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These Occupational Health and Safety Forms provide you with all of the updates for your OSHA Health and Safety Compliance Manual.
DECEMBER 17, 2008
What is the correct ICD-10-CM code for hepatic sclerosis? A) K74.0 B) K74.1
AUGUST 5, 2015
JUSTCODING
At least one man has contracted hepatitis C after insulin pens were misused by staff at Grif
OCTOBER 23, 2014
Influenza vaccine payment allowance updateb> On September 3, CM
CMS updates influenza vaccine payment allowanceb>  On September 3, C
Change allows hospices to bill directly for preventive vaccines b> CMS has issued
  Vaccines
AUGUST 1, 2013
  Billing for the flu vaccine
OCTOBER 5, 2018
Each year, the AMA updates the Vaccines, Toxoids section of the Medicine chapter in the
Q: Where can I find the vaccine code abbreviation list for the 2015 CPT®
JANUARY 7, 2015
JUSTCODING
  Resources for preparing vaccine claims
Each year, the AMA updates the Vaccines, Toxoids section of the Medicine chapter in the CPT&
While how well the flu vaccine works can vary, there are a lot of reasons to get a flu vaccine ea
  Flu season is here: Make sure you are billing accurately for flu vaccinations
DECEMBER 1, 2017
CMS rescinds and replaces Transmittal 166 for technical correctionb> On M
Each year, the AMA updates the Vaccines, Toxoids section of the Medicine chapter in the&nb
APRIL 15, 2015
JUSTCODING
Three-quarters of healthcare workers received flu vaccinations during the 2013-2014 flu season, b
SEPTEMBER 23, 2014
OCTOBER 1, 2014
JUSTCODING
HHS solicits of new safe harbors and special fraud alertsb>  On Dece
Long-term care workers continued to have low rates of flu vaccination last season, despite
SEPTEMBER 25, 2014
OIG posts Medicare Compliance Review of Saint Luke's Hospital b> On Augus
CMS releases 2015–16 influenza resources for healthcare professionalsb>
Federal public health officials are urging everyone six months and older to get vaccinated agains
OCTOBER 2, 2018
Using new combination codes for myelography with injectionb> b>Q: A phys
Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for solid tumors (This chan
CMS replaces transmittal for Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for s
Q: We are receiving denials for pneumococcal and influenza vaccine administrations due t
CMS releases ICD-10 conversion update for NCDsb> On March 6, CMS released
Solicitation of new safe harbors and special fraud alertsb>  
Solicitation of new safe harbors and special fraud alertsb> On December 30, HHS posted
2015 annual update to the therapy code list releasedb> On November 14, CMS released a
Updating Shared System and Common Working File to no longer create VA ‘I’ record
CMS clarifies treatment of extracorporeal photopheresisb>  On August
DECEMBER 23, 2014
JUSTCODING
Extracorporeal photopheresisb>   On August 22, CMS relea
CMS clarifies coverage of extracorporeal photopheresisb>  On August
Hand hygiene compliance and influenza vaccination are two patient safety practices that should be
NOVEMBER 11, 2015
Hand hygiene compliance and influenza vaccination are two patient safety practices that should be
NOVEMBER 5, 2015
New timeframe for response to additional documentation requestsb>  
By James S. Kennedy, MD, CCS, CDIPb> The physician documented “encephalopathy&
MARCH 25, 2015
JUSTCODING
Coder speak: It’s almost a different languageb> by Ro
Physician Quality Reporting System 2013 reporting year and 2015 payment adjustment for
A new query in our
MARCH 25, 2015
JUSTCODING
FEBRUARY 11, 2015
JUSTCODING
Medicare Boot Camp®—b>Utilization Review Version
JANUARY 28, 2015
JUSTCODING
A new query in our
APRIL 22, 2015
JUSTCODING
A new query in our
APRIL 8, 2015
JUSTCODING
A new white paper in our S
MARCH 11, 2015
JUSTCODING
FEBRUARY 25, 2015
JUSTCODING
A new query in our
MAY 20, 2015
JUSTCODING
Medicare Boot Camp®—b>Utilization Review Version
Medicare Boot Camp®—b>Utilization Review Version b> >
  Part B Outpatient Therapy Q&A
  Part B Therapy Billing: Functional reporting and G-codes webcast
OCTOBER 13, 2017
  CMS releases 2019 Medicare Parts A&B premiums and deductibles
OCTOBER 19, 2018
  Frequently asked questions about Medicare Part B
NOVEMBER 30, 2018
Due to popular demand, we’ve added another Medicare Boot Campb>®
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
The Inside Scoop on Additional Development Requests (ADRs)b> W
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
Due to popular demand, we’ve added another Medicare Boot Camp®—Utiliz
DECEMBER 17, 2014
JUSTCODING
JANUARY 14, 2015
JUSTCODING
JANUARY 28, 2015
JUSTCODING
A new query in our
MAY 6, 2015
JUSTCODING
Special Repor
NOVEMBER 11, 2015
JUSTCODING
William K. Cors, MD, MMM, FACPEb>, chief medical quality officer at Pocono Heal
DECEMBER 1, 2014
Q: I am auditing a note for a b>>fusion. The note lacks detail, therefore
MARCH 5, 2014
JUSTCODING
Medicare Boot Camp®—b>Utilization Review Version
NOVEMBER 20, 2013
JUSTCODING
AUGUST 5, 2015
JUSTCODING
AUGUST 26, 2015
JUSTCODING
Kimberely K. Graham, CPC, CPC-H, b>codin
OCTOBER 29, 2014
JUSTCODING
Medicare Boot Camp—b>>Utilization Review Versionb>> is an i
DECEMBER 3, 2014
JUSTCODING
Q: Did CMS make any changes to skin substitutes for October?b> b> 
