Coding and Documentation

Put these practices into place to overcome clinical validation denials for these services.

Check your processes to implement E/M documentation changes, code updates, and expanded laboratory reporting requirements.

Understand how payment policy changes, C-APC changes, and more will impact your organization.

CMS recently released the 2019 NCCI Policy Manual for Medicare Services, which includes updates to payment policies and coding methodologies effective January 1.

Q: The physician documented debridement (11043x1 & 11046x4) of a wound 85.25 sq. cm and documented 20 sq. cm of skin substitute application (15271). My coder says that 11043/11046 is included in 15271 and we can't separately bill for them with 15271. Do we bill 15271 as the size of the debridement documented or only the size of the skin substitute?

Ease the EHR transition and prevent revenue loss by working with IT and revenue cycle leaders to create reporting solutions.

NAHRI members tuned in for expert analysis of new and upcoming changes including inpatient admission order requirements, appropriate use criteria, and learned how to apply for the association’s new credential during NAHRI’s October 30 quarterly members-only call.

Most inpatient rehabilitation facility stays might not meet Medicare coverage or documentation requirements and compliance could be improved through a preauthorization process, according to a recent Office of Inspector General report.