Saturday: L55.9 – Sunburn R61 – Sweating W29.3xxA – Contact with powered garden tools, initial encounter Tuesday: T33.90 – Frostbite X37.2xxA – Injury due to blizzard, initial encounter W29.8xxA – Contact with snow shovel, initial encounter In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with…
The Budget Control Act of 2011 requires, among other things, mandatory across-the-board reductions in Federal spending, also known as sequestration.
Medicare PECOS Edits Begin May 1, 2013 – Claim Denials Possible | Effective May 1, 2013, the Centers for Medicare & Medicaid Services (CMS) will turn on the Phase 2 denial edits. This means that Medicare will deny claims for services or supplies that require an ordering/referring provider to be identified and that provider is not identified, is not in Medicare’s enrollment records, or is not of a specialty type that may order/refer the service/item being billed.
J30.1 – Hay fever
J30.81 – Rhinitis due to animal dander
J30.2 – Seasonal allergies
J30.89 – Rhinitis due to feathers
L23.7 – Allergic Dermatitis due to plants
W61.33xA – Pecked by Easter chick, Initial Encounter T62.8x1A – Food Poisoning, accidental, Initial Encounter, old hard-boiled Easter Egg F40.218 – Easter Bunny Phobia In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code…
CAQH recently launched a new solution to enroll in EFT with participating payers through a universal process! Enrollment is easy!
On March 13, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a ruling contrary to its traditional billing policy regarding payment of Part B inpatient services following denial of a Part A claim.
Health care providers are REQUIRED to complete Compliance Certification! The Centers for Medicare & Medicaid Services (CMS) requires that all Humana business partners, including health care providers, complete required compliance training and certifications.
In what appears to be a shift in policy, the Centers for Medicare & Medicaid Services has begun auditing providers attesting to Meaningful Use of their electronic health record systems before doling out incentive payments, according to a report from the American Academy of Family Physicians (AAFP).
Be on the lookout! Humana staff members regularly conduct medical record audits in randomly selected physician offices to help satisfy regulatory compliance by evaluating physician compliance with adopted medical record documentation guidelines.