CMS Issues RADV Blueprint for Handling Flawed Documentation
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Coders love rules. In risk adjustment coding, we live by the Official Guidelines for Coding and Reporting, the ICD-10-CM conventions for code lookup, and the AHA Coding Clinic for ICD-10-CM and ICD-10-PCS. Too often, though, we run into situations in which there are no rules, or when
guidance...
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Senior Living Centers Find New Benefits In Adopting Electronic Records
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Senior Housing Companies, which offers assisted living services and healthcare to individuals living in retirement communities, was dependent upon manual paper processing to manage its 17 senior living communities in Iowa. A few years ago, when Joy Laudick joined the organization as its director of clinical management, she knew it was needed to transition to
electronic systems. Click Here to Read More
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EpiPens, Blood Pressure Medication Rank Among Highest Drug Price Increases, CMS Database Shows
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Medicare is spending more money on drugs than ever before, and it's not because patients are taking more medications. The Centers for Medicare & Medicaid Services (CMS) updated its drug pricing dashboards this week, and data suggest increased spending is due
to... Click Here to Read More
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Two-midnight Rule Remains Confusing; Total Knee Replacements Frustrating to Many
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Do you realize that the two-midnight rule has been the law of the land for the last four years, seven months and 14 days? And there is still widespread confusion about it. Of course, part of that continuing confusion is the inability to get straightforward answers from the Centers for Medicare & Medicaid
Services... Click Here to Read More
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ICD-11: Fewer PTSD Diagnoses Under New, Stricter Criteria
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The number of patients meeting criteria for post-traumatic stress disorder (PTSD) diagnosis may drop following the proposed revision of the International Classification of Diseases (ICD), researchers suggested. Geared towards creating more specificity for the disorder, the ICD-11 lists just six criteria for PTSD -- far fewer than the 13 symptoms in the current ICD-10
template.
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