CMS takes action on several recently covered topics
For physicians who haven't begun working on the Value Modifier, 2016 is the year for immediate action
The "x factor" affects payments
Documentation and coding for these cases are surprisingly challenging
What's required in content, timing, and format
Documentation of severity and/or the associated IQ is required for correct coding and severity-of-illness assignment.
Programs aim to incorporate the terminology needed to accurately translate a patient's condition into precise codes.
Any infection related to a device or catheter of any type is classified for coding purposes as a complication of care.
To avoid rejection of critical care codes, physicians must be familiar with coding definitions, and documentation must reflect the professional services that support the codes.
Accurate ICD-9-CM codes for diagnoses and procedures performed during a hospital stay will only partially determine payment. Discharge status codes must be given equal attention.
Acute coronary syndrome is a very popular diagnosis frequently documented when a patient presents to the hospital with chest pain thought to be cardiac in origin. For accurate coding, physicians should document unstable angina or acute myocardial infarction.
Billing for interactions with a patient's family or other caregiver More than 44 million Americans care for an adult family member or friend. Physicians often will discuss the care of a patient with the patient's caregivers, and may be able to bill for these interactions.