Continuing with numerous specific requests for comment in last year’s OPPS proposed rule, CMS is once again asking stakeholders for feedback on a variety of issues for the 2019 OPPS proposed rule for future potential rulemaking. You may submit comments to the agency until September 24, 2018.
According to the National Heart, Lung, and Blood Institute, approximately 13,000 Americans die each year from aortic aneurysms , with most of the deaths attributable to an aneurysmal rupture or dissection.
As I sit down to summarize the proposed fiscal year (FY) 2019 ICD-10-CM update, the number of changes proposed are significantly less than the prior two years. This makes me think we’re getting back to the norm of expected yearly changes.
As with many diagnoses in the inpatient setting, acute kidney disorders can be confusing for coders to report due to multiple abbreviations and varying clinical criteria. Although the ICD-10-CM codes for the genitourinary system may seem straightforward, they don’t always line up precisely with the provider’s documentation in the medical record.
To help bring JustCoding members together and let them learn more about their colleagues, JustCoding created a monthly member spotlight to appear in upcoming issues. The JustCoding team loves hearing members’ stories, including major triumphs and challenges, and sharing them with the larger JustCoding membership.
Q: When is it appropriate to bill CPT code 77470 (special treatment procedure [e.g. total body irradiation, hemibody radiation, per oral or endocavitary irradiation]) for a special treatment procedure?
Numerous Briefings on Coding Compliance Strategies (BCCS) advisory board members will be presenting at the 2018 AHIMA Convention and Exhibit in Miami, Florida, from September 22–26. The advisory board members will cover topics including ICD-10-PCS accuracy basics, surgical complications, and HIM leadership.
CMS’ 2019 OPPS proposed rule continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments (PBD) and expanding last year’s payment reductions for drugs purchased under the 340B discount pricing program by nonexcepted PBDs.
A common error and audit finding affecting providers is the lack of a physician order or physician signatures on medical documentation. Kimberly A. H. Baker, JD, CPC , reviews CMS guidance for physician signatures on medical documentation.
The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule includes significant potential updates to E/M coding and reporting. Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS , reviews the proposed changes and their potential impact on coding and billing for office visits and other outpatient services in 2019.