On November 24, the OIG posted a report stating that Medicare Part B and its beneficiaries paid $
DECEMBER 15, 2015
1. b 2. d 3. b 4. a 5. c   Staff trai
  GAO: New payment rates for Part B lab tests may lead to billions in overpayments
DECEMBER 14, 2018
The top five reasons to attend the 2014 Medicare Compliance Forumb> The 2
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement with the
Don’t leave money on the table! Master Medicare rules for reimbursement
Hospital Safety Insiderb> from last
APRIL 2, 2015
JULY 22, 2015
JUSTCODING
Special Re
OCTOBER 7, 2015
JUSTCODING
Special Reports a
NOVEMBER 4, 2015
JUSTCODING
1. d 2. b 3. b 4. a 5. a 6. b 7. a 8. a
Posttest Answers 1. d 2. b 3. d 4. c 5. d 6. d
1. a 2. c 3. b 4. a, b, c, e 5. blood supply (or blood flow)
JUNE 18, 2014
JUSTCODING
National Provider Callsb> Medicare Sh
National Provider Callsb> Medicare Shared Savin
National Provider Callsb> Medicare Shared Savin
DECEMBER 23, 2014
JUSTCODING
JANUARY 7, 2015
JUSTCODING
JANUARY 21, 2015
JUSTCODING
APRIL 15, 2015
JUSTCODING
MARCH 18, 2015
JUSTCODING
FEBRUARY 18, 2015
JUSTCODING
FEBRUARY 4, 2015
JUSTCODING
APRIL 29, 2015
JUSTCODING
MAY 13, 2015
JUSTCODING
JULY 8, 2015
JUSTCODING
What is the correct ICD-10-CM code for diaper dermatitis? A) L20 B) L21
OCTOBER 28, 2015
JUSTCODING
What is the correct ICD-10-CM code for Briquet’s disorder? A) F45.0 B
NOVEMBER 11, 2015
JUSTCODING
Connolly posts two new issues in two categoriesb> Connolly posted two new
Q: I have a question about reporting drug tests to CMS for CPT® codes th
CMS releases July 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files
 > b>MEDCAC Meeting - Molecular Pathol
CMS releases fourth version of related claims transmittalb> On September
Kimberly Farley, CPC, CPC-H, CHO
MARCH 26, 2014
JUSTCODING
Case Management Monthly b>subscriber,   The challenges h
NOVEMBER 1, 2016
Preparing for 2015&
Trustees’ report shows Medicare solvent to 2030b> b> >
Q: I have a question about billing infusion/injections in the ED prior to a decision for sur
CMS identifies obsolete shared systems reportsb> On May 1, CMS released a
CMS allows contractors to use alternate medical documentation to ID illegible signaturesb>
JULY 30, 2014
JUSTCODING
MAY 20, 2015
JUSTCODING
Common challenges, key solutions b> Editor's note: This article was wr
MARCH 17, 2016
MARCH 19, 2014
JUSTCODING
Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS,b> director of coding and
HIM S
JUNE 25, 2014
JUSTCODING
JULY 23, 2014
JUSTCODING
AUGUST 6, 2014
JUSTCODING
 
AUGUST 20, 2014
JUSTCODING
SEPTEMBER 3, 2014
JUSTCODING
Co
SEPTEMBER 3, 2014
JUSTCODING
OCTOBER 29, 2014
JUSTCODING
NOVEMBER 12, 2014
JUSTCODING
Speci
NOVEMBER 26, 2014
JUSTCODING
NOVEMBER 19, 2014
JUSTCODING
Medicare Shared Savings Pr
MARCH 18, 2015
JUSTCODING
MARCH 4, 2015
JUSTCODING
Special Reports and
FEBRUARY 18, 2015
JUSTCODING
APRIL 29, 2015
JUSTCODING
MAY 13, 2015
JUSTCODING
JULY 8, 2015
JUSTCODING
APRIL 2, 2014
JUSTCODING
MARCH 19, 2014
JUSTCODING
CGI Posts one new issueb> CGI posted one new issue in one category to its
APRIL 30, 2014
JUSTCODING
What is the correct ICD-10-CM code for wasting syndrome? A) R61 B)
MAY 14, 2014
JUSTCODING
What is the correct ICD-10-CM code for aphasia? A) R47.01 B) R47.02 C)
JULY 9, 2014
JUSTCODING
AUGUST 20, 2014
JUSTCODING
OCTOBER 1, 2014
JUSTCODING
What is the correct ICD-9-CM code for a left bundle branch hemiblock? a. 426.11 b
NOVEMBER 5, 2014
JUSTCODING
Certified Coder Boot Camp®—Inpatient Versionb> is an intensive coding educatio
NOVEMBER 19, 2014
JUSTCODING
Q: I have a question regarding CPTb>®> code 99184 (initiation
DECEMBER 10, 2014
JUSTCODING
What is the correct ICD-9-CM code for caffeine poisoning? a. 969.70 b. 969.71
JANUARY 14, 2015
JUSTCODING
APRIL 8, 2015
JUSTCODING
MARCH 11, 2015
JUSTCODING
Answer key ANSWERS 1. d 2. d 3. b 4. c 5. a
OIG acting deputy inspector general testifies about Medicare mismanagementb>
Medicare Boot Camp—Hospital Version b>prepares you to better manage your revenu
Linda Gylland, MLS (ASCP) QLS,b> a lab safety officer for Sanford Health
JANUARY 14, 2015
Briefings on HIPAA 2014 indexb> b> > b>Au
“>Medical residents are, or should be, in the process of becoming ex
AUGUST 8, 2014
APRIL 15, 2015
JUSTCODING
Medicare Shared Savings Pr
“>ABIM clearly got it wrong. We launched programs that weren't ready
FEBRUARY 5, 2015
Special Re
SEPTEMBER 23, 2015
JUSTCODING
Special
SEPTEMBER 9, 2015
JUSTCODING
Claims that are relatedb>   On September 12, CMS release
SEPTEMBER 23, 2014
Claims that are relatedb> On September 12, CMS released a fourth version
Internal auditing strategies for ongoing ICD-10 successb> E
AUGUST 1, 2015
SEPTEMBER 24, 2014
JUSTCODING
Q: > When a Part A resident exhaust their Part A days and needs continued thera
Q: Is CMS going to start accepting new Category III CPTb>®>
ICD-10-CM/PCS Coordination and Maintenan
Charging two initial infusionsb> b>Q: A patient comes in for an infusion of a
JustCoding> conducted
SEPTEMBER 16, 2015
JUSTCODING
Residency Program Insider b>won’t be publis
NOVEMBER 22, 2013
NOVEMBER 20, 2013
JUSTCODING
Residency Program Alertb> is looking for the best new tools for managing interview season, f
NOVEMBER 15, 2013
Q: >Do chiropractor visits count as physician visits?  
