Find-A-Code Focus Newsletter

New: 2011 October Edition of the Medicare Quarterly Provider Compliance Newsletter

October 08, 2011

The October 2011 edition of the Medicare Quarterly Provider Compliance Newsletter is now available on Find-A-Code.

This edition contains:

  • Recovery Audit Finding: Incorrect Facility vs. Non-Facility Reimbursement
  • Recovery Audit Finding: Unbundling of Skilled Nursing Facility (SNF) Services Subject to Consolidated Billing
  • Recovery Audit Finding: Wheelchair Unbundling
  • Recovery Audit Finding: Improper Billing of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) During a Part A Inpatient Stay
  • Recovery Audit Finding: Improper Billing of Clinical Social Work (CSW) Services during an Inpatient Hospital Stay
  • Recovery Audit Finding: Validation of MS-DRGs With Ventilator Support of 96 or More Hours
  • Recovery Audit Finding: Improper Coding of Medicare Severity-Diagnosis Related Group (MS-DRG) 853, Infectious and Parasitic Diseases with Operating Room (OR) Procedure and Major Complication or Comorbidity (MCC)
  • Recovery Audit Finding: Improper Coding of Coronary Bypass with Percutaneous Transluminal Coronary Angioplasty (PTCA) with Major Complications and Comorbidities (MCCs) MS-DRGs 231, 233, 235
  • Recovery Audit Finding: Improper Coding of Seizures – MS-DRGs 100, 101
  • Recovery Audit Finding: Improper Coding of Nervous System Disorders
  • Recovery Audit Finding: Improper Coding of Lymphoma and Non-Acute Leukemia with Major Complications/ Comorbidities (MCC)


To view this newsletter, click on the "Medicare Provider Compliance" link in the "Newsletters" section of the "Coding Information" column on the Find-A-Code home page (or just click the "Medicare Provider Compliance" link above ;-)

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