How To Bill And Code Transitional Care Management The Right Way

Published: Tue, 06/07/16

Our office is having a difficult time reaching patients within the required two business days from discharge for transitional care management (TCM) codes. Will this preclude us from billing the codes when all of the other criteria are met?

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CMS Releases 2017 ICD-10-PCS Codes

The Centers for Medicare and Medicaid Services (CMS) released the 2017 ICD-10-PCS codes as well as other supporting documentation on Thursday....

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CMS Issues Alert on ICD-9 and ICD-10 Exclusions

The Centers for Medicare and Medicaid Services (CMS) released a technical alert dated May 23, 2016 related to Non-Group Health Plan (NGHP) MMSEA Section 111 reporting. This alert communicates that there are newly excluded ICD diagnosis codes that will no longer be accepted by CMS beginning...

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Medical Billing Complaints Escalate

The KVUE Defenders uncovered more concerns involving medical billing transparency following a nation-wide investigation. This time, complaints involve hospitals and other health care providers not providing reasonable cost estimates upfront or explaining the bill afterwards. Bill Preston said it happened to him last year.

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Preventing Medical Necessity Denials

Given the added specificity inherent in ICD-10, it’s no surprise that medical necessity denials for physician practices and medical groups are expected to increase throughout 2016. In addition to greater levels of code granularity, three key industry drivers are expected to impact ICD-10 coding compliance among physician practices in the year ahead.

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