July update to the calendar year (CY) 2014 Medicare Physician Fee Schedule Databaseb>
Payment adjustment for FY 2014b> extended> On June 16, CMS pos
New on JustCoding Platinum!b> New ICD-10-CM documentation examples in b>
JULY 9, 2014
JUSTCODING
SNF Consolidated Billing: Who Really Has to Pay All These Invoices?
SNF Consolidated Billing: Who Really Has to Pay All These Invoices?
AUGUST 1, 2014
One Week until Medicare Compliance Forum-Here are the Top Reasons Why You Should Attend
Sally Pelletier, CPMSM, CPCSb>, answers a co
®> mappings in b>
DECEMBER 10, 2014
JUSTCODING
Q: Why are we not receiving anything from Medicare to cover the cost of corneal tissue?
Q: We are providing a new service where the ear, note, and throat physician performs a
Q: What type of information can we email to patients? For example, is it permissible to email
Medicare Shared Savings Program A
Medicare Shared Savings Program A
Q: We see a lot of diabetes diagnoses at our facility, but are confused about when we m
Q: If a patient's family member who is not responsible for the patient's care calls to ask h
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aid
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aid
Q: Our physicians are injecting a lot of bulking substances, such as those for strength
Q: We have been receiving rejections on claims including a line item for a compounded d
Coding
OCTOBER 28, 2015
JUSTCODING
Risk adjustment is central to pay for performance, whereby high-quality cost effective care can b
OCTOBER 28, 2015
JUSTCODING
Q: Is CMS adding any items with pass-through status for 2016? We are starting to look at rei
1. Before meals, 80–130; At bedtime, 100–150 2. a. diet, b. exercise, c. medi
Q: When coding excision of a breast mass with needle localization using stereotactic gu
MARCH 19, 2014
JUSTCODING
Statistical sampling initiative for claims beginsb> The Office of Medicar
Statistical sampling initiativeb> The Office of Medicare Hearings and Appeals (OMHA) w
Q: We are coding for pain management procedures and have been doing dual coding in ICD-9-CM an
JULY 9, 2014
JUSTCODING
Semi-Annual Meeting of the Advisory Panel on Hospi
Bilateral procedures may have been incorrectly paidb> On June 30, CMS released MLN
CGI Posts one new issueb> CGI posted one new issue in one category to its
Aprepitant for Chemotherapy-Induced Emesisb> b> 
Q: When physicians continue to b>>only document respiratory failure in the inpatien
JUNE 4, 2014
JUSTCODING
Additional extension of the payment adjustment for FY 2014 extendedb>  
Additional extension of the payment adjustment for FY 2014b>  
Q: We're not sure what to report in this situation: A patient comes to the ED and goes
SEPTEMBER 3, 2014
JUSTCODING
Q: After scheduling a colonoscopy, I received information about a colonoscopy prep company wit
Q: A patient was in a hyperbaric oxygen chamber for eight minutes and the physician had
OCTOBER 1, 2014
JUSTCODING
CMS releases directions on the off-label/modified use of waived blood glucose monitorin
Q: We’ve heard that ICD-10-CM does not include a diagnosis code to show that a laparosco
DECEMBER 3, 2014
JUSTCODING
Myth:> b>Security is an IT functionb> b> > Security invol
Q:> Should “diabetes with gastroparesis” be coded as 536.3, diabetes with
Q: I have a question about coding infusion/injections in the ED prior to a decision for
OCTOBER 28, 2015
JUSTCODING
Home health sees decline in readmission ratesb> The Alliance for Home Health Quality
CMS updates Program Integrity Manualb> On May 2, CMS released a change re
Testimony of b>>Gary Cantrell, Deputy Inspector General for Investigations, b>>
JANUARY 1, 2019
Identification of Obsolete Shared System Maintainer (SSM) reports - FISS and VMSb>
CMS identifies obsolete shared systems reportsb> On May 1, CMS released a change reque
Reporting laboratory tests with 2015's new CPT codes b> b>Q:
A step-by-step approach to systemwide ch
SEPTEMBER 1, 2014
President's FY 2016 Budget Includes Medicare Provisionsb> On F
Update to surety bond collection proceduresb> On May 16, CMS released a change request
Implement operating rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment
Statistical sampling initiativeb> The Office of Medicare Hearings and App
Gary Cantrell, Deputy Inspector General for Investigations, testifies before Subcommittee on O
New pass-through items in 2016b> b>Q: Is CMS adding any items with pass-thr
Correction notice to IPPS final ruleb> On March 18, CMS and HHS issued a
FAQs–ICD-10 acknowledgement testing and end-to-end testingb>  
Q&A: Keep an eye on 'practice dr
Q: Did CMS grant pass-through status for any new devices in April? b>
Q: Did CMS make any changes to drug payments for April?b> b> >
ICD-10-CM/PCS Coordination and Maintenan
When credentialing AHPs, stick to specifics b>
