Regulatory Compliance
04/02/2071
In response to the COVID-19 pandemic, which was declared a national emergency, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing a new diagnosis code U07.1 (COVID-19) into the ICD-10-CM code set.
04/02/2071
In response to the COVID-19 pandemic, which was declared a national emergency, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing a new diagnosis code U07.1 (COVID-19) into the ICD-10-CM code set.
08/29/2024
New codes to better capture intervertebral disc degeneration of the lumbar and lumbosacral regions will be available for use come October. These new codes will be based on whether the patient has discogenic back pain, lower extremity pain or no mention of either type of pain.
08/22/2024
CMS released the updated Home Health Grouper on Aug. 14 revealing acceptable primary diagnoses and the high and low comorbidity adjustment subgroups for the new fiscal year 2025 codes — set to take effect Oct. 1.
08/22/2024
With the rise of social media, what are some best practices for health care organizations to prevent unintentional HIPAA violations when employees and patients share information online?
08/15/2024
Ensure that your staff is only using documentation related to the current admission when coding claims as past diagnoses that aren’t supported in current physician documentation can cause pre-payment delays or costly post-payment denials.
08/15/2024
There are situations where agencies may perform a query after admission or when additional documentation related to a diagnosis is received that may provide greater detail related to a primary diagnosis. In some instances, this may change the coding sequence.
08/08/2024
Each MAC has warned providers that claims will not be paid if the record doesn’t show a hand-off or documentation of the agency reaching back out to a previous physician or non-physician practitioner when there is a change in the practitioner guiding the care plan.
08/08/2024
Providers that fail to coordinate and document interdisciplinary communication risk claim denials, survey citations or patient injury.
07/18/2024
Prepare for potential rule changes that will require careful documentation of your admission process, as well as an online description of your staffing and specialties.

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