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  • Q&A: Reporting modifiers with infusions in the ED

    Q: I have been told by our billers that infusion codes reported in the ED along with an E/M code that has modifier -25 (significant, separately identifiable evaluation and management service on the same day of the procedure or other service) require another modifier. I thought that -25 is the only modifier that should be submitted, unless the provider started a second infusion at a second site on the body. This is the first time I’ve been told the infusion coder need a modifier if the E/M has modifier -25 appended.  All of my educational articles tell me that the two can be reported together. Have I missed an update somewhere along the way?

  • Tips for preventing readmissions through improved medication management

    Case managers know that it’s often medication-related problems that send patients back to the hospital after discharge. Maybe the patient didn’t have the money to fill the needed prescription or the patient didn’t follow the doctor’s instructions because he or she didn’t understand them.

  • Q&A: Reporting magnetic band implantations to treat GERD

    Q: Our physicians want to start implanting a magnetic band around the distal esophagus to treat gastroesophageal reflux disease (GERD). We can’t find a code to report this procedure. Is there one?

  • Study focuses in on ED opioid prescribing practices

    A study by researchers at Brigham and Women’s Hospital in Boston provides new information about how opioid medications are typically prescribed in emergency departments across the nation. Study authors hope this new information will enable policy-makers to better target interventions to prevent abuse and inappropriate prescribing in the future.

  • Q&A: New codes receive pass-through status

    Q: Did CMS add any new codes for drugs that have pass-through status this month?

  • Associate Director’s Note: AMA, CMS join in ICD-10 education initiative

    Those following the episodic turns of the ICD-10-CM/PCS implementation saga witnessed another dramatic plot twist in the narrative this week when the American Medical Association (AMA) and CMS made a joint announcement essentially prioritizing physician ICD-10 education and allowing some flexibility in claims auditing and quality reporting.

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