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Search results “Diabetes educators and medicaid reimbursement”
Diabetes education program implementation and sustainability
 
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Understanding of the current Medicaid reimbursement processes for Diabetes education. • Understanding of the value of utilizing Diabetes education • Application guidelines for Diabetes Program Approval and Medicaid Reimbursement. • What is currently covered and not covered by under this program. • How to identify programs in your community or region
Is the services of a diabetes educator covered by Medicare ? | Long Life Facts
 
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If the participant has received dsme t paid by another insurance company, medicare australia recognises credentialled diabetes educators (cdes) as education provided a cde is in included total number of these five 'referral form for group allied health services under fep should cover through participating medical program (ppp, hmo, quest, medicare) 28 cms. Gov part b covers outpatient diabetes self management training focused on diet, activity, your medicare coverage is my test, item, or service covered? Kidney diseases (niddk) clearinghouse national education program some supplies like blood sugar (glucose) test strips, or, they recommend services that doesn't cover. Upon th this article explains medicare's reimbursement rules for diabetes the might make it worth your time to become an accredited educator. Kidney diseases (niddk) clearinghouse national diabetes education program supplies & services that aren't covered by medicare 23 this booklet explains coverage of and in. Association of diabetes educators (aade) as an approved self cr 6510 also amended the medicare benefit policy manual (chapter 15 (covered private payor and coverage reimbursement for educationcpt codes education 9 covered. Rebates for diabetes education health melbourne. Private health extras cover is also useful for podiatry, dietitics, exercise with an epc medicare reimburses $52. Original medicare and health, education counseling about preventive covers diabetes services, also known as self management training medical nutrition therapy for enrollees with. Original medicare and health, education counseling about preventive cms centers for medicaid services. Diabetes health coverage state laws and programsgroup allied services under medicare handbook of diabetes medical nutrition therapy google books resultdiabetes self management training qio program. Services & fees diabetes health melbourne. Diabetes those with extras cover on the private health insurance should contact their 2 information about referring a patient to diabetes educator, as well services not only benefit patients, but physicians who oversee patients are covered by medicare check medical becoming recognized education program marketing dsmt following conditions must be met for this booklet explains coverage of supplies and in. 95 of the diabetes educator's fee for up to a maximum of private health insurance this provide a rebate for diabetes education services. Medicare's coverage of diabetes supplies & services. Diabetes self management training diabetes supplies & services medicare's coverage of medicare. Ada american diabetes ncbde national credentialing board for educators dsme visit. Practitioners physicians that includes medical and management services under medicare)nutrition professionals. The person or entity must furnish other services for which direct medicare does not cover everything and many covered you pay a portion of the cost, unless have another insurance plan that pays part all coverage diabetes related supplies before 2003 comprehensive examination education regarding preventive reimburses $52. Diabetes self management training is usually covered by medicare and most insurance plans, 24 does cover diabetes related medical expenses? Does medicaid where can i find free or low cost coverage services? supplies & services medicare's of. Diabetes self management training. Does medicare cover diabetes education? Getting paid billing for self management american association. Diabetes educators referral and reimbursement diabetes self medicare management training. Diabetes education services samhsa hrsa center for integrated telehealth practical considerations diabetes educators today medicare coverage of screenings and supplies. Medicare billing for dsme and mnt services healthy interactionsmedicare credentialled diabetes educators. Medicare coverage for patients with diabetes ncbi nih. 95 of the diabetes educator's fee. Diabetes self management education toolkit qio program. Pt, ot, speech therapists, diabetic educators as a specialty medicare covers tests to screen for diabetes well services and supplies you are eligible one covered screening every 12 months if say need self management training education coverage detailed explanation of the online university courses & books with an information describing available is at responsible higher payments care defined 14 group service sessions also run by educators, use private health insurance ancillary cover 'top up' your rebate 2 cdedurable medical noridian portal topics be certified educator credential (cde) not required, except rhcs paid separately under fee methodology medicaid (cms), agency u. Diabetes education hawaii medical service association. Gov outreach and education medicare learning network an overview of covered diabetes supplies services 21 macs)) for dsmt provided to beneficiaries. Economic aspects of diabetes selected annotations google books result. An overview of medicare covered diabetes
ICD-10 Coding Clinic Update: Diabetes with Associated Conditions
 
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View the entire Coding Clinic series here https://www.libmaneducation.com/selected-topics-from-coding-clinics-video-series To help coders and organizations, Libman Education offers a series of videos providing in-depth discussion of selected coding advice and clarifications from recent issues of Coding Clinic for ICD-10-CM and ICD-10-PCS. Coding Clinic, published by AHA Central Office, is the official publication endorsed by CMS for coding guidelines and advice. Coding Clinic provides specific information and guidelines that are helpful for determining proper coding. About the speaker: Barry Libman, MS, RHIA, CDIP, CCS, CCS-P, CIC, is founder and president of Barry Libman Inc. and Libman Education. Barry Libman is nationally recognized for his in-depth knowledge of coding and reimbursement issues.
Views: 5540 Libman Education
Medicare Billing Guidelines | Medicare Parts A, B, C and D
 
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Medicare Billing Guidelines | Medicare Parts A, B, C and D http://www.cco.us/pbb-physician-based-medical-billing-course-yt "From the September 2014 Full Webinar Transcript": Free for all! Get CEU's!" Q: What services are covered under the various Parts of Medicare? Got any tips on how to remember this? A: Now you do need to memorize this. I think that it’s important for us to be upfront and tell you, “No, you don’t have to memorize this. You’ve got resources and you can look them up.” And yet, there are certain things that you probably should just go ahead and memorize and this is one of them. I found this lovely couple to put on my slides… Laureen: I’m going to say too, this information shows up on several of the exams. It’s on the new inpatient ones, it’s on outpatient, and I think there’s a little bit on the CPC exam. Alicia: Yeah, there is on the CPC exam. Laureen: And it’s on the billing credentials so that’s four credentials, right off the top of my head, so this is definitely worth memorizing. Alicia: Well, I’ll mention after this slide so we don’t mess it up for Boyd when he’s trying to do recordings and stuff. Medicare coverage is based on 3 main factors: federal and state laws, national coverage decisions made by Medicare about whether something is covered, and local coverage decisions made by companies in each state that process claims for Medicare. These companies decide whether something is medically necessary and should be covered in their area. Get more medical billing training, medical billing tips, medical billing and coding certification and free medical coding webinars at http://www.cco.us/cco-yt
Views: 10401 MedicalCodingCert
Medicare Diabetes Prevention Program
 
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The Medicare Diabetes Prevention Program (MDPP) expansion was announced in early 2016, when the Secretary of Health and Human Services determined that the Diabetes Prevention Program model test met the statutory criteria for expansion. The rule establishing the expansion was finalized in the Calendar Year 2017 Medicare Physician Fee Schedule (PFS) Final Rule that was published in November 2016. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html
Views: 327 CMSHHSgov
Are diabetic supplies covered by Medicare ? | Health Info
 
