Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, CDIP, writes about the challenges faced in OB hospitalist practices and which procedures and services to focus on for coding, billing, and documentation.
Review the bones of the pelvic girdle, along with the differences in the bones between genders, and ICD-10-CM coding conventions to properly code fractures of the pelvis.
The 2017 CPT update didn’t include a huge amount of changes, but new codes have replaced the previous ones for dialysis circuit coding. Stacie L. Buck, RHIA, CCS-P, CIRCC, RCC, reviews the new codes and what services are included in each.
Many coders may know that the human body contains 206 bones, but they may not realize that more than 10% of them are in the cranium. In addition to reviewing skull anatomy, examine common ICD-10-CM codes for skull conditions.
Complex chronic care management services can be challenging to accurately tabulate and report. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, CDIP, writes about how billers and coders can work with providers to report them accurately.
by Stacie L. Buck, RHIA, CCS-P, CIRCC, RCC One area of CPT coding that saw big changes for 2017 is for dialysis circuit coding. The existing codes have all been deleted, and new codes have been...
Managers should not assume that they can review every guideline, every item in Coding Clinic , or every coding-related issue targeted by the Office of Inspector General (OIG) or Recovery Audit Contractor (RAC).
Jugna Shah, MPH, and Valerie A. Rinkle, MPA, look at comprehensive APC (C-APC) expansion for 2017 and how that will lead to many new codes to be included in C-APCs. They also look at CMS’ new site-neutral payment policies for 2017 included in the latest OPPS final rule.
The shoulder girdle has the widest and most varied range of motion of any joint in the human body. That also makes it one of the most unstable. Read about the anatomy of the shoulder and which coding options exist for procedures of the shoulder.
Coders have many more options to report diagnoses of the foot in ICD-10-CM, with the ability to include laterality, location, and other details related to the injury. Review the bones of the feet and tips for additional documentation details to note when choosing codes for foot fractures.
The 2017 OPPS final rule brings the end of modifier –L1 for separately reportable laboratory tests, along with changes to CMS’ packaging logic. Jugna Shah, MPH, and Valerie A. Rinkle, MPA, review how these changes will impact providers.
Drug administration services are one of the most commonly coded and billed services, but that does not mean providers always include complete documentation. Review what physicians and nurses should be including in order to report the most accurate codes.
Chronic care management codes were adopted by CMS in 2015, but relatively few providers use them. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, CDIP, writes about the criteria needed to code and bill these services, as well as how coders can work with providers to ensure documentation supports the codes.
As it does each year, CMS reviewed its packaging policies and proposed numerous modifications for 2017, finalizing a move to conditionally package at the claim level and deleting the controversial modifier used to identify separately reportable laboratory tests.
Each year, CMS reviews procedures on the inpatient-only list, which consists of services typically provided on inpatients and not payable under the OPPS, to consider whether they are being performed safely and consistently in outpatient departments.
CMS made certain concessions from its proposed site-neutral payment policies required by Section 603 of the Bipartisan Budget Act, but it is still moving forward with implementation January 1, 2017, according to the 2017 OPPS final rule.
The complex anatomy of the arm, wrist, and hand can make coding for procedures on them challenging. Review the bones of the arm and common codes used to report fractures and dislocations.
