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New rules would amend an Affordable Care Act provision to allow more women to obtain contraceptive services at no cost. The Department of Health and Human Services (HHS) and the Departments of Labor and the Treasury (Departments) released new rules Jan. 31 that would amend the Affordable Care Act (ACA) regarding coverage of certain contraceptive […]
The post Feds Propose to Expand Birth Control Coverage appeared first on AAPC Knowledge Center.
Medicaid Fraud Control Units (MFCUs or Units) research and arraign Medicaid supplier extortion and patient maltreatment or disregard. The Department of Health and Human Services Office of Inspector General is the assigned Federal office that supervises and every year supports Federal financing for MFCUs through a recertification procedure. For this report we dissected the yearly factual information on case results, for example, feelings, common settlements and decisions, and recuperations—that the 50 MFCUs submitted for monetary year 2018.
The post At A Glance: Medicaid Fraud Control Units Fiscal Year 2018 Annual Report appeared first on The Coding Network.
Published in SHEA’s journal Infection Control & Healthcare Epidemiology, the guidance provides steps for improving infection prevention using increased hand hygiene, environmental disinfection, and continuous improvement plans.
Make sure your staff knows and implements your policy on continuous observation of suicidal patients, check and recheck that air pressures are appropriate to the room, update infection control procedures to the latest recommendations, and be prepared for surprise surveys.
On September 5, The Joint Commission (TJC) announced scoring changes for its IC.02.02.01 standard, which requires facilities to reduce infection risk associated with medical equipment, devices, and supplies. The standard was third on TJC’s recent list of most challenging requirements for hospitals.
Act now to score positive payment adjustments under MIPS. This year, the Cost performance category in the Merit-based Incentive Program (MIPS) is worth 10 percent of an eligible clinician’s or group’s final score. Next year, it goes up to 15 percent — and Cost will continue to gain weight until it accounts for 30 percent […]
AAPC Knowledge Center
Doctor provides CPT codes performed as 45380 Colonoscopy with biopsy and 45382 w/ control of bleeding.
His documentation states – FINDINGS: There was some mucosal inflammation and irregularity in the rectum. It was biopsied with cold biopsy forceps. After the biopsy, injection of hypertonic saline with epinephrine was performed to achieve hemostasis at the biopsy sites.
Since the control of bleeding was done at the same spot as the biopsies can I only bill for the 45380??
TIA
KAM
In April, the Government released last year’s accomplishments for their work in Healthcare Fraud and Abuse. In 2017 $ 2.6 billion was returned to the Federal Government or paid to private persons. Specifically; $ 1.4 billion was returned to the Medicare Trust Funds and $ 406.7 million was returned to Medicaid programs. Yes, that means that over $ 1 million dollars was paid to Qui Tam relators or put into resources to continue to fight fraud and abuse.
A staggering 967 investigations were opened in 2017 resulting in criminal charges filed for 439 cases involving 720 defendants. This resulted in 639 convictions which is an impressive 88.7% conviction rate. In addition 818 civil actions were filed.
Another interesting statistic was the high number of healthcare exclusions that were published. There were a total of 1,281 healthcare exclusions. They stated that 309 of those exclusions were related to patient abuse or neglect and 972 were a result of licensure revocations.
The post Report from the Department of Justice Fraud & Abuse Control for 2017 sheds light upon the importance of compliance appeared first on The Coding Network.
Red blood was found in the gastric fundus and in the gastric
body. Breaking up of clot with snare and removal by extensive
irrigation. After removal of the clot, there were no lesions in the
body, fundus, or antrum. There was one ulcer at the incisura,
described below.