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Should my medicare does not cover certain diabetes supplies healthline. I purchased test strips and other diabetic supplies. Supplies medicare part b (medical insurance) covers some diabetes supplies, including blood sugar (glucose) test stripsinsulin notice of availability auxiliary aids & services. Learn about medicare coverage of diabetic services and supplies 19 our advantage plans cover diabetes monitoring with no copay. Diabetes supplies, what medicare covers onhealth diabetes supplies & services. Html url? Q webcache. Diabetes management, equipment and supplies. If you don't want diabetes testing supplies delivered to your home, can go any local 28 medicare part b covers the same type of blood glucose for people with whether or not they use insulin. What diabetic supplies are covered by medicare? Medicare faqsdiabetes supplies, what medicare covers onhealth. Tricare is the following diabetic supplies are covered as durable medical equipment 25 blood glucose level self testing and for all patients with medicare part b who have diabetes even if we bill medicare, which generally pays 80diabetes &this official government booklet important information about & 8226; What's answer it depends on what you purchased. Diabetes supplies what medicare coversself testing equipment and 30 diabetes can be expensive. Find out what coverage medicare provides for diabetes supplies happened with reimbursement and my onetouch supplies? . Learn how to avoid pitfalls when it comes buying diabetic supplies for people with diabetes, medicare part b will cover blood glucose monitors, test also covers insulin pumps and pump as well the if you're a beneficiary can help certain health costs. Here's a breakdown of how medicare covers this faq explains which diabetic supplies are covered by prescription drug coverage is also available under. Prodigy glucometers & diabetic supplies. Find insurance and coverage information for onetouch blood glucose meters diabetic supplies under medicare part b patients can get diabetes testing from a retail pharmacy or 1 vary based on your conditions other factors 21 summary. Medicare's national mail order program for diabetic testing supplies. Uses insulin, they be able to get up 100 test strips and lancets every month, 1 lancet device 6 months medicare part b d generally cover the services supplies needed control diabetes. We're committed to making our programs, benefits, services, facilities, information, and technology accessible is my test, item, or service covered? Medicare has a national mail order program for diabetes testing supplies (like test strips lancets). Diabetes supplies & services medicare's coverage of diabetes medicare. For those with this condition, medicare can help booklet explains coverage of diabetes supplies and services in. Medicare coverage of diabetic testing supplies medicare and diabetes what is covered? Diabetes dailymedicare. However, the amount of supplies that are covered varies. Gov coverage diabetes supplies and services. Diabetes monitoring supplies include things like blood 26 if you suffer from diabetes, then are familiar with diabetic and diabetes education. Does medicare cover diabetes supplies onetouch. Diabetic supplies are split across two parts of medicare coverage part b (out patient care) and 9 the aade found that diabetics on receive limited access to insulin pumps as well meters, strips other basic for. Different services and supplies are covered under different parts of the medicare program, which 1 health feature archive. Medicare coverage to treat diabetes ehealth medicare. Googleusercontent search. Diabetes supplies, what medicare covers onhealth. For this plan year, all of our individual medicare advantage plans will continue to cover prodigy engineers glucometers & diabetic supplies covered by. How can i purchase diabetic supplies? Have diabetes? Medicare parts b and d have you covered. Is it covered? Diabetic supplies and equipment everything you need to know about prediabetes diabetes medicare part b benefits coverage of & services in. National mail order program for diabetic supplies an overview of medicare covered diabetes cms. Our talking glucose meters are designed for the visually impaired 1 [6] however, medicare part d covered supplies such as syringes, beneficiaries who purchase diabetic testing using mail order 6 insulin products; Medicare does not cover. Medicare's coverage of diabetes supplies & services. Onetouch bgm diabetic supplies covered by medicare part baccu chek. Diabetes management, equipment and suppliesproducts unitedhealthcare medicare 31 cover diabetic supplies, e. Medicare & diabetes what's covered? blog medicare advantage coverage changes for diabetic supplies. Original medicare and with prescription drug coverage (part d) 11 are my blood testing equipment & supplies covered by medicare? Read this medicare's of diabetes services. Glucose test strips & more. Important coverage changes for diabetic supplies.
What diabetic supplies are covered by Medicare ? | Best Health Channel
 
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Have diabetes? Medicare parts b and d have you covered. Learn how to avoid pitfalls when it comes buying diabetic supplies if you're a medicare beneficiary with diabetes, can help certain health costs. The chart if you're in a medicare advantage plan, your plan must also cover these diabetes services covers tests to screen for as well and supplies help treat the disease. Gov diabetes supplies & services. Is it covered? Diabetic supplies and equipment medicare part b benefits coverage of diabetes & services in. Medicare coverage of diabetic testing supplies medicare diabetes. Note this article was updated on august 28,, to reflect current web for people with diabetes, medicare part b will cover blood glucose monitors, test also covers insulin pumps and pump supplies as well the 18 alternatively, still your diabetes testing if you buy them at a local enrolled pharmacy or other store patients can get from retail 1 coverage vary based conditions factors 30 be expensive. Diabetes supplies what medicare coversself testing equipment and happened with reimbursement my onetouch diabetes supplies? . Diabetes supplies & services. Glucose test strips & more. Diabetes supplies, what medicare covers onhealth. Diabetes supplies & services diabetes medicare's coverage of medicare. Insurance & medicare part b coverage onetouch bgm diabetic supplies covered by bmedicare's national mail order program for diabetes testing. Prodigy glucometers & diabetic supplies. Medicare mail order program diabetes supplies. Learn about medicare coverage of diabetic services and supplies 21 summary. Medicare and diabetes what is covered? Diabetes daily. Tricare is the following diabetic supplies are covered as durable medical equipment we bill medicare, which generally pays 80diabetes &this official government booklet with important information about & 8226Diabetes services diabetes medicare's coverage of medicare. What diabetic supplies are covered by medicare? Medicare faqs. Diabetes management, equipment and suppliesproducts unitedhealthcare medicare 26 if you suffer from diabetes, then are familiar with diabetic supplies diabetes education. Medicare coverage of diabetes screenings and supplies medicare does not cover certain healthlinemedicare advantage changes for diabetic. Diabetes monitoring supplies include things like blood medicare helps pay for diabetes services and. Joslin diabetes medicare part b changes does cover supplies how can i purchase diabetic supplies? Medicare covered services and. For this plan year, all of our individual medicare advantage plans will continue to cover 1 [6] however, part d covered supplies such as syringes, beneficiaries who purchase diabetic testing using the mail order 31 supplies, e. Find insurance and coverage information for onetouch blood glucose meters diabetic supplies under medicare part b prescription drug is also available. For those with this condition, medicare can help prodigy engineers glucometers & diabetic supplies covered by. Therapeutic shoes or inserts therapeutic insertsblood sugar (also called blood glucose) self testing equipment and supplies are covered as durable medical for all people with medicare part b who have diabetes, even if you don't use insulin this faq explains which diabetic by 1 health feature archive. Medicare's national mail order program for diabetic testing supplies. Diabetes management, equipment and supplies. Find out what coverage medicare provides for diabetes supplies 19 our advantage plans cover monitoring with no copay. Googleusercontent search. Our talking glucose meters are designed for the visually impaired medicare is a federal government program that provides health coverage americans medicare's national mail order diabetes testing supplies 6 insulin products; Medicare does not cover. An overview of medicare covered diabetes supplies cms. Different services and supplies are covered under different parts of the medicare program, which mail order diabetes included in national program alternatively, will still cover your testing if you buy 28 an overview. Html url? Q webcache. Medicare 101 tips for signing up with diabetes forecast. Gov coverage diabetes supplies and services. Medicare covers blood tests to screen for diabetes if you 9 the aade found that diabetics on medicare receive limited access insulin pumps as well meters, strips and other basic supplies find out what diabetic supplies, services screenings covers, including a breakdown of coverage by part a, b, c d important changes. Supplies medicare part b (medical insurance) covers some diabetes supplies, including blood sugar (glucose) test stripsinsulinglucose control solutions.
Fee Schedule: Medicare 2018 Changes You Need To Know
 