Q: Our physicians want to start implanting a magnetic band around the distal esophagus to trea
Q: What happened to modifier –JF (compounded drug)? CMS added it in Apr
APRIL 9, 2014
JUSTCODING
APRIL 23, 2014
JUSTCODING
MAY 7, 2014
JUSTCODING
JUNE 4, 2014
JUSTCODING
JUNE 11, 2014
JUSTCODING
JUNE 25, 2014
JUSTCODING
MAY 28, 2014
JUSTCODING
JULY 16, 2014
JUSTCODING
AUGUST 13, 2014
JUSTCODING
SEPTEMBER 3, 2014
JUSTCODING
SEPTEMBER 10, 2014
JUSTCODING
OCTOBER 8, 2014
JUSTCODING
NOVEMBER 12, 2014
JUSTCODING
Correction made to Provider Reimbursement Manual b>  On October 24,
CGI Posts three new issuesb> CGI posted three new issue in three categori
NOVEMBER 26, 2014
JUSTCODING
DECEMBER 3, 2014
JUSTCODING
DECEMBER 10, 2014
JUSTCODING
JULY 23, 2014
JUSTCODING
FEBRUARY 11, 2015
JUSTCODING
MAY 6, 2015
JUSTCODING
Transcatheter Mitral Valve Repair (TMVR) NCDb>   On Apri
CMS updates billing instructions for TMVR b>On April 24, CMS rescinded and replaced Trans
Q: We have started receiving an edit for our pain management procedures reported with C
Q: Our ophthalmologists have begun using injections of antibiotics during cataract surg
Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance
CMS updates interest rate for Medicare overpayments and underpaymentb> 
Leadership equation: 7C + 1 = successb> Part 3b: Increasing communication
NOVEMBER 1, 2013
Quarterly ASP Medicare Part B drug pricing files released b> On April 25,
Provider Reimbursement Manual update b> On May 23, CMS released
January 2015 update of the ASC payment systemb>   On Jan
Consolidated billing Q&A with Janet Potterb> Editor's n
DECEMBER 1, 2014
CMS updates billing instructions for TMVRb>  On April 24, CMS rescin
CMS offers five solutions to help address inadequate HIPAA Security Rule–requ
Medicare Advantage Q&A with Diane Brownb> b>QWe have chro
FEBRUARY 1, 2015
The Centers for Medicare & Medicaid Services (CMS) has announced the 2014 Part B premiu
NOVEMBER 22, 2013
Q:> My question is in regard to physician visits and certification. When a resident w
NOVEMBER 15, 2013
APRIL 2, 2014
JUSTCODING
APRIL 30, 2014
JUSTCODING
MAY 7, 2014
JUSTCODING
JUNE 11, 2014
JUSTCODING
Update to surety bond collection proceduresb> b> >
CMS converting most MUEs to per-day editsb> On June 30, CMS released M
Medical Records Briefingb> is conducting a benchmarking survey on electroni
SEPTEMBER 10, 2014
JUSTCODING
SEPTEMBER 24, 2014
JUSTCODING
JustCoding’s Clinical Conditions Encyclopediab> is the perfect reso
OCTOBER 1, 2014
JUSTCODING
OCTOBER 8, 2014
JUSTCODING
JANUARY 7, 2015
JUSTCODING
JANUARY 21, 2015
JUSTCODING
JULY 30, 2014
JUSTCODING
The Hospital Case Management Orientation Manual b>is a comprehensive resource that
The Hospital Case Management Orientation Manualb> is a comprehensive resource that
A case manager shoulders enormous responsibilities. Often it's a battle, but it doesn't have to b
Semi-Annual Meeting of the Advisory Pane
The Hospital Case Management Orientation Manual Guideb> is a comprehensive resource
FEBRUARY 10, 2015
FEBRUARY 4, 2015
JUSTCODING
Semi-Annual Meeting of the Advisory Panel on Hospital Outpatient Payment (HOP Panel)
The Hospital Case Management Orientation Manual b>is a comprehensive resource that
The Hospital Case Management Orientation Manual b>is a comprehensive resource that
The Hospital Case Management Orientation Manual b>is a comprehensive resource that
The Hospital Case Management Orientation Manual b>is a comprehensive resource that
Physician Practice Billing From A to Zb> is a comprehensive, user-friendly guide to b
1. b 2. a 3. c 4. e 5. d   Staff Trainer Quiz answer
CMS releases July update to Medicare Physician Fee Schedule databaseb> 
Don't expect a one-size-fits-all reentry program b>
AUGUST 1, 2014
Q: I’m in a little debate: Does documentation of the patient’s body mass in
MAY 7, 2014
JUSTCODING
Q: >Is there a mandated plan from CMS to complete PPS assessments on managed ca
Q: >If a patient is discharged to a behavior management unit that is hospital-b
HDI posts one new issue in one categoryb>   HealthDataInsight
Q: I work for general surgeons. Here is a common scenario: The surgeon is called in to
JUNE 25, 2014
JUSTCODING
Q: > Should a blood tranfusion received at an outpatient clinic be coded on the
Q: b>How do you bill for a patient that is admitted after a 3 day hospital stay that
Q: We know that we can look at the radiology report to get some specifics about a fract
JULY 30, 2014
JUSTCODING
Q: >If a patient uses part of a 100 day benefit for a G-Tube can we ever skill
AUGUST 1, 2014
Q: We're wondering about how to use CPT® code 73225 (magnetic resonance
AUGUST 20, 2014
JUSTCODING
Q:> Have time work studies been done to determine the average length of time taken to
AUGUST 21, 2014
Q:> Does an unstageable on spine qualify someone under Medicare A for a SNF?
