"Skilled Nursing" & "Training" Articles

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December 22nd, 2020

ICD-10-CM 2021 Codes for your Specialty

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published December 22nd, 2020

14. Diseases of the genitourinary system (N00-N99) Code: Description:N00.A Acute nephritic syndrome with C3 glomerulonephritisN01.A Rapidly progressive nephritic syndrome with C3 glomerulonephritisN02.A Recurrent and persistent hematuria with C3 glomerulonephritisN03.A ...

November 18th, 2020

How to Search Find-A-Code for Medicare Policies and Guidelines — LCDs, NCDs and Articles —

By Raquel Shumway | Published November 18th, 2020

Help for Searching Find-A-Code when searching for Medicare Policies and Guidelines — LCDs, NCDs and/or Articles.

August 10th, 2020

Coding Injections for Pain Management

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published August 10th, 2020

Coding for pain management can get confusing. How many injections, the location, and when to use a modifier are all common questions. This article will cover some of the most common injections used in pain management. Trigger Point Injections Trigger point injections are reported by how many muscles are treated using an ...

August 5th, 2020

Coding with PCS When There is No Code

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published August 5th, 2020

ICD-10-PCS covers ALMOST everything! But not quite! What if a body system does not contain a body part for toes or fingers? What about an elbow? When it does not cover what you are looking for, where do you turn? To the guidelines, of course! There are ICD-10-PCS guidelines just as ...

July 20th, 2020

New Grouper Added for Skilled Nursing

By Find-A-Code | Published July 20th, 2020

The additional grouper for Skilled Nursing, sometimes referred to as (PDPM), is used for classifying SNF patients in a covered Part A stay. This grouper is included with our Home Health Grouper. Current groupers/calculators include: Home Health PDGM (Patient-Driven Grouping Model) Skilled Nursing Facility PDPM (Patient-Driven Payment Model) What is it? According to CMS, In ...

July 14th, 2020

Are NCCI Edits and Modifiers Just for Medicare?

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published July 14th, 2020

The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ...

July 1st, 2020

Understanding UCR Inpatient Fees used on DRGs

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published July 1st, 2020

June 15th, 2020

Newest Launch - We Now Have Outpatient Facility Pricing!

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published June 15th, 2020

Our newest feature launch offers UCR pricing for Outpatient Facility. We recently released pricing information based on databases of insurance claims from private-sector health care providers.Usual, customary, and reasonable charges (UCR) are medical fees used when there are no contractual pricing agreements and are used by certain healthcare plans and third-party payers to generate ...

April 15th, 2020

New CPT® Codes Approved for COVID-19 Antibody Identification

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published April 15th, 2020

On April 10, 2020, the American Medical Association approved and published a revision of code 86318 and added two new codes 86328 and 86769 for reporting Coronavirus [COVID-19] antibody testing.

March 31st, 2020

CMS-Coverage for Therapeutic Shoes for Individuals with Diabetes

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published March 31st, 2020

Therapeutic shoes and inserts can play a vital role in a diabetic patient's health. Medicare may cover one pair every year and three pairs of custom inserts each calendar year if the patient qualifies and everything is handled correctly. Medicare Benefit Policy Manual explains what is needed for a person with diabetes to ...

March 5th, 2020

Who Qualifies for Chronic Care Management Services

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published March 5th, 2020

Per MLN Chronic Care Management Services, the following patients are eligible: "Patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, are eligible for CCM services." Examples of chronic conditions ...

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December 19th, 2019

CMS- Patient Driven Payment Model Effective October 01, 2019

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published December 19th, 2019

According to CMS, In July 2018, CMS finalized a new case-mix classification model, the Patient-Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. Using the new Patient-Driven ...

October 1st, 2019

Do ICD-10 Updates Have Your Heart Beating Irregularly? Check Out the New Atrial Fibrillation Codes

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published October 1st, 2019

Atrial fibrillation (AF) is the most common type of abnormal heart rhythm (arrhythmia). It is caused by a disorder in the heart’s electrical system. AF is the result of abnormal contractions of the atria (upper two chambers of the heart) causing them to quiver and beat out of sync with ...

