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NUBC guidance has been updated with the missing ICD-10-AHA code for screening: Z11.59. EDITOR’S NOTE: During recent weeks, the Centers for Medicare & Medicaid Services (CMS) has been announcing revisions to its regulatory requirements on a near-daily basis, in an attempt to ease administrative and logistical burdens on providers amid…
In practice, doctors may use these terms synonymously. We are in the midst of a COVID-19 global pandemic that is changing the world as we know it. Most COVID-19 patients may not need acute inpatient care admission. Only the sickest will. These are the patients who undergo a cytokine storm…
Many healthcare professionals use these terms interchangeably. Medical decision-making specifically refers to the complexity of establishing a diagnosis and/or selecting a management option. Medical necessity refers to the appropriateness of the service provided for a certain condition. Medical necessity determines whether the service will get reimbursed. Problems arise with training…
Swift federal action was recently taken via the Families First Coronavirus Response Act, as public and several private healthcare programs are now covering COVID-19 testing and related services. Healthcare organizations that don’t properly prepare for risk face implications in edits, improper payment, or denials.  Across the globe, health experts, governments,…
COVID-19 TalkBack follow-up.  During the Talk Ten Tuesdays weekly Internet radio broadcast last week, we received many questions which we never got to answer. I am going to share some of those answers with you now. Stacey asked, “can nurses charge for telehealth visits?” There are two parts to this…
Reimbursement has not been established at this time. The American Medical Association (AMA) CPT® Editorial Panel has revised one code and created two new codes to provide more specificity for serology laboratory testing.   The codes, which were published on April 10, are effective immediately. Reimbursement has not been established for…
As CMS continues to update their policies on telehealth during the COVID-19 pandemic and the Public Health Emergency, ICD10monitor is here to continue to keep you informed on these changes.  ICD10 University will be presenting a live Telehealth Webcast on:How To Bill Telehealth Services Under the 1135 WaiverWednesday, April 15,…
Examining the layers supporting the methodology behind social distancing. The Institute of Health Metrics and Evaluation (IHME) is an independent population health research center at the University of Washington’s School of Medicine. The IHME was recruited at a state and federal level to provide modeling in determining if or when…