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…
The confusion over what code to use when hospital-employed physicians perform virtual visits with patients has reared its head again in the latest FAQ from Medicare (released on July 28).…
Not even six months ago, telemedicine served as a supplement to a hospital’s digital strategy. It was more of a novel offering, considered a nice-to-have or an add-on — not…
Many of us have been immersed in COVID-19 and telehealth billing, coding, and the varying rules among payors of late, all the while the clock has remained ticking on the…
The terms closed and open are major players for traumatic fracture diagnosis coding. Brush up on some basics with this focus on ICD-10-CM coding for rib fracture initial encounters. First,…
Due to the consistent changes in the federal rules & regulations and payer’s policies, the physician billing services are getting complicated on a daily basis. The cacophony of codes can…
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…