August 16th, 2019

Medical ID Theft

By Namas | Published August 16th, 2019 - Last Review/Update August 20th, 2019

Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...

August 9th, 2019

The OIG Work Plan: What Is It and Why Should I Care?

By Namas | Published August 9th, 2019 - Last Review/Update August 14th, 2019

The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...

July 19th, 2019

The Facts of Critical Care

By Namas | Published July 19th, 2019 - Last Review/Update July 30th, 2019

Critical care services remain to not only be an area of confusion for providers, coders, and auditors, but also a constant target for the carriers for audit. We can sit back and look at critical care and think of all of the ways the code descriptor and/or use could be ...

July 12th, 2019

5 Ways to Minimize HIPAA Liabilities

By BC Advantage | Published July 12th, 2019 - Last Review/Update July 30th, 2019

Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...

June 18th, 2019

How to Properly Report Monitoring Patients Taking Blood-thinning Medications

By Wyn Staheli, Director of Research | Published June 18th, 2019 - Last Review/Update June 19th, 2019

Codes 93792 and 93792, which were added effective January 1, 2019, have specific guidelines that need to be followed. This article provides some guidance and tips on properly reporting these services.

April 1st, 2019

Spinal Cord Stimulator Used for Chronic Pain

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published April 1st, 2019

Chronic pain is a condition that can be diagnosed on its own or diagnosed as a part of another condition. When coding chronic pain, there is no time frame defining when pain becomes chronic pain; the provider’s documentation should be used to guide the use of these codes. ICD-10-CM Diagnosis Codes ...

March 27th, 2019

Pain Codes in ICD-10-CM

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published March 27th, 2019

When coding with ICD-10-CM, pain codes can be found in different sections: The Body System affected or site-specific pain codes, such as Low Back Pain M54.5, can be found in Chapter 13. Diseases of the Musculoskeletal system (M00-M99). Other examples might be ocular pain H57.1, found in Chapter 7. Diseases of ...

March 21st, 2019

The Impact of Medical Necessity on High Level E/M Services

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published March 21st, 2019

I was recently asked the question, "Does 99233 require documentation of a past medical, family, and/or social history (PFSH)?" The quick answer is, "it depends." Code 99233 has the following minimal component requirement: Subsequent inpatient E/M encounters can meet the code level requirement either by component scoring & medical necessity or time & medical necessity. ...

March 1st, 2019

Understanding NCCI Edits

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published March 1st, 2019

Medicare creates and maintains the National Correct Coding Initiative (NCCI) edits and NCCI Policy Manual, which identify code pair edits. When performed on the same patient, on the same day, and by the same provider, the secondary code is considered an integral part of the primary code, and payment for ...

January 10th, 2019

Are You Protecting Your Dental Practice From Fraud?

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published January 10th, 2019

With the expansion of dental coverage through Medicaid and Medicare Advantage plans, an ever-increasing number of dental claims have come under scrutiny for fraud. One such payer, Aetna, is actively pursuing dental fraud by employing their special investigative units (SIUs) to identify and investigate providers who demonstrate unusual coding and ...

October 17th, 2018

Wolters Kluwer Drug Pricing

By Find-A-Code | Published October 17th, 2018

Wolters Kluwer provides unit and package pricing for multiple drug price types: Average Wholesale Price (AWP), Wholesale Acquisition Cost (WAC), Direct Price (DP), Manufacturer's Suggested Wholesale Price (SWP), Centers for Medicare & Medicaid Services, Federal Upper Limit (CMS FUL), Average Average Wholesale Price (AAWP), Generic Equivalent Average Price (GEAP). Average...

October 2nd, 2018

Tools and Resources for Life Care Planners

By Christine Woolstenhulme, QMC, QCC, CMCS, CPC, CMRS | Published October 2nd, 2018

Life Care Planners play a vital and underappreciated including understanding the progression of a disease and lifetime clinical treatment options, research, delete (I combined this into the paragraph above) compiled into one easy-to-use resource. a unified providing a single destination for procedure coding coding to find information on...

