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Beef up initial inpatient visit documentation to survive prepayment review

05/22/2017

Pay attention to whether your physicians are adequately documenting level 3 initial hospital visits (99223) because auditors have those claims in their crosshairs.

In wake of WannaCry ransomware attack, check coverage and do the basics

05/22/2017

by: Roy Edroso

A wave of ransomware attacks has hit medical providers in Europe and Asia and may hit more in the United States, where one hospital is reported to have been hit as of press time. Protection is pretty straightforward, but it requires that you do the basics, not only in IT security but also in insuring your technological resources.

As eligibility widens, add more patients to your hepatitis B screening ranks

05/22/2017

by: Richard Scott

Use a new code — G0499 (Hepatitis B screening in non-pregnant, high-risk individual) — for hepatitis B screening when you perform the service on newly eligible patients.

New NPPES version takes more information, easier on enrollment surrogates

05/22/2017

by: Roy Edroso

If you complete enrollment on behalf of your providers as part of CMS' surrogate program, you’ll have an easier time with the National Plan and Provider Enumeration System (NPPES) step in the process thanks to recent changes.

Add an E/M to this shoulder pain shot if it’s a new problem

05/22/2017

by: Roy Edroso

Question: We had a patient present with shoulder pain and joint stiffness that had not been evaluated on a previous visit. Our physician examined his shoulder, discussed and documented various treatment options, and they mutually agreed on a shoulder injection. Can the physician bill for an E/M and the procedure with modifier 25 (Significant, separately identifiable E/M service) or just for the procedure alone?

Hepatitis B screening, on the rise, projected to continue upward growth

05/22/2017

by: Richard Scott

Rising claims for the screening of hepatitis B virus (HBV) may have received an additional jolt after CMS expanded eligibility criteria to include more patients.

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