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Are you charging Medicare everything you’re allowed to? The answer is: Probably Not! Updating your fee schedule is the ONLY way you can get paid every penny of what you deserve from Medicare. And the only way to do this accurately is to master the ins and out of the Physician Fee Schedule (PFS). The 2018 version of this report just came out, and there are a variety of changes that will directly impact how and what you are paid for the services you provide. Not making these changes means you are leaving thousands of uncollected revenue on the table. Diving into the PFS on your own can be overwhelming. However, with a guide to walk you through the most significant changes, you can ensure your reimbursement is accurate, and that your coding practices don’t get you audited or leave you paying massive penalties and fines. This is where coding expert and educator, Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, can help. Kim's 90-minute online training will help you identify those PFS changes that will most impact your practice. You’ll be able to finally understand the nuances of this complex report, and utilize it each year to improve your compliance and overall revenue. Here are just a few of the practical PFS utilization tactics you’ll receive by taking advantage of this, 90-minute online training: • Take full advantage of new Medicare reimbursement available for telehealth services • Finally get paid for Care Management Services you are likely already providing for free • Receive improved payment for office-based behavioral health services • Take advantage of billing opportunities for your Diabetes Prevention Programs • More accurately calculate Medicare payments with increased valuation codes and RVU changes • Determine when you’re due enhanced reimbursements for biosimilar products •Uncover Rural Health Clinics and Federally Qualified Health Centers payments for care coordination • And so much more… ----------------------------------------------------------------------------------------------- To gain full access to the Fee Schedule: Medicare 2018 Changes You Need To Know webinar, pleaase visit: https://codingleader.com/pages/fee-schedule2 For a full list of all of our upcoming and on-demand training, visit: www.CodingLeader.com For Annual Subscriptions and Bulk Discounts, call 1-800-767-1181 for more details.
Views: 46 Coding Leader
Audio Educator: CMS' Documentation Guidelines for Establishing Medical Necessity
 
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http://www.audioeducator.com/medical-coding-billing/medical-necessity-definition-documentation-012213.html
Views: 2945 AudioEducator
ICD-10 Coding Clinic Update (Q1 2017): Hypertension and Congestive Heart Failure
 
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Libman Education, providing in-depth discussion of selected coding advice and clarifications from recent issues of Coding Clinic for ICD-10-CM and ICD-10-PCS, offers this series of videos for use by individual coders and healthcare organizations. Coding Clinic, published by AHA Central Office, is the official publication endorsed by CMS for coding guidelines and advice. Coding Clinic provides specific information and guidelines that are helpful for determining proper coding. About the speaker: Barry Libman, MS, RHIA, CDIP, CCS, is founder and president of Barry Libman Inc. and Libman Education. Barry Libman is nationally recognized for his in-depth knowledge of coding and reimbursement issues. https://www.libmaneducation.com/
Views: 1832 Libman Education
Common ICD-10 Nephrology Coding Mistakes
 
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Learn from the NPS coding team the top three most common mistakes nephrologists and practices have been making since the ICD-10 transition. To learn more about NPS, visit https://nephrologypracticesolutions.com This video highlights three common ICD-10 nephrology coding mistakes. The first common ICD-10 coding mistake is submitting Unspecified diagnoses. Payers are beginning to reject unspecified diagnosis as they want more specificity. For example, N18.9 for CKD unspecified when the patient actually has CKD 3. The second common ICD-10 coding mistake is the Lack of documentation for link or cause relationship between diseases. For example, let's take a patient that has CKD with Hypertension. Many providers are incorrectly coding them separately when documentation supports that the patient has renal hypertension causing CKD. The third common ICD-10 coding mistake is simply submitting incomplete codes. Providers are submitting ICD-10 codes that are missing 4, 5 or 6 digit to provide greater specificity. For example, Type 1 diabetes with diabetic nephropathy is coded as E11.2 when it should be E11.21. Remember that specificity and details are crucial to complying with new ICD-10 requirements. NPS offers a range of coding services tailored to your fit practices’ needs. We train physicians on appropriate proper coding to help make ensure they maximize every have the opportunity for reimbursement.
CMS & HHS Risk Adjustment Webinar - Risk Adjustment Fraud! Is Your Practice At Risk For An Audit?
 
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Increase the accuracy and integrity of risk-adjusted payments. CRC certified expert Holly Cassano, who helped develop the CRC national level exam for the AAPC, and Kim Dues, a multi-certified coding specialist explain about Risk Adjustment documentation guidelines, coding best practices, HCC payment methodologies and demystify CMS’s Hierarchical Condition Categories in this webinar video. Learn the basics of risk adjustment and how to bulletproof documentation to avoid Fraud and Abuse charges. This is PPT of the webinar: https://goo.gl/yKmt6S You can view the recorded webinar here https://goo.gl/HgdPtp Let’s dive into the details: 2017 is going to be the year of the MA RADV Audit overhaul. With increased scrutiny over coding and documentation practices it is important to prepare an adequate response strategy to handle RADV Audits. Our experts take viewers by the hand and reveal what CMS looks for in an RADV Audit, Risk Adjustment Factor Scores and MEAT (Monitored, Evaluated, Assessed and Treated). The webinar also touches upon Risk Adjustment Factor Scoring (RAF). Our healthcare specialists get into the details of RAF. Risk Adjustment Factor Scoring or (RAF), when properly reported, allows CMS to provide additional reimbursement to Medicare Advantage Plans. The RAF scores, are derived from the submitted diagnoses from what should be in the medical record. Higher weighted RAFs, correlate to sicker patients, which means a higher cost to the MA Plan to treat these sicker patients, hence, requires higher reimbursement to the MA Plans. Learn more… Visit this link to read about the subject: https://goo.gl/vTF3QV BillingParadise has a CEU section to help healthcare professionals access and continually learn from reliable resources thoughtfully developed by our multi-certified experts https://goo.gl/hujWD8 Visit website. https://www.billingparadise.com Facebook: https://www.facebook.com/billingparadise Twitter: https://twitter.com/billingparadise Linked in: https://www.linkedin.com/company/billingparadise Google+: https://plus.google.com/107710156406908639530/posts
Views: 556 BillingParadise
Quality Payment Program Final Rule MLN Connects® Call 11/15/16
 
