Under both the 1135 waiver and the Coronavirus Preparedness and Response Supplemental Appropriations Act, CMS is increasing access to Medicare’s telehealth services to allow beneficiaries to receive professional healthcare services without having to travel to a healthcare facility.
Coders can raise the flag for the risk management department by signaling unexpected patient care occurrences, such as a nicked organ during surgery. Use this sample occurrence report form as a template for your organization.
Clinical validation reviews and queries ensure that the documented diagnoses and clinical indicators hold up to inspection. Use these strategies to head off clinical validation reviews and improve documentation.
The CDC estimates there are an estimated 35,900 deaths a year from antibiotic-resistant infections. Learn how to improve coding and documentation of these infections.
To code for spinal excisions and decompression procedures, coders must break down provider documentation to determine the surgical approach utilized and surgical specialists involved, and in some cases, visualize how the procedure was performed across multiple levels of the spinal column.
Q: Can a hospital bill for a nutritionist and a dietitian deliver diabetes self-management training (DSMT) via telehealth on a UB claim? Nutritionists and dietitians are on the list of distant site practitioners, although registered nurses are not.
The Centers for Disease Control and Prevention (CDC) on March 31 published ICD-10-CM Official Coding and Reporting Guidelines for the novel coronavirus (COVID-19), effective April 1 through September 30.
Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.
The American Medical Association (AMA) announced on March 26 new CPT coding and reporting guidance for physicians and medical practices, intended to simplify reporting of in-person and online visit services for novel coronavirus (COVID-19) patients.
CMS lifted some restrictions on telehealth coverage in a bid to keep non-critically ill patients out of clinics and hospitals in a bid to slow down the spread of the novel coronavirus (COVID-19), but other still apply to hospitals.
