Introducing the new Medicare Provider Compliance Newsletter

• Inpatient Hospital and Skilled Nursing Facilities Fail to Submit Requested Documentation
  
• Other Services with Excessive Units - Units Billed Exceeded the Number Approved per Current Procedural Terminology/Healthcare Common Procedure Coding System (CPT/HCPCS) Code Descriptions
  
  
• Inpatient Hospital Services - Respiratory System Diagnosis with Ventilator Support: Principal Diagnosis on the Claim Did Not Match the Principal Diagnosis in the Medical Record
  
  
• Other Cardiac Pacemaker Implantation (DRG 116) - Not Medically Necessary to Receive Care in Inpatient Setting
  
  
• Inpatient Hospital Services - Heart Failure and Shock (DRG 127) Criteria for Inpatient Care Not Met
  
  
• Other Drug Codes - Incorrect Number of Units Billed
  
  
• Inpatient Hospital Services - Medical Record Did Not Include Sufficient Documentation
  
  
• Physician Pharmaceutical Injectables - Incorrect Procedure Codes and/or Number of Units Billed

More Items in October 2010

• Oct 16, 2010
  September 2010 CPT® Assistant Available
• Oct 13, 2010
  New Find-A-Code Design with New Tools and Resources
• Oct 08, 2010
  Sneak Preview of the new FindACode.com Design
• Oct 07, 2010
  Expanded Build-A-Code!
• Oct 01, 2010
  2010 Quarter 4 changes are online
• Oct 01, 2010
  New This Month (October 2010)

To view more items select a month from our "Items by Month" list.

Or view documentation, coding and billing articles.