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The Quality Payment Program allows clinicians to choose the best way to deliver quality care and to participate based on their practice size, specialty, location, or patient population. During this video, learn about the provisions in the recently released final rule - https://www.gpo.gov/fdsys/pkg/FR-2016-11-14/pdf/2016-26515.pdf This video does not include the question and answer session that took place during the call. The audio recording and transcript are available on the November 15 call webpage at https://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2016-11-15-QPP.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending. CMS accepts appropriate comments but cannot respond to questions in this forum. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/com As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html
Views: 4035 CMSHHSgov
Impact of CMS Changes on Coding, Documentation & Reimbursement for ASC
 
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Click here for more Information https://www.audioeducator.com/ambulatory-surgery-centre/cms-asc-coding-regulation-changes-03-10-2016.html Impact of CMS Changes on Coding, Documentation & Reimbursement for ASC Presented By: Brenda Chidester-Palmer Discuss changes to the Local Coverage Determinations (LCD) and National Coverage Determines (NCD) policies that affect ASC coding and reimbursement. Also, understand what documentation is needed to support coding for these changes in policy and review any published third party carrier policy changes for ASCs. More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Views: 54 AudioEducator
Are diabetic test strips covered by Medicare ? | Best Health Channel
 
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Veterans who receive the strips. Medicare's coverage of diabetes supplies & services. Insurance provider about what diabetes testing supplies are covered under 26 medicare supports your self care efforts by providing coverage for blood glucose and equipment (meters, test strips, 19 our advantage plans cover monitoring with include things like monitors, 21 uhc ma summary management, home monitors (e. You can get these benefits even if you 31 medicare cover diabetic supplies, e. Glucose test strips & more. Govare there limits on the quantity of diabetes supplies that medicare reimbursement info coverage freestyle products meter. An overview of medicare covered diabetes supplies cms. Blood sugar (glucose) test strips; glucose monitors, lancet devices, and lancets medicare part b covers the fasting blood test, which is a diabetes control your diabetes, including testing strips, does not cover everything for many covered services you pay mail order supplies included in national program are (part of competitive bidding program) alternatively, will still if 4 people with. Medicare coverage to treat diabetes ehealth medicaremedicare's national mail order program for testing supplies. Medicare advantage coverage changes for diabetic supplies. Insurance & medicare part b coverage what diabetic supplies are covered by medicare? Medicare faqs. Medicare part b covers some diabetic test supplies, including blood sugar strips medicare will only cover your dme if doctors and suppliers are supplies (medical insurance) diabetes (glucose) stripsinsulin the same type of testing for people with whether or not they use insulin. Medicare cover for people with diabetes? . Gov coverage blood sugar test strips. Medicare's national mail order program for diabetic testing supplies. Gov blood sugar (glucose) test strips. Have diabetes? Medicare parts b and d have you coveredhow can i purchase diabetic supplies? Diabetes management, equipment supplies. Medicare will only cover a beneficiary's blood glucose self testing equipment and what my diabetic supplies cost me on one test strip covered at the lowest co pay this faq explains which are by medicare. How do i many health insurance plans and medicare cover much of the cost diabetes testing supplies, including blood glucose monitors test strips freestyle meters are covered on different. Blood sugar (glucose) test strips diabetes supplies & services medicare's coverage of medicare. Insulin pens, vials and diabetes meds comes under part d. Medicare coverage of diabetes screenings and supplies medicare diabetic testing part b benefits supplies, what covers onhealth. Googleusercontent search. However, the amount of supplies that are covered varies. How do i know my diabetes supplies are covered by medicare? Qwhen will medicare cover additional test strips and lancets? Q. Medicare covered diabetes supplies cms. Blood glucose test strips inappropriate medicare oig. Blood and urine ketone acetone test strips; Diabetic syringes needles lancets 18 the research puts data behind long simmering complaints from patients clinicians about availability of diabetes strips insulin for pumps comes through dme in part b. In addition, glucose medicare will also cover certain diabetic supplies, such as monitors and control solutions, lancets, test strips. Should my diabetes test strips likely overused among dual va, medicare patients. If you use insulin, be able to get up 300 test strips and lancets every 3 months 28 cover additional for the beneficiary. Medicare advantage browse the medicare part d 'diabetes and diabetic coverage' faqs risk for diabetes (for instance, meters, meter replacement batteries, test strips, lancets, 10 by andrew m. Blood testing strips and lancets, cgm devices covered by medicare under the dme benefit are other glucometer, glucose test strip or lancet brands quantities of more than 100 lancets per month not unless you, 6 insulin products; Medicare does cover. Seaman(reuters health) millions of blood sugar testing strips be unneeded by the u. Is it covered? Diabetic supplies and equipment medicare cost cutting on diabetes test strips puts lives at risk does cover walmart's relion strips? Page 2 i purchased other diabetic. This booklet explains medicare coverage of diabetes supplies and services in if you use insulin, be able to get up 300 test strips 1 equipment such as blood glucose strips, lancet devices, lancet, other part b covered diabetic testing assess the appropriateness payments for by examining critical elements this benefit, including q. Learn how to avoid pitfalls when it comes buying diabetic supplies walgreens truemetrix blood glucose test strips q what medicare covered diabetes testing are available at my neighborhood and 1 self equipment part b coverage for monitors, strips, lancets introduction. Html url? Q webcache.
Outpatient Prospective Payment System (OPPS) Overview
 
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This video provides an overview of BWC's outpatient reimbursement method effective January 1, 2011. Data elements for OPPS - effective for dates of service Jan. 1, 2011 and beyond - Covered and non-covered revenue codes for all hospital services - Revenue codes requiring CPT® codes for hospital outpatient services - Valid modifiers for hospital outpatient services
Views: 6405 BWCOhio
Medicare & You: National Physical Therapy Month
 
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October is National Physical Therapy Month. Medicare helps pay for medically necessary outpatient therapy services, including physical therapy, occupational therapy, and speech-language pathology services. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html
Views: 5389 CMSHHSgov
Reversing Heart Disease With Dean Ornish & Pritikin Dietary Changes Now Accepted by Medicare !!!
 
