More and more, hospitals are experiencing a shift of services from inpatient to outpatient settings. In this article, Laura Jacquin, RN, MBA , describes common challenges healthcare workers face when providing comprehensive documentation for services across the care continuum.
Ovarian cysts may develop at any point in a woman's life and frequently occur with other medical diseases. In this article, Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, details best practices when assigning ICD-10-CM/CPT codes for ovarian cyst diagnoses and procedures.
In order to accurately code for complex diseases and procedures of the brain, spinal cord, and sense organs, coders need a basic understanding of nervous system functionality. This article provides detailed information on nervous system anatomy and terminology, common brain and nervous system disorders, and recently introduced 2018 ICD-10-CM codes related to nervous system conditions.
Coding Clinic , Fourth Quarter 2017, which became effective October 1, has interesting morsels affecting ICD-10-CM/PCS documentation and coding compliance.
Yes, I’ll admit it: I used to be one of those people. Before finding a great fit on a CDI dream team, I worked as a medical review examiner for a Medicare Administrative Contractor (MAC). During that time, I reviewed Part A claims for inpatient stays, therapy reviews, medications, and Recovery Auditor (RA) appeals—to name a few. Not only did I gain experience working with Medicare hospital claims, but I also got to see a little bit of how different facilities approach their denials.
The newness and specificity of ICD-10 has ushered in a stronger focus on clinical coding audits. From internal reviews to external inpatient coding audits, healthcare organizations nationwide are revisiting tried-and-true audit practices with ICD-10 coding quality in mind.
According to the American Cancer Society, skin cancer is by far the most common type of cancer . Exposure to harmful ultraviolet (UV) rays from the sun without protection can cause skin cancer. UV rays can come from other sources as well, such as tanning beds and sun lamps. The number of skin cancer diagnoses has increased in the past few years.
In July, Utah pain doctor Jahan Imani, MD, and Intermountain Medical Management, P.C., entered into a nearly $400,000 settlement with the OIG to resolve allegations that Imani’s practice submitted false or fraudulent claims due to improper modifier use for payment by improperly using modifier -59 with HCPCS code G0431.
Section 216(a) of the Protecting Access to Medicare Act of 2014 (PAMA) added a requirement that will dramatically revise the Medicare Clinical Laboratory Fee Schedule (CLFS) effective January 1, 2018.
