Telehealth reimbursement rates is one area CMS is assessing in order to make Medicare telehealth expansions permanent after the COVID-19 pandemic, according to the agency’s administrator. In a recent Health…
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…
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…
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…
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…
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…
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…
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…
CMS recently released the fiscal year (FY) 2021 ICD-10-PCS code set, which includes 544 new codes for Fragmentations of the veins and arteries, Drainages of the pelvic cavity, and Imaging…
From a compliance exposure perspective, we believe that the HIPAA risk associated with sending PHI abroad is simply untenable. HIPAA is an American law that does not extend beyond our…
Overview of Proposed Rule Today, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to amend the methodology and other requirements for the U.S. Department of Health…
The FY21 ICD-10-CM codes will be finalized this month. The Centers for Medicare and Medicaid Services (CMS) released the final FY21 ICD-10-PCS codes on May 28, 2020 which was earlier…