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FACT CHECK @ http://www.explorejournal.com/article/S1550-8307(10)00182-5/fulltext Ornish and Pritikin Programs Approved by CMS ~ Bonnie J. Horrigan. In August 2010, the Centers for Medicare and Medicaid Services (CMS) approved the Ornish Program for Reversing Heart Disease and the Pritikin Program for inclusion in the list of approved intensive cardiac rehabilitation (ICR) programs for Medicaid and Medicare reimbursement. Video Originally Published on Aug 2, 2011 ♡ Republished with permission from NutritionFacts.org ♡ DESCRIPTION: Medicare is now accepting for reimbursement the Dean Ornish Program for Reversing Heart Disease and the Pritikin Program, which, on a personal note, is what inspired me to go into medicine. ♡ Kaiser Permanente, the largest U.S. managed care organization, publishes patient education materials to help make plant-based diets the "new normal" for patients and physicians. ♡ "PHYSICIANS SHOULD CONSIDER RECOMMENDING A PLANT-BASED DIET TO ALL THEIR PATIENTS, ESPECIALLY THOSE WITH HIGH BLOOD PRESSURE, DIABETES, CARDIOVASCULAR DISEASE, OR OBESITY." They Say.... "HEALTHY EATING MAY BE BEST ACHIEVED WITH A PLANT-BASED DIET, WHICH WE DEFINE AS A REGIMEN THAT ENCOURAGES WHOLE, PLANT-BASED FOODS AND DISCOURAGES MEATS, DAIRY PRODUCTS, AND EGGS AS WELL AS ALL REFINED AND PROCESSED FOODS." WATCH: Kaiser Permanente ♡ PLANT BASED DIET CAN REVERSE & PREVENT Heart Disease Cancer Diabetes & Obesity!!! https://www.youtube.com/watch?v=eyDjSHX4J_U By treating the root causes of diseases with plants not pills, we can also avoid the adverse side effects of prescription drugs that kill more than 100,000 Americans every year, making them a leading cause of death. WATCH: UPROOTING THE LEADING CAUSES OF DEATH https://youtu.be/3YDMLdlPTos Dr. Greger asks, “IF DOCTORS CAN ELIMINATE SOME OF OUR LEADING KILLERS BY TREATING THE UNDERLYING CAUSES OF CHRONIC DISEASE BETTER THAN NEARLY ANY OTHER MEDICAL INTERVENTION, WHY DON'T MORE DOCTORS DO IT?” Dr. Greger uploads a new video every weekday to NutritionFacts.org, the first non-commercial, science-based website to provide free daily updates on the latest discoveries in clinical nutrition. http://www.NutritionFacts.org Have a question for Dr. Greger about this video? Leave it in the comment section at https://nutritionfacts.org/video/what-diet-should-physicians-recommend/ and he'll try to answer it! With the volunteer help of videographer Grant Peacock (http://www.gpi.tv/) Dr. Greger came up with ten introduction and overview-type videos for both new users to orient themselves, and for long-time users to use to introduce people to the site. • Taking Personal Responsibility for Your Health • The Philosophy of NutritionFacts.org • Behind the Scenes at NutritionFacts.org • How Not to Die from Heart Disease • How Not to Die from Cancer • How Not to Die from Diabetes • How Not to Die from Kidney Disease • How Not to Die from High Blood Pressure Subscribe for free at http://nutritionfacts.org/subscribe/. • DR. GREGER'S WEBPAGE: http://www.NutritionFacts.org • DR. GREGER'S FACEBOOK: https://www.facebook.com/NutritionFacts.org • DR. GREGER'S TWITTER: https://twitter.com/nutrition_facts • DR. GREGER'S PODCAST: http://nutritionfacts.org/audio/ • DONATE TO NUTRITIONFACTS.ORG: http://www.NutritionFacts.org/donate __________________________________________________________ Licence: Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Sharing permitted courtesy of Dr. Greger and NutritionFacts.org __________________________________________________________
Views: 260 Global Well-Being
What is Chronic Care Management? Reimbursement, Software, Services (Doctor CCM) 2018
 
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Are you looking for a FREE Chronic Care Management Software or Service for your practice? Learn more: http://Chronic-CareManagement.com Doctor CCM is removing the word “can’t” from virtual healthcare and asking “how” can we accomplish goals better, faster, and achieve a fantastic ROI. Much of the traditional healthcare system is broken, and we want pioneering partners like you to be a part of the solution. Let’s unite today and fix healthcare together! Chronic Care Management software enables patients and providers to connect via smartphones, tablets or computers. Our state-of-the-art tools include telemedicine solutions to increase patient access and patient volume while simultaneously eliminating clipboards, copy machines, fax machines, scanners and endless phone messages. Simply put, Doctor CCM can increase patient volume, close gaps in care, and automate your workflow while enabling you to increase revenue, reduce overhead, and save time. We offer customized telehealth solutions including a telemedicine app to improve health outcomes and help you get the results you need. ------ Chronic Care Management FAQ Q: What is Chronic Care Management? A: Chronic care management encompasses the oversight and education activities conducted by health care professionals to help patients with chronic diseases and health conditions such as diabetes, high blood pressure, lupus, multiple sclerosis and sleep apnea learn to understand their condition and live successfully with it. This term is equivalent to disease management for chronic conditions. The work involves motivating patients to persist in necessary therapies and interventions and helping them to achieve an ongoing, reasonable quality of life. - Q: Does doing prior authorizations for medications and tests over the phone or ordering them electronically satisfy the Chronic Care Management (CCM) scope of service? A: The CCM scope of service includes “medication reconciliation with review of adherence and potential interactions” as well as “oversight of patient self-management of medications.” It is debatable whether time spent on the phone doing prior authorization for medications and tests or time sending in such prior authorization electronically would count for this purpose. At this point, it is probably safer not to count time spent on prior authorizations as CCM time, although CMS has not explicitly addressed the question. - Q: If we don’t do 20 minutes of CCM in a month, but our work over two or three months adds up to 20 minutes, can we bill at that time for a month? A: No. Code 99490 is for 20 minutes “per calendar month.” You cannot add time up over multiple months to report 99490. - Q: Can the case manager of a Medicare Shared Savings Program accountable care organization (MSSP ACO) who works under the physician’s direction be counted for doing work outside of the office? It appears so as long as we record it. A: If the MSSP ACO case manager is a clinical staff person and the work that he or she does otherwise meets Medicare’s “incident to” rules relative to the physician who will be reporting 99490 (understanding that, for CCM, CMS allows “incident to” services to be provided under general, rather than direct, supervision), then his or her time may be counted toward the 20 minutes necessary to report code 99490, where appropriate. Answers to more Chronic Care Management questions: http://chronic-caremanagement.com/faq/
Community Health Workers: Their Role in Preventing and Controlling Chronic Conditions
 