July 9th, 2018

Documentation: Face to Face for Home Health Certification

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published July 9th, 2018

As a physician, you are responsible for providing appropriate, accurate supporting documentation of your face-to-face encounters (FTF) with your patients regarding home health care. Analysis of the recent errors identified by the Comprehensive Error Rate Testing (CERT) Review Contractor shows a continuing increase in denials related to documentation for the FTF. The ...

May 1st, 2018

CEU’s Now Available

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published May 1st, 2018

CEU’s are now available for the following Webinars: Practice Risk Areas, Presented by Brandy Brimhall (1 CEU) Secrets of Chiropractic Documentation, Presented by Compliant Coding Systems. (4 CEU’s) CEUs are available in the following states: Alaska Connecticut District of Columbia Idaho Indiana Iowa Kansas Maine Maryland Massachusetts Minnesota Montana Nebraska Nevada New Jersey North Carolina North Dakota Ohio Oregon Rhode Island South Carolina South Dakota Tennessee Utah Washington Vermont Virginia Wyoming Puerto Rico Nova Scotia NOTE: "Additional states may be ...

March 9th, 2018

Documentation for Urological Supplies

By Medicare Learning Network | Published March 9th, 2018 - Last Review/Update March 27th, 2018

The Medicare Learning Network provides guidance on required documentation for urological supplies.

March 8th, 2018

Documentation for Manual Wheelchairs

By Medicare Learning Network | Published March 8th, 2018 - Last Review/Update March 15th, 2018

The Medicare Learning network provides guidance on how to prevent denials for Manual Wheelchair Bases....

March 8th, 2018

Documentation for Home Health Services (Part A non DRG)

By Medicare Learning Network | Published March 8th, 2018 - Last Review/Update March 27th, 2018

The Medical Learning Network provides coverage guidance, which should be documented, for home health services.

March 8th, 2018

Documentation and Orders for Respiratory Assistive Device

By Medicare Learning Network | Published March 8th, 2018 - Last Review/Update March 27th, 2018

The Medicare Learning Network provides guidance on required documentation for a respiratory assistive device and ordering guidelines.

March 8th, 2018

Documentation for Skilled Nursing Facilities

By Medicare Learning Network | Published March 8th, 2018 - Last Review/Update March 27th, 2018

The Medicare Learning Network provides guidance on required documentation for Skilled Nursing Facilities (SNF).

January 31st, 2018

Influenza, Are You Billing Correctly?

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published January 31st, 2018

With this year's Flu season being the most widespread on record, providers are seeing more patients and giving more immunizations for influenza than normal. Here are a few things to keep in mind during this flu season. Know the rules with your payers to ensure proper reimbursement and correct billing. For example, did you ...

January 31st, 2018

Developing Coding Policies for Compliance

By Marge McQuade, CMSCS, CHCI, CPOM | Published January 31st, 2018

Every physician practice depends upon correct coding and billing for their financial success. Coding drives reimbursement. All of the resources available for coding information and guidance are meaningless without the practice manager translating it into provider-specific coding policies and compliance plan. As a practice manager, you need to develop a ...

January 29th, 2018

Anesthesia and Fee Calculation

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published January 29th, 2018 - Last Review/Update April 16th, 2020

Fees for anesthesia services are not calculated the same as for other types of procedures. There are four elements to consider when calculating anesthesia fees. Medicare accepts base units and time units; however, depending on the third party payer, they may or may not accept physical status units and/or qualifying circumstances units. Base Unit (of the CPT code) Time (in ...

January 23rd, 2018

NEW on Find-A-Code...National Coverage Determinations (NCDs)

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published January 23rd, 2018 - Last Review/Update January 25th, 2018

Medicare limits its coverage of services to those considered to be reasonable and necessary for the diagnosis and treatment of an injury or illness based on coverage guidelines. National Coverage Determinations (NCDs) are created based on research, evidence-based processes, public participation, and other resources, and made available to the public. ...