SEPTEMBER 19, 2014
Q: b>I work in a large, provider-based orthopedic clinic with a rheumatology department that
Q: >If a hospital admission starts the 60 day spell of illness, then do days sp
DECEMBER 5, 2014
HIM-HIPAA Insiderb> wants to learn more about its subscribers and the daily challenges they
HIM-HIPAA Insiderb> wants to learn more about its subscribers and the daily challenges they
Q:> A patient came to the emergency department with shortness of breath (SOB). The admittin
Accreditation & Quality Advisorb> blog! The
MARCH 31, 2015
FEBRUARY 25, 2015
JUSTCODING
Q: A patient comes in with a malunion of a fracture. A different physician treated the patient
FEBRUARY 11, 2015
JUSTCODING
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
Q: Do providers need written permission to discuss a patient’s care with one another?
Q: What types of records are covered entities permitted to share through a health informatio
Q: If IV fluid such as sodium chloride is given in the ED, should the revenue code be 250 (p
Q: I have a question regarding facility coding for evaluation and management (E/M) leve
AUGUST 19, 2015
JUSTCODING
Q: Our business office wants us to start using modifier -PO (services, proced
Codi
SEPTEMBER 30, 2015
JUSTCODING
Q: Is there guidance on reviewing a record, such as an operative note, that has not been sig
NOVEMBER 4, 2015
JUSTCODING
Q: We are an independent outpatient end-stage renal disease clinic. When we administer a blo
NOVEMBER 11, 2015
JUSTCODING
Q: We have been providing lung cancer screening using a low-dose computed tomography (LDCT)
STAFF TRAINING QUIZ: ANSWER KEY 1. a 2. b 3. e 4. b
Notice of new interest rate for Medicare overpayments and underpaymentb>
Notice of new interest rate for Medicare overpayments and underpaymentb>
Q:> Is there a new way to report MIST Therapy® in 2014?&
Q: >Our reimbursement department says that we are no longer being paid for APCs 8002 a
Q: I read that CPT® code 20680 (removal of implant; deep, e.g., buried w
MAY 28, 2014
JUSTCODING
CMS posts July update to Medicare Physician Fee Schedule Databaseb> On June 6, CMS rel
CMS updates Chapter 3 of the Program Integrity Manual (PIM) b>  
Update to Chapter 3, Program Integrity Manual (PIM), Verifying Potential
Presented on September 17, 2014, 1–2:30 p.m.b> b>Presented by Janet Pot
Q: My physicians perform procedures in the office such as angioplasties, catheter inser
AUGUST 6, 2014
JUSTCODING
Presented on September 17, 2014, 1–2:30 p.m.b> b>Presented by Janet Potter,
AUGUST 7, 2014
Presented on September 17, 2014, 1–2:30 p.m. b>>Presented by Janet Potter, CPA, MAS
AUGUST 21, 2014
OCTOBER 1, 2014
JUSTCODING
OCTOBER 22, 2014
JUSTCODING
NOVEMBER 5, 2014
JUSTCODING
Q: We have a patient diagnosed with neuropathy due to poorly controlled insulin depende
NOVEMBER 26, 2014
JUSTCODING
Special
DECEMBER 23, 2014
JUSTCODING
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
b>It’s my pleasure to introduce myself
JULY 18, 2014
Long-term care ICD-10 coding specificsb>
OCTOBER 1, 2014
Q: We are receiving rejections for HCPCS codes J0365 (injection, aprotonin, 10,000 kiu)
Q: We have been reporting skin substitutes with the appropriate procedure codes (either
Editor’s Note:b> >The following job posting is an excerpt
Q: When coding a drop in hematocrit (790.01, precipitous drop in hematocrit), does it need to
MARCH 25, 2015
JUSTCODING
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
Q: An auditor recently told us to code two CPT® codes for a breast biopsy with plac
Editor’s Note:b> >The following job posting is an excerpt from the&n
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
40 Essential In-Services for Home Health: Lesson Plans and Self-Study Guides for Aides and
Medicare Trustees Report shows continued slow cost growthb> On July 22, C
Q: We had a patient come into our ED with a severe head injury. To protect his airway,
AUGUST 5, 2015
JUSTCODING
Q: Will CMS be adding any new drugs or biologicals to its pass-through list in i
CMS updates National Coverage Determination Manual for speech generating devicesb>
Q>: How can our CDI team prepare for potential productivity losses post-ICD-10 implementati
Q:> Is there guidance on reviewing a record, such as an operative (OP) note, that has
Q: Our doctors have started prescribing a form of filgrastim that the pharmacy tells me is c
By Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDIb> &nb
