For reimbursement claims, medical providers are required to use ICD-10-CM codes. According to the Centers for Disease Control and Prevention, treatment for Lyme disease after diagnosis requires an initial four-week course of antibiotic therapy in the event the disease persists after the initial four weeks of using oral antibiotics or in case of Lyme carditis where cardiovascular complications are experienced as well as in case of neurological...

Acute flaccid myelitis (AFM) is a rare and serious condition that affects the areas of the spinal cord called the gray matter and has been in the news recently. According to the Center of Disease Control and Prevention (CDC), cases started to increase in 2014. This illness seems to be spreading across the United States with 62 confirmed cases...

In September 2018, HHS Office of Inspector General (“OIG”) issued audit Report No. A-01-15-00500 (the “Report”) finding that out of 220 randomly sampled inpatient rehabilitation facility (“IRF”) stays from 2013, nearly 80 percent did not meet Medicare coverage and documentation requirements. Specifically, for 175 of the 220 sampled stays at 135 IRFs, the medical record...

Reflecting the reality that physicians and their staff spend an increasing amount of time engaging with technology to enhance and improve patient care, the 2019 Current Procedural Terminology (CPT®) code set that takes effect Jan. 1 provides health professionals the codes they need to get paid for emerging services. Among the changes in the 2019 CPT code set are three new...