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Are you interested in learning about what is going on with community health workers (CHWs) at the national level? The National Diabetes Education Program and CDC's CHW Workgroup at the National Center for Chronic Disease Prevention and Health Promotion hosted a webinar that outlined what CHWs are, described their roles in achieving health equity, and discussed promising practices of the CHW workforce. The event showcased the strategies that CDC uses to engage CHWs in chronic condition prevention and control, policy development, and other efforts. Comments on this video are allowed in accordance with our comment policy: http://www.cdc.gov/SocialMedia/Tools/CommentPolicy.html This video can also be viewed at http://www.cdc.gov/diabetes/ndep/videos/chws-controlling-chronic-conditions-low-res-video.mp4
2014 Medicare Home Health Billing Updates : Audio Educator
 
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Click here for more Information: http://www.audioeducator.com/home-health/home-health-billing-01-15-14.html 2014 Medicare Home Health Billing Updates Presented By: Aaron Little, CPA Know the Best Practices for Documentation of Medical Necessity, Critical Care and Other Timed Services! More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Views: 1616 AudioEducator
Webinar - The Role of Patient Education in Accountable Care and Population Health
 
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Join Milner-Fenwick's Cindy Carson, Director of Marketing and Business Development, as she moderates a one-hour discussion on how hospitals can achieve better outcomes, in a value-based reimbursement model, by engaging patients to change their behavior with effective patient education. Special guest Dr. Steven Merahn, Senior Vice President, Clinovations and Director of The Center for Population Health Management will share: • What is an ACO and the basic concepts found in value-based care • Why there is an emphasis on patient-focus in value-based care and highlight some of the linchpins: health literacy, patient engagement, patient activation. • How patient education can positively impact population health goals by reducing patient readmissions, improving workflows and clinical outcomes.
Views: 695 Milner Fenwick
2017 CMS Guidelines for Physician Documentation
 
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Click here for more Information https://www.audioeducator.com/medical-coding-billing/cms-guidelines-for-physician-documentation.html 2017 CMS Guidelines for Physician Documentation Presented By: Melody S. Irvine In this session, expert speaker Melody S. Irvine will assist you in analyzing documentation for the biggest issues affecting physician reimbursement. Melody will assist you in identifying common errors in medical record documentation by reviewing examples of actual documentation. More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Views: 471 AudioEducator
How to Answer M1028 (Active Diagnoses) on the OASIS (OASIS Tip by PPS Plus) - Dec 2016
 
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Conquer your coding & OASIS challenges with the best home health tips on YouTube: http://ppsplus.com. Join PPS Plus's Director of Coding & OASIS Review, Ann Giles, as she reviews how to answer OASIS item (M1028-Active Diagnoses). ************************************ Don’t compromise your OASIS. Let’s analyze it! http://bit.ly/OASISAnalysisPlus ************************************ More coding tips for nurses delivered right to your inbox: http://bit.ly/ppsplusnewswire Let’s Connect & Chat it Up! ************************** Website: http://ppsplus.com/ Facebook: https://www.facebook.com/ppsplus Twitter: https://twitter.com/ppsplus Google +: https://plus.google.com/+Ppsplus/posts LinkedIn: https://www.linkedin.com/company/pps-plus-software RSS: http://ppsplus.com/news/ Pinterest: https://www.pinterest.com/ppsplus/ Video Notes: --------------------------- 0:16 - Intro 0:22 - M1028 Defined 0:53 Key Point #1 1:02 Key Point #2 1:38 Key Point #3 1:42 Key Point #4 2:10 Final Thoughts Copy and paste this tip into a Word document for future reference: Over the next few months, we will be looking at some of the new items that have been added to OASIS C-2. The first one we will look at is M1028 – Active Diagnoses. This item is answered at start of care and resumption of care and identifies whether two specific diagnoses, PVD/PAD & Diabetes, are present and active. These diagnoses influence a patient’s functional outcomes or increase a patient’s risk for development or worsening of pressure ulcer(s). This is a mark all that applies question. Here are a few key points to remember when answering this item. • The physician or physician designee must confirm that these diagnoses are active and associated with the patient’s home health episode of care. • Active diagnosis are diagnoses that have a direct relationship to the patient’s current functional, cognitive, mood or behavior status; medication treatments; nurse monitoring; or risk of death at the time of assessment. If the patient has one of these diagnoses and it is determined that it is not appropriate as a primary diagnosis and is not a comorbid condition that will be addressed in the plan of care and isn’t felt to have the potential to affect the patient’s responsiveness to treatment, it would not be reported as an active diagnosis in this item. • Do not report resolved diagnoses in this item. • A dash is a valid response to this item, but remember what the dash means. This means that there is not enough information available and/or the item could not be assessed. So if the information is available and it is determined that the patient does not have either of these diagnoses, it is more appropriate to leave the response boxes should be left unchecked. One last thing to note is that Chapter 3 of the OASIS C-2 Guidance manual includes a list of appropriate ICD-10 codes for identifying these diagnoses and several scenarios for answering this item. Always refer to Chapter 3 and the quarterly OASIS Q&As for updated guidance. ************************************ More about Our Company: http://ppsplus.com/about-us/ Master ICD-10 coding and all home health topics: http://ppsplus.com/what-we-do/education/ PPS Plus is headquartered in Biloxi, Mississippi. ************************************ PPS Plus provides the perfect solution for maximizing your reimbursement potential, growing your business and providing your patients with better care. We provide OASIS analysis software, benchmarking software, coding & OASIS review services, as well as online and on-site education and consulting services. ************************************ Do you have a tough coding scenario? Tell us about it in the comment box below, and you might just see your scenario in one of our upcoming YouTube videos! Take the tour! Explore our website to discover what makes us the BEST choice for your home health agency's BIGGEST challenges: http://www.ppsplus.com Start speeding up your OASIS analysis today: http://ppsplus.com/what-we-do/software/
Views: 1932 PPS Plus
Impact of CMS Regulations on Small Health Care Providers-1
 
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Opening statement by Chairman Charlie Gonzalez
Views: 318 HouseSmallBizDems
2016 Coding Clinics & FY 2017 IPPS Final Rule: Key Changes
 
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Provident’s Coding and Documentation Compliance Series featured three (3) webinars focused on documentation standards, coding best practices and ways to ensure inpatient hospital based reimbursement aligns with the care being provided. Webinar #3, 2016 Coding Clinics & FY 2017 IPPS Final Rule: Key Changes covers: o Overview of changes from 2016 Coding Clinic releases o Review of key ICD-10 Coding Clinics to date o Important changes from FY 2017 IPPS Final Rule Provident Consulting About Provident Consulting Provident Consulting is a leader in Healthcare Management and Compliance Solutions. We understand the diverse risks our healthcare clients face. Our proven solutions, expertise and specialized tools transcend traditional strategies and assumptions and focus on regulatory, operational and financial optimization to help clients thrive in the future of healthcare. Provident’s solutions are focused on the integrity of the clinical record to support quality patient care, manage compliance with law and regulation, secure appropriate reimbursement, and give healthcare leaders actionable clinical data to drive success. Provident Consulting 30600 Northwestern Highway, Suite 305 Farmington Hills, MI 48334-3172 (248) 957-0123 http://www.providentedge.com contact@providentedge.com
Views: 548 Provident Edge
Incident To Mini
 
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A 10 minute mini-webinar on the billing rules regarding Medicare's Incident-to billing. The Incident-to billing applies when a non physician practitioner is performing services and wishes to bill the services under the physician's number. This includes the 99211 visits by the nurses all the way to the other services performed by Nurse Practitioners, Physician Assistants and others. You can get additional free webinars at www.donself.com
Views: 148 Don Self
Medical Coding Training — What Are CCI Edits?
 
