Wednesday, July 20, 2016

CE Articles

Review treatment and coding options for fertility services
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, CDIP, writes about the types of treatment for infertility for both men and women, highlighting the associated diagnosis and procedure codes used to report them. 
Linking documentation for fertility services to medical necessity
Providers must link the medical necessity of the treatment they give to the documented diagnoses or they may not get paid. Read about how to ensure medical necessity is proven for fertility services. 
CMS eases provider burden, reporting requirements in CLFS final rule

Jugna Shah, MPH, looks at CMS’ Clinical Laboratory Fee Schedule final rule and how payments may change for providers beginning January 1, 2018.

Healthcare News: CMS releases OPPS, MPFS proposed rules
CMS’ 2017 OPPS and Medicare Physician Fee Schedule proposed rules, released July 6 and 7, respectively, introduce policies that focus on improving payment accuracy across sites and for professionals in primary care, care management, and patient-centered services. 
Q&A: Reporting professional services on a UB-04 form
Q: Can a hospital that is not a critical access hospital (CAH) bill professional charges on UB-04 claims, Type of Bill (TOB) 013X? I have not read anywhere that hospitals cannot bill this way, but usually when discussing revenue 96X and other professional revenue codes there is mention of CAHs only.
 

New on JustCoding.com

Platinum and Platinum Plus members can access an operative report for infertility diagnoses and procedures. If you are not a Platinum or Platinum Plus member and you want to upgrade your account, please call customer service at 800-650-6787.

JustCoding Online Learning Feedback 

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Free quiz: ICD-10-CM codes for diseases of the inner ear

Test your knowledge with this week’s free quiz, which features ICD-10-CM codes for diseases of the inner ear.

 

    

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Mini Poll

Mini-poll: Does your organization code outpatient procedures using ICD-10-PCS as well as CPT?

Click here to share your answer.

 
 
 

Product Spotlight

Product of the week: 2017 OPPS Proposed Rule live webcast

During this program, our expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, will analyze the proposed rule and deliver a comprehensive program to update you on the major changes proposed for 2017 under OPPS. When you understand where CMS is headed in 2017, you'll be in a position to plan your own internal education and process changes. 

For more information or to order, call 800-650-6787 and mention Source Code EZINEAD or visit the HCPro Healthcare Marketplace.

 

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