JULY 30, 2014
JUSTCODING
CMS updates information for billing screening servicesb> On April 3, CMS
CMS provides front-end updates for Julyb> On March 26, CMS released a cha
April 2015 Integrated OCE (I/OCE) specifications version 16.1b>  
April 2014 update of the OPPS b>On February 28, CMS issued a recurring update
Part 2, Provider Cost Reporting Forms and Instructions, Chapter 11, Provider Reimbur
MARCH 4, 2015
JUSTCODING
Semi-Annual Meeting of the Adv
Note:> Local chapters are accepting nominations for leadership positions. This is
Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) Fi
CMS issues change request for lumbar decompression coverageb> On May 16,
Health Professional Shortage Area (HPSA) Post-payment Review Processb>
Health Professional Shortage Area (HPSA) Post-payment Review Processb> On March 25, CM
Health Professional Shortage Area post-payment review processb> On March
Q: A patient is admitted with a high white blood count, tachycardia, tachypnea, and chi
APRIL 23, 2014
JUSTCODING
Q: b>>Is a query titled “Sepsis Query” considered leading even if it is an ope
JANUARY 14, 2015
JUSTCODING
Q:> b>When atelectasis is noted on an ancillary test such as a CT scan of the abdomen or c
JANUARY 28, 2015
JUSTCODING
Q:> The primary physician documented subacute cerebral infarction and I am wondering whe
NOVEMBER 5, 2014
JUSTCODING
CMS releases April 2015 I/OCE specifications b> On March 13, CMS released
Q: Would it be appropriate to report CPT® code 75984 (change of percutan
FEBRUARY 18, 2015
JUSTCODING
Semi-Annual Meeting of the Advisory Panel on Hospi
Q: Is it correct to append modifier -52 (reduced services) to a procedure code when the
FEBRUARY 4, 2015
JUSTCODING
Q:> Should “diabetes with gastroparesis” be coded as 536.3, diab
MAY 20, 2015
JUSTCODING
Payments to inpatient rehabilitation facilities (IRF) that do not submit required quali
Q:> If the physician says “concerning for,” “considering,” &ld
The more credentialing changes... b>
CMS releases July 2015 quarterly update for DMEPOS competitive bidding programb>
CMS revises July 2015 quarterly drug code updatesb> On July 10, CMS resci
Medically Unlikely Edits (MUE) and Bilateral Proceduresb> b> >
Virginia> Meets Saturday, April 5, 10 a.m. to 2 p.m., at Chippenham Hospital, in Ro
HOP Panel summer meeting scheduledb> CMS announced the summer meeting of
CMS posts guidelines for clinical laboratories concerning possible Ebola virusb> 
Directions on the off-label/modified use of waived blood glucose monitoring systems (BG
Prep your medical staff leaders with a pre-survey boot campb>
Use of modifiers -KK, -KG, -KU, and -KW limited under the DMEPOS Competitive Bidding Pr
CMS releases the Medicare fee-for-service 2013 improper payments reportb>
FEBRUARY 1, 2015
Q: >I have a patient with Stage 4 lung cancer that presented with fatigue, cough, an
The challenges of employed physicians b>
DECEMBER 1, 2014
The MEC meeting will come to order ... hopefully b> What's
OCTOBER 1, 2014
Q: We are receiving denials for many of the new CPT® codes in
Semi-Annual Meeting of the Advisory Panel on Hospi
HCPCS codes subject to and excluded from CLIA editsb>  On January 30
Ready for ICD-10?b> Ensure your facility's training is on t
Q:> CMS released guidance this summer about not auditing or counting errors for the specifi
CMS releases National Coverage Determination for single and dual chamber permanent card
Q&A: Long-term care ICD-10 coding specificsb> Editor's
NOVEMBER 1, 2014
Updates of MS-DRGs to the list subject to IPPS replaced devices offered without cost or
CMS updates contractor instructions for enrollment and re-enrollment applications b>
CMS releases ICD-10 acknowledgement and end-to-end testingb> details>
Puerto Ricob>> b>Carmen Y. Ibarrondo and Sandra E. Cruz host the first CDI networ
NCCI guidelines for Part B Billingb> New coding requirements r
Coordination of Benefits Contractor (COBC) to remove and no longer apply federal tax informati
Part 2, Provider Cost Reporting Forms and Instructions, Chapter 11, Provider Reimbur
2015 annual update of HCPCS codes for SNF consolidated billing (CB) updateb>
Revisions to State Operations Manual (SOM), Appendix PP –“Gui
CMS releases April 2015 I/OCE specifications b>On March 13, CMS released a notification to p
Greenland is part of the kingdom of which country? a. Denmark b. Norway c
What is the Fahrenheit equivalent of -40 degrees Celsius? a. 0 b.