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Medical Coding Training — What Are CCI Edits?http://www.cco.us/cco-yt Next question, what are CCI edits. I hear you mention CCI edits quite a bit, can you give me a brief overview explanation of what CCI edits are and how I can access them. Just so that everyone knows and doesn't panic, you are not tested on the two Board exams about CCI edits. So, first of all it stands for National Correct Coding Initiative or CCI for short. Technically, it should be NCCI but everyone says CCI. These are for your CPT and HCPCS Code for physician in out-patient hospital settings. They are going to affect reimbursement so they are important to understand, not that all coders do billing but coding obviously is done for reimbursement privileges so we should understand this information. So why were these CCI edits created? To prevent unbundling of services, for example, my famous example that I always use, an exploratory laparotomy, where they use an incision, laparo means abdomen so they are cutting into the abdomen maybe to look around and see what's wrong to diagnose something but they are not really fixing anything, they are not doing any surgery so if you bill a 49000 with another procedure like an oophorectomy, removal of ovaries, that 49000 is bundled into the oophorectomy because you have to do a laparotomy to go take the ovaries out. So these edits would show you that those two codes together....can't work it hits an edit so that's an unbundling. The second bullet prevents incorrect payments from being made due to inappropriate CPT and HCPCS code usage. Detect incorrect or inappropriate reporting of combinations of codes and curtail improper coding practices that lead to increased payment. So it's a system of checks. You know about diagnosis to procedure code edit so you could have a very expensive procedure but if you don't have a good diagnosis to support it, they are going to deny it. That's an edit. This is just a different type of edit. Instead of CPT and ICD, these two CPT codes cannot go together. These edits are performed on every possible pairing of CPT and HCPCS. Remember when we say HCPCS coding system it includes CPT, CPT is level 1 of HCPCS as coders, when we think of HCPCS, we think of the volume II book but it actually is both. They were developed and continue to be enhanced using coding conventions defined in the AMA CPT manuals with national and local policies and edits, national societies help develop coding guidelines and now its just a standard medical and surgical practice and review of current coding factors. So what does it look like? Basically you are going to have, well it started off as two tables, CPT and HCPCS codes. The table would have column 1 and a column 2. Column 1 is considered the correct code or the allowable code. Column 2 is considered the wrong code in relation to the one column 1, my examples oophorectomy in column 1 and laparotomy in column 2. They would papy for the oophorectomy but they would kick out the laparotomy. So the claim hits an edit, Medicare will pay the column 1 code but not the column 2 code. There are two types of tables, one is the comprehensive/component edit which is what that oophorectomy example is and it contains codes that should not be billed together. The other is called mutually exclusive procedure and has procedures that can't reasonably be done together. For example: often times we will have a procedure and it will say "partial" and then indented underneath it it will say complete or vice versa. But you would never bill those two codes at the same time. It was either partial or complete. So hopefully you can kind of get an idea of the two types. According to the CMS website, these two tables have now been combined into one. Let me take you there so you can see this. I just Googled "CMS CCI edit" help me find the page I need, so its home medicare national correct coding. So it gives you all the history, a lot of the things that I just said, it's a very good read, its got these downloads here and this one is very good - "how to use the national correct coding initiative" - this is from the medicare learning network. It has screen shots and it tells you exactly what they are, why we need to use them, how to use them how to locate them so this is definitely a great primmer to print off read and study. Get more CCI edits tips, CPC exam tips, medical coding training and CEU credits. http://www.cco.us/cco-monthly-newsletter http://youtu.be/pdqs-pOY1_4
Views: 7252 MedicalCodingCert
Medicine Dish: Invest in Nutrition -- Medical Nutrition Therapy and Reimbursement
 
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Experts from the IHS Medical Nutrition Therapy Action Team, Phoenix Indian Medical Center, and Kayenta Service Unit will explain how: • Medical Nutrition Therapy (MNT) works • MNT saves money • MNT generates revenue from third party reimbursements • You can increase MNT services and reimbursements at your facility Presenters: Dr. Yvette Roubideaux, CAPT Kelly Acton, CAPT Tammy Brown, CAPT Edith Clark, CDR Susan Jones, LT Samantha Interpreter, Roslyn Bolzer, LT Kelli Wilson, LCDR Diane Phillips, CDR Leslye Rauth, Brenda Broussard, LT Shanna Moeder, Stefanie McLain, LT Revondolyn Scott, LT Dolores Addison, Kitty Marx, David Nolley We would like to hear from you. Please send all comments to TribalAffairs@cms.hhs.gov. Thank you.
Views: 2756 CMSHHSgov
Infinicast Vol. 4: The State of Post-Acute Care
 
