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  • Q&A: Why do we receive an edit when reporting fluoroscopy?

    Q: We have started receiving an edit for our pain management procedures reported with CPT® codes 62310 (injection of diagnostic or therapeutic substances, not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed, epidural or subarachnoid; cervical or thoracic) and 62311 (lumbar or sacral) along with fluoroscopy code 77003 (fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures [epidural or subarachnoid]). 
     
    We know that this is a correct pairing based on CPT instructions, but we are getting an edit that this is not allowable. 

  • Hospital starts team home visits to reduce readmissions

    Paying a visit to patients in their homes can help keep them out of the hospital, according to Valley Health System in Ridgewood, New Jersey. The health system recently began a program that sends medical teams, comprised of a paramedic, critical care nurse and emergency medical technician, to check up on recently discharged patients.

  • CMS seeking volunteers for final round of ICD-10 end-to-end testing

    CMS recently extended the deadline for providers to volunteer for ICD-10 end-to-end testing through May 22.The final round of ICD-10 end-to-end testing with Medicare Administrative Contractors and the Common Electronic Data Interchange contractor will occur July 20–24.

  • Q&A: We included a procedure on an inpatient claim before the patient was admitted

    Q: We erroneously included a surgical inpatient-only procedure on an inpatient Medicare claim and don’t know how to handle this. The physician performed the procedure the day before the patient was admitted as an inpatient and our medical review staff stated it was related to the inpatient admission. What is the best way to handle this?

  • New resource can help boost patient health literacy

    Adequate health literacy is a critical for patients leaving the hospital setting for the next level of care. Once patients leave, they’ll need to understand their condition well enough to follow treatment guidelines to stay healthy.

  • Ponemon study identifies criminal attacks as leading cause of breaches

    Criminal attacks on the healthcare industry have increased 125% since 2010, making these attacks the leading cause of data breaches in the industry, according to the Ponemon Institute’s Fifth Annual Benchmark Study on Privacy & Security of Healthcare, sponsored by ID Experts®.

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ICD-10 Preparation

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