To effectively report opioid use, abuse, and dependence, coding and billing professionals must be able to recognize symptoms of these disorders and interpret detailed ICD-10-CM guidelines. Additionally, they must be able to identify complications associated with opioid misuse and overdose.
A proposed change to CMS’ 2019 Physician Fee Schedule proposed rule is causing controversy. CMS is suggesting revisions to the fee schedule aimed at simplifying the way physicians choose codes.
Modifiers -25 and -27 are used in the outpatient facility setting on E/M services. Learn more about how these modifiers should be applied in accordance with coding and Medicare guidelines.
The National Association of Healthcare Revenue Integrity’s (NAHRI) 2018 Revenue Integrity Symposium is a great opportunity to learn from and network with peers. There are many interesting and timely topics to be covered. I’m looking forward to many of my colleagues’ presentations and it’s difficult to single out just one; I’m also very excited about the sessions I’m participating in.
Establishing an outpatient CDI program can have substantial benefits. Recently, an outpatient CDI review project demonstrated there were many documentation improvement opportunities at a large family practice/internal medicine physician clinic.
Along with quality measure removals in the 2018 OPPS and MPFS final rules, CMS has continued to propose additional removals in the 2019 proposed rules. In addition, the agency is proposing to add to its ability to remove quality measures in the future.
