OIG: Hospitals are upcoding severity levels for Medicare patients
Published: Tue, 03/02/21
OIG: Hospitals are upcoding severity levels for Medicare patients
A new report from the Department of Health and Human Services' Office of the Inspector General uncovered a possible reason: Many hospitals are increasingly billing for inpatient stays at the highest severity level, which is...
Death of the Inpatient-Only List is NOT the Death of Medical Necessity
For readers of and listeners to RACmonitor and Monitor Mondays, overthinking things is what we do. It’s the only explanation for our hand-wringing over the death of the Medicare inpatient..
Payer Split-Bill Requirement: Separate Claims to Avoid Edit
In December 2020, the Centers for Disease Control and Prevention (CDC) announced six new International Classification of Diseases, Tenth Revision, Clinical Modification...
New Current Procedural Terminology (CPT®) codes have been created that streamline the novel coronavirus testing currently available on the United States market.
Two Common Knee Ligament Injuries and Their ICD-10 Codes
Knee ligaments connect the bones and cartilage, and hold and support the knee joint. Any mild tear in ligaments may severely limit the movement of the knees. Most commonly occurring from a sports injury, ligament damage may...
Medical Coding Guidelines for COVID-19 Treatment and Vaccinations
With COVID-19 vaccinations now being administered across the United States, we have compiled this list of medical code sets to account for the treatment and vaccinations for the novel Coronavirus.