January 4th, 2018

Special Skilled Nursing Facility (SNF) Billing Exceptions for Laboratory Tests PUB-100 40.4

By Find-A-Code | Published January 4th, 2018

When a SNF furnishes laboratory services directly, it must have a Clinical Laboratory Improvement Act (CLIA) number or a CLIA certificate of waiver, and the laboratory itself must be in the portion of the facility so certified. Normally the A/B MAC (A) makes payment under Part B for clinical laboratory ...

January 4th, 2018

Billing Negative Pressure Wound Therapy (NPWT) (disposable device)

By Find-A-Code | Published January 4th, 2018

Per CMS: Disposable NPWT services are billed using the following Current Procedural Terminology® (CPT®) codes: 97607 - Negative pressure wound therapy, (e.g., vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or ...

November 10th, 2017

The Importance of Attitude and Continuing Education

By Betty Stump, MHIA, RHIT, CPC, CCS-P, CPMA, CDIP | Published November 10th, 2017 - Last Review/Update January 31st, 2018

Coders, auditors, even physicians, and other healthcare professionals recognize their career paths will require ongoing education......

September 1st, 2017

Preventive Services: Lung Cancer Counseling and Annual Screening for Lung Cancer With LDCT

By Find-A-Code | Published September 1st, 2017 - Last Review/Update January 31st, 2018

The following information from the Medicare Learning Network provides guidance on Lung Cancer Screening Counseling, and Annual Screening for Lung Cancer With Low Dose Computed Tomography (LDCT)....

August 29th, 2017

Elderly Abuse Discovered by the OIG - Early Alert

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published August 29th, 2017

The OIG sent out an early alert in an effort to create awareness to potential abuse or neglect of Medicare Beneficiaries in skilled nursing facilities. The OIG identified 134 Medicare beneficiaries whose injuries may have been the result of potential abuse or neglect. The beneficiaries reported were treated at the ...

August 4th, 2017

Increased Medicare payment rates for FY 2018!

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published August 4th, 2017

We can look forward to a few prospective payments for Skilled Nursing Facilities, Hospice and Inpatient Rehab; CMS released their final rule and reported on key highlights of the new FY 2018 Medicare payment rules. CMS States, “The 2018 Skilled Nursing Facility (SNF) Prospective Payment System Final Rule increases Medicare payment rates ...

June 29th, 2017

NAMAS Announced New Auditing Credential!

By Shannon DeConda, CPC, CPC-I, CEMC, CMSCS, CPMA | Published June 29th, 2017

At NAMAS, we strive to be the industry expert in auditing and compliance education. Each year, we carefully select our weekly webinar topics, annual conference sessions, and speakers to provide you with the type of training and education you need to succeed in your role. We are excited to share ...

March 28th, 2017

Respiratory Assist Devices (RAD) E0470 and E0471 - Billing Reminders

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published March 28th, 2017 - Last Review/Update July 28th, 2017

Add the KX modifier to all claims for RADs and accessories for the first through third months if all thecoverage criteria have been met. Add the KX modifier to all claims for the fourth month and thereafter if all the coverage criteria have been met and if the physician signed and dated a ...

February 27th, 2017

Documentation: Face to Face for Home Health Certification

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published February 27th, 2017 - Last Review/Update August 16th, 2017

June 9th, 2016

Mandatory Submission of Staffing Data via PBJ Begins July 1 for Long – Term care facilities

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published June 9th, 2016

Electronic submission of staffing data through the Payroll-Based Journal (PBJ) is required of all long-term care facilities starting July 1. The last day to submit data for fiscal quarter four (July 1 through September 30) is November 14, 2016. Nursing homes can register now in the PBJ system to prepare: Obtain ...

