)…
The Centers for Medicare & Medicaid Services (CMS) in the past week has proposed Medicare payment rules for outpatient services and physicians for 2021 and finalized payment rules for inpatient…
Most of the physicians lose a significant amount of revenue every year due to minor and major mistakes that cause errors while filing medical claims. A minor write-off in physician…
HHS announced Aug. 14 that it is sending $1.4 billion in COVID-19 relief funds to 80 children's hospitals. Here are five things to know about the distribution of the relief…
On August 3, the Centers for Medicare and Medicaid released the proposed 2021 Medicare Physician Fee Schedule that sets Medicare payment and quality provisions for physicians in 2021. The 2021…
There is no such thing as a coder who knows it all. If your coder claims to be able to code every specialty, and you let them, you might want…