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Late entries, addendums, or corrections should never be common occurrences. Medicare coverage guidelines dictate that physician notes are required for support of medical necessity, and this documentation must be available to the Medicare Administrative Contractor (MAC) upon request. It is strongly recommended that medical practices use proactive strategies to educate…
Comments are due by July 10, 2020. The Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2021 fiscal year was published on May 11 by the Centers for Medicare & Medicaid Services (CMS). Comments are due by July 10 at 5 p.m. Comments can be sent electronically using http://www.regulations.gov.…
The reliability of the current state of health information is extremely limited. EDITOR’S NOTE: Dr. Joseph Nichols is producing a five-part series on healthcare data for ICD10monitor. This is the fifth installment in his exclusive series. This is the last article of the five-part series on “the search for reliable health…
Two interim rules address telehealth amid the coronavirus pandemic. I’m sure everyone has heard the saying, “the only constant is change.” Well, it certainly rings true these days. The Centers for Medicare & Medicaid Services (CMS) issued a second interim final rule on April 30, offering another round of coding and documentation…
Waivers, modifiers, lab tests, multiple diagnosis codes…the layers and specifics of COVID-19 coding cannot be overlooked when ensuring appropriate reimbursement and safeguarding claims against third-party payer audits. As hospitals and healthcare organizations begin to assess the required steps necessary to prepare for the transition back to a pre-COVID-19 operating environment,…
Burnout and suicides among climate activists. In the American Medical Association’s Principles of Medical Ethics, Section 7 of 9 reads: “A physician shall recognize a responsibility to participate in activities contributing to the improvement of the community and the betterment of public health.” Of course, there are many possibilities for…
Widespread testing for antibodies is not considered screening. Screening is for identifying the disease state. People are really struggling with understanding when to apply Z11.59, Encounter for screening for other viral diseases, in relation to COVID-19. I think the issue is that we are trying to wrap our minds around…
When treating COVID-19, it is important to follow the guidance of medical professionals in using medications. There has been much speculation about using hydroxychloroquine as a treatment for COVID-19. This drug is an immunosuppressant and anti-parasitic drug that is used to treat malaria. Another name for the drug is Plaquenil.…