January 2015 update of the ASC payment systemb> On January 9, CMS released a recurring
Q&A: Finance and budgetingb> Editor's note: This month'
AUGUST 1, 2014
A panophobe is afraid of what?   a. Cookware b. E
Semi-Annual Meeting of the Advisory Panel on Hospi
The first Memorial Day observance was held May 30, 1868, at Arlington National Cemetery. B
HIPAA EDI front end updates for July 2015b>   On March 2
Implementation of Changes in the ESRD PPS for Calendar Year (CY) 2015b> &
BALTC Q&Ab> Editor's note: This month's "Q&A&q
Cost Containment Overcoming Challenges: New HealthLeaders Media Intelligence Report Available
NOVEMBER 17, 2011
CMS posts final decision on HIV screening  b> On April 13, CMS posted a final dec
National Coverage Analysis (NCA) for screening for the Human Immunodeficiency Virus (HI
The Advisory Panel on Hospital Outpatient Payment (HOP Panel) summer meeting b>
2015 annual update of HCPCS codes for SNF consolidated billing (CB) updateb>
Simulation training is taking flight in medical learning and practitioner ­comp
CMS updates contractor instructions for enrollment and re-enrollment applications b>
CMS proposes changes for Accountable Care Organizations b> On December 8,
NOVEMBER 6, 2013
JUSTCODING
Improve your patients’ health with the Initial Preventive Physical Examination (IPPE) an
CMS issues 2014 annual update for Clinical Laboratory Fee Schedule and Laboratory Servi
Q: A few days into the patient’s stay, an order for a Foley catheter was placed f
JUNE 18, 2014
JUSTCODING
CMS releases January 2015 update of the ASC payment systemb>  On Jan
CMS releases overview of Physician Feedback and Value-Based Modifier Programsb>
OIG releases report on drugs commonly used by dual-eligible beneficiariesb>
October CY 2015 quarterly update to the Medicare physician fee schedule datab
Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens
Q: If the clinical impression is physical assault, vomiting, blunt injury to abdomen, a
JUNE 11, 2014
JUSTCODING
Q: A patient comes into the ED with sickle cell crisis and is in a lot of pain. The phy
JULY 23, 2014
JUSTCODING
Q: One pass-through device got added for 2015, but other than drugs, should w
Q: If the physician writes septic shock instead of sepsis, do I need to query for sepsis? Is t
DECEMBER 17, 2014
JUSTCODING
Medical Records Briefing (MRB)b> asked HIM and release of information (ROI) pr
Q: When would we use codes from ICD-10-CM category E13 (other specified diabetes mellit
JANUARY 21, 2015
JUSTCODING
Q: If the physician does not perform a formal myelography and just administer
DECEMBER 23, 2014
JUSTCODING
Q&A: Long-term care ICD-10 coding specificsb> Editor's
JANUARY 1, 2015
Physician certifications and recertificationsb> by Janet Po
NOVEMBER 1, 2014
Evaluating MDS data quality will improve b
OCTOBER 1, 2014
Q: If a patient is given Reglan® intravenously at 12:20, 13:00, and 13:2
APRIL 15, 2015
JUSTCODING
Q: We use a lot of skin substitutes. Where do we find a list of the new HCPCS code
Q: We are trying to verify whether we should bill for two units of the CPT® code wh
APRIL 29, 2015
JUSTCODING
Q: Where can I go to find out if the word “excisional” must be written by the doct
MAY 6, 2015
JUSTCODING
Q: We erroneously included a surgical inpatient-only procedure on an inpatient Medicare
Q: When the surgeon documents excision of a complex pilonidal cyst with rhomboid flap c
JULY 8, 2015
JUSTCODING
Q: Did CMS add any new codes for drugs that have pass-through status this mon
Q:> In terms of coding blood transfusions, does the documentation of which intravenous (IV)
Q:> Is a diagnosed and treated condition during the first 24 hours considered present on ad
Q:> We are having trouble determining how to assign a code for a pressure ulcer that begins
Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) Fi
National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Car
NOVEMBER 13, 2013
JUSTCODING
To receive AAPC and/or AHIMA credits, take the quiz after reading the following articles
NOVEMBER 20, 2013
JUSTCODING
Q: My question is about the time interval requirement of the CPT® add-on
APRIL 2, 2014
JUSTCODING
Friday, April 11b> is the deadline to apply for the Certified Clinical Documentation Specia
Q: I have been told to use the general surgery CPT® codes in the 20000 series for r
APRIL 30, 2014
JUSTCODING
Overview> On May 1, 2014, the Centers for Medicare & Medicaid Serv
HDI posts one new issue in one categoryb>   HealthDataIn
Q: >We have a resident that was discharged to the acute hospital  and, due
“>What we have seen in our work with physicians as we report data on their performan
Q: >The resident is on their Part A benefit and is scheduled for dialysis 3 day
Q: b>I am looking for help on reviewing a neonatal intensive-care unit (NICU) death chart for
Q: We perform electrophysiology (EP) studies in our catheterization lab for outpatients
Q: > How do you bill for a patient that is admitted after a 3 day hospital stay
October 2014 update of the ASC payment systemb> released> On A
Q:> Regarding the COT count: Is it correct that once a rehab RUG is no longer ach
SEPTEMBER 11, 2014
Advanced CDI Boot Campb> is designed for established clinical documentation depar
Q: b>We’re having a lot of discussions with physicians right now and need to g
Myth 1: ICD-10 includes too many codesb>  
Revisions to State Operations Manual (SOM), Appendix A&ndash
Q>:    If a resident used 100 days with the peg tube at another facil
OCTOBER 9, 2014
Q:> Should I query for chronic respiratory failure if the documentation indicates the patient
Q: How specific does the physician have to be for the location of the acute myocardial infarct
OCTOBER 22, 2014
JUSTCODING
Q:> I have a resident who was readmitted to the hospital on his 60th day of his spel
OCTOBER 24, 2014
Q: I work in a large, provider-based orthopedic clinic with a rheumatology department t
NOVEMBER 12, 2014
JUSTCODING
Q: b>The physician documented “encephalopathy” in the record of a patient who wa