May 19th, 2016

Skilled nursing facilities paid for participating in new program, starting the summer of 2016

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published May 19th, 2016

Medicare plans to start a Skilled Nursing Facility Value-Based Purchasing Program (SNFVBP), beginning fiscal year 2019. This program will be used to promote better clinical outcomes for skilled nursing facility patients and improve care during their stay at a skilled nursing facility. Skilled nursing facilities will be paid for participating. ...

April 25th, 2016

Skilled Nursing Facility Value-Based Purchasing Program (SNFVBP) - Beginning 2019

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published April 25th, 2016

March 8th, 2016

Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) Form - Free

By Find-A-Code | Published March 8th, 2016

The purpose of this form is to help you make an informed choice about whether or not you want to receive these items or services, knowing that you might have to pay for them yourself. Before you make a decision about your options, you should read this entire notice carefully. ...

February 26th, 2016

Clear the Smoke on Debridement and Active Wound Care Codes

By | Published February 26th, 2016

Confused about when to choose a debridement code and an active wound code? CPT® 2011 is here to your rescue with revised debridement code guidelines that clarify how to choose between the two code groups — and the key word that will tighten up your coding is depth. “Depth is...

February 24th, 2016

Nebulizer Therapy Billing Reminders - Modifiers, Dispensing Fees, and Orders

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published February 24th, 2016 - Last Review/Update August 3rd, 2017

The ICD-10-CM code describing the condition necessitating nebulizer therapy must be included on each claim for equipment, accessories, and/or drugs. When ever a unit dose code is billed, it must have a KO, KP, or KQ modifier. (Exception: The KO, KP, and KQ modifiers should not be used with code J7620.) When billing miscellaneous equipment or accessories (E1399), the claim must ...

November 20th, 2015

Documentation of Pressure Ulcers

By Find-A-Code | Published November 20th, 2015

Documentation of Pressure Ulcers, read entire article by Wound Consultants Inc. ...

August 3rd, 2015

Notice of Election (NOE) - Form CMS - 1450 (Rev. 3118)

By Find-A-Code | Published August 3rd, 2015

When a Medicare beneficiary elects hospice services, hospices must complete form locators identified in section 20.1.2 for the Uniform (Institutional Provider) Bill (Form CMS-1450), which is an election notice. In addition, the hospice must complete the Form CMS-1450 when the election is for a patient who has changed an election from one ...

August 3rd, 2015

Levels of Care Data Required on the Institutional Claim to Medicare Contractor

By | Published August 3rd, 2015

With the exception of payment for physician services, Medicare payment for hospice care is made at one of four predetermined rates for each day that a Medicare beneficiary is under the care of the hospice. The four rates are prospective rates; there are no retroactive adjustments other than the application ...

July 17th, 2015

FI Service to HHAs and Hospices (Rev. 1, 10-01-03)

By Find-A-Code | Published July 17th, 2015

Under 42 CFR 421.117, CMS is authorized to designate RHHIs to service HHAs and hospices. This provision was implemented through the designation of regional FIs to service all HHAs and hospices. See http://www.cms.hhs.gov/contacts/incardir.asp for RHHI jurisdictions. An HHA or hospice chain may request to be served under an arrangement involving a ...

December 4th, 2014

Correct Coding: Braces (Orthoses) Attached to Wheelchairs

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published December 4th, 2014 - Last Review/Update August 9th, 2017

Joint DME MAC and PDAC Publication Recently, claims for braces attached to wheelchairs have been submitted using HCPCS code K0108 - WHEELCHAIR COMPONENT OR ACCESSORY, NOT OTHERWISE SPECIFIED. K0108 is not the correct HCPCS code to use for these items. CMS has clarified the distinction between braces (orthoses) and durable medical equipment (DME) under Medicare Part ...

October 16th, 2014

Evaluation and Management (EM) in the Skilled Nursing Facility

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published October 16th, 2014 - Last Review/Update January 30th, 2017

Evaluation and Management (EM) in the Skilled Nursing Facility The first time I remember visiting a skilled nursing facility was after my grandmother's stroke. She was rehabilitating there, trying to learn to speak again. Once she was back to her normal activities, she returned to our home where she was taken ...

