Avoid Potential Impact on COVID-19 Claims Reimbursement: Following Guidelines for Consistent Coding of Inpatient Claims will Ensure Proper Reimbursement.
Recently, congress passed the Coronavirus Aid, Relief, and Economic Security (CARES) Act, which provides more than $100 billion in direct aid to hospitals and other providers. This includes a 20 percent increase in reimbursement for inpatient COVID-19 claims.
Each year AAPC sponsors the healthcare conference, HEALTHCON, which was originally scheduled to take place at Disney’s Coronado Springs Hotel in Orlando, April 5-8. Every year the event provides excellent networking opportunities, with thousands of medical coders and healthcare professionals participating.
With an expansive platform to earn continuing education units (CEUs), and prominent speakers, the HEALTHCON event has excellent industry participation year after year. Unfortunately, this year, as with all organized events, the COVID-19 emergency prevented HEALTHCON 2020 from going on as normal, and left organizers in a predicament. However, after much deliberation, and exploration of alternative solutions, AAPC decided to carry on with the event with a promise to deliver the same expectations, only virtually.
April welcomes the anticipation of spring and its promise of renewal. It is also the month for us to recognize the importance of our ability to volunteer and give back to our communities. However, this year the volunteer landscape is quite different than years past. The current environment can leave one asking the question ─ What can one do at a local or global level when in isolation?
COVID-19 impact on Telehealth Services: Clearing a Path to Combat the Coronavirus, and possibly change the future of Telehealth
As of March 27, 2020, there have been more than a half a milion confirmed cases of COVID-19, including nearly 90,000 in the U.S. alone. As numbers of new cases continue to grow, the U.S. Centers for Disease Control and Prevention (CDC) expands their recommendations of social distancing for containment measures, increasingly disrupting daily life, and ultimately the livelihood of many individuals.
The situation has now reached the point where public health officials are encouraging and in some regions requiring people to stay home. As a result, Telehealth Services have dramatically increased, becoming critical in caring for patients as the COVID-19 pandemic swiftly evolves.
Hierarchical Coding Categories (HCC) is becoming a common term as healthcare continues to move toward an “outcomes” based model. Understanding the acronym T.O.A.D is of utmost importance.
The healthcare industry is facing many obstacles in the coming year that pose new challenges to healthcare organizations. With new government regulations, advancements in technology, and savvier, well-informed patients, the landscape for 2020 looks to bring many changes.
Axea Solutions examined recent rulings and emerging issues and spoke with clients to determine areas that healthcare facilities will be focusing efforts in 2020. While there are far greater than five areas of focus, these are the top five significant concerns we determined to pose the most challenges and to have the highest impact on the healthcare industry in the coming year.
Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging: Expect major Impact on Clinical Workflow, IT and Revenue Cycle
It is important to understand the requirements for Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging as well as the impact to expect on the various aspects of operations upon implementation.
Advanced diagnostic imaging is considered MRI, CT, PET, and Nuclear Medicine (X-rays, Ultrasound, and Fluoroscopy services are not included under the definition of advanced imaging). AUC links a specific clinical condition on presentation, services, and an assessment of the appropriateness of services. AUC’s evidence-based criteria for imaging is meant to assist clinicians in selecting the imaging study that is most likely to improve health care outcomes.
The October issue of the NAHRI Journal features Axea Solutions CEO Susan Gatehouse in the article, “Better together: Creating synergies between CDI and coding”
The article discusses how CDI and coding professionals both bring a high level of expertise and value throughout the revenue cycle and billing process; and how each group of individuals approach documentation from two very distinctly different perspectives.
“Both perspectives are critical, says Susan Gatehouse, RHIA, CPC, CCS, CEO of Axea Solutions, Inc ., particularly with the rise of clinical validation denials. “However, mutual respect and understanding is required. “The endgame is your quality reporting should improve, and also the days in A/R should decrease,” she adds.
Gatehouse affirms that finding a way to bridge the gap and shift processes so that CDI and coding work as a team is critical to ensure accurate and complete documentation, coding, and reimbursement.
NAHRI members can view the article online.
CPT 2020 Newly Released Updates: New Dry Needling and Musculoskeletal add-on codes - Educate your Coders!
Apart from the 244 new, 72 revised and 68 deleted codes in next year’s CPT manual, there have been recent updates on additional code set changes that warrant a mention!
One notable addition to the updates is the new dry needling codes, also known as trigger point dry needling. Linked, yet separate is Trigger point injections, with established codes that have often been problematic for coders – so when you’re adding dry needling it may create additional confusion – be sure to prepare and be proactive. It is also important to pay particular attention to the new musculoskeletal add-on codes for drug delivery device implant and removal.