Sushovan Guha, MD, PhD, is a gastroenterologist and physician executive director at Banner Digestive Diseases Institute in Phoenix. He shared his thoughts on the uses of artificial intelligence in gastroenterology…
At the September meeting of the ICD-10 Coordination and Maintenance (C&M) Committee, members discussed ICD-10-CM proposals for codes for identification of specific synthetic opioids and revisions to the sepsis/severe sepsis…
EDITOR’S NOTE: CORRECTION: In the RACmonitor Nov 29, 2019 edition, Dr. Ronald Hirsch noted that resource use data on skilled nursing facilities (SNFs) was not available on the SNF Compare…
Mainstream media reports are already rife with dire predictions for the upcoming flu season, but experts say it’s really too early to tell how severe it will be. The severity…
The RexPay team is excited to announce that November 14 marked the launch of the RexPay app, an all in one solution to help patients to understand, manage, and pay…
Each year on Oct. 1, the new ICD-10 codes become effective. Over the past few years, this has resulted in a few major changes and a few changes that seemed…
Correctly documenting what was done for a patient, and why, are essential for the coding systems that have become indispensable to the efficient management of contemporary medical care. Learn how to master this fundamental skill set in a learning module…
Discharge Planning Conditions of Participation guidance from CMS is being seen as unhelpful. As hospitals prepare to implement the Centers for Medicare & Medicaid Services (CMS) Discharge Planning Conditions of…
CMS and the Department of Veterans Affairs (VA) recently announced a new data sharing initiative in which the departments will share provider enrollment data to prevent healthcare fraud, waste, and…
The owner of a transportation company has pleaded guilty to fraudulently billing millions in false claims to the state’s Medicaid Program (MassHealth), Attorney General Maura Healey announced today. Michael Davini,…
CMS clearly is honing-in on reducing administrative burden as changes go into effect. On Friday, Nov. 1, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee…
There are 2,115 additions to the third quarter Medicare National Correct Coding Initiative (NCCI or CCI) practitioner edits that became effective July 1, 2019. The good news is that the…
A new HCPCS Level II code lets you report the SinuvaTM implant for nasal polyps, but coding for placement may vary based on the encounter. Medicare Administrative Contractor (MAC) National…
Agencies continue their investigation into the underlying cause of electronic cigarette/vaping-associated lung injury. The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to…
Becker's Hospital Review reported on the following payment model updates from CMS or HHS in October: 1. CMS is now taking applications for kidney care payment models. Participation in the…
Too little attention is paid to documentation, coding, and billing in many medical practices. For patients, documentation simply means that your doctor is providing an account of your visit in…