August 13th, 2014

Consolidated Billing (CB) for SNF (Skilled Nursing Facilities) - Exceptions

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published August 13th, 2014 - Last Review/Update August 9th, 2017

SNF itself must submit all Medicare claims for the services that its residents receive (except for specifically excluded services listed below). CB for SNF resembles the bundling requirement for Inpatient Hospital Services, assigning the facility responsible for the entire package except for certain services that are specifically excluded. Physicians' services furnished to ...

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"Skilled Nursing" & "Training" Articles

ICD-10-CM 2021 Codes for your Specialty

How to Search Find-A-Code for Medicare Policies and Guidelines — LCDs, NCDs and Articles —

Coding Injections for Pain Management

Coding with PCS When There is No Code

New Grouper Added for Skilled Nursing

Are NCCI Edits and Modifiers Just for Medicare?

Understanding UCR Inpatient Fees used on DRGs

Newest Launch - We Now Have Outpatient Facility Pricing!

New CPT® Codes Approved for COVID-19 Antibody Identification

CMS-Coverage for Therapeutic Shoes for Individuals with Diabetes

Who Qualifies for Chronic Care Management Services

CMS- Patient Driven Payment Model Effective October 01, 2019

Do ICD-10 Updates Have Your Heart Beating Irregularly? Check Out the New Atrial Fibrillation Codes

Medical ID Theft

The OIG Work Plan: What Is It and Why Should I Care?

The Facts of Critical Care

5 Ways to Minimize HIPAA Liabilities

How to Properly Report Monitoring Patients Taking Blood-thinning Medications

Spinal Cord Stimulator Used for Chronic Pain

Pain Codes in ICD-10-CM

The Impact of Medical Necessity on High Level E/M Services

Understanding NCCI Edits

Are You Protecting Your Dental Practice From Fraud?

Wolters Kluwer Drug Pricing

Tools and Resources for Life Care Planners

Documentation: Face to Face for Home Health Certification

CEU’s Now Available

Documentation for Urological Supplies

Documentation for Manual Wheelchairs

Documentation for Home Health Services (Part A non DRG)

Documentation and Orders for Respiratory Assistive Device

Documentation for Skilled Nursing Facilities

Influenza, Are You Billing Correctly?

Developing Coding Policies for Compliance

Anesthesia and Fee Calculation

NEW on Find-A-Code...National Coverage Determinations (NCDs)

Special Skilled Nursing Facility (SNF) Billing Exceptions for Laboratory Tests PUB-100 40.4

Billing Negative Pressure Wound Therapy (NPWT) (disposable device)

The Importance of Attitude and Continuing Education

Preventive Services: Lung Cancer Counseling and Annual Screening for Lung Cancer With LDCT

Elderly Abuse Discovered by the OIG - Early Alert

Increased Medicare payment rates for FY 2018!

NAMAS Announced New Auditing Credential!

Respiratory Assist Devices (RAD) E0470 and E0471 - Billing Reminders

Documentation: Face to Face for Home Health Certification

Mandatory Submission of Staffing Data via PBJ Begins July 1 for Long – Term care facilities

Skilled nursing facilities paid for participating in new program, starting the summer of 2016

Skilled Nursing Facility Value-Based Purchasing Program (SNFVBP) - Beginning 2019

Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) Form - Free

Clear the Smoke on Debridement and Active Wound Care Codes

Nebulizer Therapy Billing Reminders - Modifiers, Dispensing Fees, and Orders

Documentation of Pressure Ulcers

Notice of Election (NOE) - Form CMS - 1450 (Rev. 3118)

Levels of Care Data Required on the Institutional Claim to Medicare Contractor

FI Service to HHAs and Hospices (Rev. 1, 10-01-03)

Correct Coding: Braces (Orthoses) Attached to Wheelchairs

Evaluation and Management (EM) in the Skilled Nursing Facility

Consolidated Billing (CB) for SNF (Skilled Nursing Facilities) - Exceptions

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contact

article topics