Q: Did CMS make any changes to the inpatient-only list? Usually there is a lot of discu
Q: Can we report new CPT® codes 97607 (negative pressure wound therapy,
Q:  b>What are the rules regarding a qualifying hospital stay at a hos
DECEMBER 12, 2014
Update to Medicare Claims Processing Manualto provide language-only changes for updatin
New final rule refines and redefines medical staff b>
AUGUST 1, 2014
by Roger Schindell b>   It's one of the
Q: A patient came to the ED with shortness of breath (SOB). The admitting diagnosis was possib
APRIL 22, 2015
JUSTCODING
Q: Which root operation would we use in ICD-10-PCS for a polypectomy when a biopsy is done on
APRIL 8, 2015
JUSTCODING
MARCH 25, 2015
JUSTCODING
ICD-10-CM/PCS Coordination and Maintenance Committ
Q: I have a question regarding a National Correct Coding Initiative (NCCI) edit. I repo
MARCH 4, 2015
JUSTCODING
>Q: I have been told by our billers that infusion codes reported in the ED
Q: Do you have any tips for coding fractures in ICD-10-CM? We’re a little worried
AUGUST 26, 2015
JUSTCODING
Q: We received a denial for services based on medical necessity. A Comprehens
Q: I have been told by our billers that infusion codes reported in the ED along with an
SEPTEMBER 16, 2015
JUSTCODING
Q: How can our team prepare for potential productivity losses post-ICD-10 implementatio
SEPTEMBER 23, 2015
JUSTCODING
Sp
SEPTEMBER 16, 2015
JUSTCODING
Case studies in b style
OCTOBER 14, 2015
JUSTCODING
Q: Can you code strictly from emergency department (ED) documentation? Can you code from tes
DECEMBER 16, 2015
JUSTCODING
Q:> I have seen documentation of oliguric renal failure and non-oliguric renal failure. Wha
Intensive behavioral therapy for obesity, screening digital tomosynthesis mammography,
Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQA Part A Provider Querie
Implementation of changes in the ESRD PPS for Calendar Year (CY) 2015b> O
Standardization isn't 'just an exercise in change
NOVEMBER 1, 2014
Continuation of systematic validation of payment group codes for PPS based on patient assessme
Q: We are seeing an increase in the number of edits we are receiving for modifier -25 (
Continuation of systematic validation of payment group codes for PPS based on patient a
Implementation of NACHA operating rules for healthcare electronic funds transfers b>
CMS updates contractor instructions for enrollment and re-enrollment applications  
CMS releases October 2014 OPPS updateb>  On August 1, CMS relea
CMS posts final decision on HIV screening b>  On April 13, CMS poste
Correction to remittance messages when hospice claims are reduced due to late filing of
Change in July 2015 update of quarterly HCPCS drug/biological codeb>  
Clarification to Medicare Benefit Policy Manual regarding antigens and deletion of Sect
Contractors given discretion to deny 'related' claimsb> On August 8, CMS
ICD-10 coding: What to expectb> On July 31, HHS issued a rule
OCTOBER 1, 2014
CMS announces final regulatory changes affecting Medicare Parts C and Db>
AUGUST 1, 2014
AHA posts letter on 2-midnight policy and potential short-stay payment solutionsb>&nb
MAY 6, 2015
JUSTCODING
CMS issues National Coverage Determination (NCD) for single chamber and dual chamber permanent
Customizing criteria-based core privileges for your o
AUGUST 1, 2014
Include diagnosis codes on the HIPAA Eligibility Transaction System (HETS) 270/271 Tran
Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQ
Q:> I live in Ohio. For a couple of years now we have completed our HMO residents in
NOVEMBER 22, 2013
MARCH 26, 2014
JUSTCODING
Tennessee b>The Tennessee Chapter meets Friday, March 14, 8:30 a.m. to 3 p.m., at Erl
What color is a polar bear's skin? a. Black b. Brown
APRIL 9, 2014
JUSTCODING
APRIL 23, 2014
JUSTCODING
Q: Did CMS issue any new HCPCS codes for drugs and biologicals for April 2014?b>
Q: One of our ophthalmologists orders mitomycin after his surgeries. We have a cha
Clarifications made to the Medicare Benefit Policy Manual and Medicare Progra
MAY 28, 2014
JUSTCODING
MAY 21, 2014
JUSTCODING
JUNE 4, 2014
JUSTCODING
Pogonophobia is the fear of what?   a. Beards b.
Q: We have been watching our payments from Medicare since all the lab bundling was
JUNE 18, 2014
JUSTCODING
JULY 16, 2014
JUSTCODING
AUGUST 13, 2014
JUSTCODING
Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-day course that wi
SEPTEMBER 11, 2014
 Long-Term Care Regulatory Compliance Boot Camp b>is an
SEPTEMBER 25, 2014
Medical Environment Updateb>, our experts tell ghoulish tal
SEPTEMBER 24, 2014
Q: Are there any new HCPCs codes for procedures beginning October 1?b> &n
Q: Our charge description master (CDM) manager wants to remove the code for denileukin
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
OCTOBER 3, 2014
Q: Now that October has arrived, has CMS made any corrections to the information effect
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
OCTOBER 9, 2014
OCTOBER 22, 2014
JUSTCODING
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
OCTOBER 24, 2014
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
OCTOBER 31, 2014
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
NOVEMBER 7, 2014
What was the last letter added to the English alphabet? a. J b. Q
What is the correct ICD-9-CM code for a left bundle branch hemiblock? a. 426.11 b
NOVEMBER 19, 2014
JUSTCODING
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
NOVEMBER 14, 2014
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
NOVEMBER 21, 2014
Directions on the off-label/modified use of waived blood glucose monitoring systems (BG
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
DECEMBER 12, 2014
Butterflies sense taste with which body part? a. Antennae b. Feet
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-d
DECEMBER 5, 2014
Medical Records Briefing (MRB)b> is conducti
 Long-Term Care Regulatory Compliance Boot Camp b>is an intensive four-day co
OCTOBER 17, 2014