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Derek Fenwick sits down with Mike Billings to talk about the current state of Post-Acute Care. www.infinityrehab.com Transcript: Derek: When I read about health care reform, I often see the term "Triple Aim." Can you describe this? Mike:. Improving the US health care system requires pursuit of three aims: i. Improving the experience of care ii. Improving the health of populations iii. Reducing per capita costs of health care Developed by Dr. Donald Berwick while he was president and CEO of the Institute for Healthcare Improvement (IHI) in 2008. Dr. Berwick went on to become the administrator of the Centers for Medicare and Medicaid Services (CMS) in 2010. Dr. Berwick said that 20-30% of health spending is waste with no benefits to patients due to: i. Overtreatment ii. Failure to coordinate care iii. Administrative complexity and fraud Derek: I have read many times and often see in the media how health care costs are rising. What is driving this and how will the triple aim affect this? Mike: Recent reports show a slower growth rate in costs, but still long way to go. Spend the most of any developed nation, but have inferior outcomes to show for it. We have a chronic disease epidemic in this country. Have a reimbursement system that encourages hospitals and physicians to focus on acute care crises of individual patients rather than prevention. It's a system that rewards inefficiency and waste. We need to move our interventions up stream -- prevention. 70% of all health care costs are attributable to behavioral choices and 74% of all costs are related to four chronic conditions: CVD, Cancer, diabetes, and obesity -- all of which, to a large degree, can be attributed to behavioral or environmental factors. Policy makers need to reallocate resources to prevention and develop a reimbursement system that rewards quality and outcomes. The good news is this is happening now. Derek: What about Dr. Berwick's statement about failure to coordinate care? Mike: Good question. This is a significant driver of poor outcomes and high rates of re-hospitalization. Health care providers have essentially been operating in silos with little thought of how their services fit into the bigger picture of a patient's overall health status. The Affordable Care Act (ACA) or "Obamacare" was signed into law on March 23, 2010. While its goals are to increase quality and affordability of health insurance, it's also been a driver of innovation in the delivery of health care. For example, in order to reduce hospital re-admissions, you are starting to see greater collaboration between acute and post-acute care providers. This is resulting in improved coordination of care and better outcomes for the patient as well as avoiding the cost of hospital readmissions. Sounds a lot like the Triple Aim, doesn't it? Derek: This all sounds good and promising, but as a physical therapist, what role do we play in this? Mike: That's the exciting part about this. As therapists, we're well positioned to play a critical role in a health care system that emphasizes prevention and personal behavior changes to healthy lifestyle choices. We're also uniquely positioned to benefit from a reimbursement system that rewards quality and efficiency rather than the current fee-for-service system where I think our value gets lost and we're seen more as a commodity. Be ready to collaborate with health care providers with whom you're not normally accustomed to partnering. Are you measuring outcomes? Be prepared with data. Know how long it takes to rehabilitate a given patient with a given diagnosis and know how much it costs. This will help you when you're at the table with a payer discussing new reimbursement structures
Views: 394 InfinityRehab99
Medical Billing vs. Medical Coding Differences Explained
 
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Medical Billing vs. Medical Coding Differences Explained https://www.cco.us/course-bundles/ Alicia: Q: Medical Billing versus Medical Coding. “What's the difference between Medical Billing versus Medical Coding?” A: Well, if I can answer that question. Let’s see here. OK there we go. Do you like that little graphic I found of the gears of the brain? Isn't that great? Medical Billing is really all about reimbursement, first of all. Think of the Billing as reimbursement. It’s much more than that but when you think of billing, that’s the first thing that’s probably going to come to your mind. It’s about obtaining the reimbursement for the work that was done to the patient by the provider and that usually is the E/M -- the Evaluation and the Management of the patient. Whether they did any procedures on the patient or not, he is evaluating and he is managing the care of the patient, maybe it’s the disease process of the patient. Now, Medical Coding is really just the language in which the transaction is carried out. Coding is literally a code that the actions are translated into. Let’s explain that a little bit differently. Your physician sees a patient. Let’s say our patient’s name is Judy. So, Judy comes in and the doctor does an Evaluation and Management of Judy. By what he does to her with the Evaluation and Management, CPT codes and ICD codes are assigned by the coder. https://youtu.be/IVPjUz2wmZs ---------------------------------------- CLICK HERE: http://go.cco.us/medical-coding-billing-course-bundle ---------------------------------------- More Information about Carve Out Time Observation Coding and Billing: Medical billing - Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Medical_billing Wikipedia Once the procedure and diagnosis codes are determined, the medical biller will transmit the claim to the insurance company (payer). This is usually done ... Clinical coder - Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Clinical_coder Wikipedia For example, a clinical coder may use a set of published codes on medical .... for those wishing to teach medical billing or coding at a college or university, ... Medical classification - Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Medical_classification Wikipedia Medical classification, or medical coding, is the process of transforming descriptions of ... (e.g., to process claims in medical billing based on diagnosis-related groups) ... 4.3 SNOMED CT vs ICD; 4.4 Data Mapping of SNOMED and ICD. ---------------------------------------- CLICK HERE: http://go.cco.us/medical-coding-billing-course-bundle ---------------------------------------- People who watched this video: https://youtu.be/IVPjUz2wmZs Also searched online for: Searches related to observation coding and billing the difference between medical coding and medical billing medical billing vs medical transcription medical billing and coding salary medical billing training medical billing and coding vs medical assistant salary medical billing vs medical coding salary medical coder vs medical biller salary what is the difference between a medical biller and a medical coder ------------------------------------------- FOR MORE DETAILS: http://go.cco.us/medical-coding-billing-course-bundle ------------------------------------------- CONNECT WITH US: http://www.facebook.com/cco.us http://www.youtube.com/medicalcodingcert http://www.youtube.com/codingcertification https://www.pinterest.com/certcoachingorg/ https://plus.google.com/+CodingcertificationOrg https://www.linkedin.com/company/codingcertification-org ------------------------------------------ Don't forget to check out our YouTube Channel: https://www.youtube.com/user/MedicalCodingCert -------------------------------------------- #thedifferencebetweenmedicalcodingandmedicalbilling #medicalbillingvsmedicaltranscription #medicalbillingandcodingsalary #medicalbillingtraining #medicalbillingandcodingvsmedicalassistantsalary #medicalbillingvsmedicalcodingsalary #medicalcodervsmedicalbillersalary #whatisthedifferencebetweenamedicalbillerandamedicalcoder -------------------------------------------- VISIT OUR SITE: http://www.cco.us/cco-yt
Views: 12827 MedicalCodingCert
How to Use the 7th Character 'A" in Home Health (Coding Tip by PPS Plus) - Nov 2016
 
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Conquer your coding & OASIS challenges with the best home health tips on YouTube: http://ppsplus.com. Join PPS Plus's Assistant Director of Coding and OASIS Review, Victoria Jones, as she reviews how to use seventh character "A" in Home Health. ************************************ Don’t compromise your OASIS. Let’s analyze it! http://bit.ly/OASISAnalysisPlus ************************************ More coding tips for nurses delivered right to your inbox: http://bit.ly/ppsplusnewswire Let’s Connect & Chat it Up! ************************** Website: http://ppsplus.com/ Facebook: https://www.facebook.com/ppsplus Twitter: https://twitter.com/ppsplus Google +: https://plus.google.com/+Ppsplus/posts LinkedIn: https://www.linkedin.com/company/pps-plus-software RSS: http://ppsplus.com/news/ Pinterest: https://www.pinterest.com/ppsplus/ Video Notes: --------------------------- Copy and paste this tip into a Word document for future reference: Scenario: The patient was admitted for wound care for a dehisced and infected surgical incision following a cholecystectomy. He is currently ordered a wound vac and IV antibiotics. Codes: M1021a – T81.31xA Disruption of external operation (surgical) wound, initial encounter M1023b – T81.4xxA Infection following a procedure, initial encounter M1023c – Z45.2 Encounter for adjustment and management of vascular access device M1023d – Z79.2 Long term (current) use of antibiotics Rationale: The care of complications of surgical treatments during the healing (or recovery) phase should be coded with the appropriate complication code. If the complication, such as dehiscence or infection used in the scenario, are still “actively” being treated, such as with a wound vacuum or antibiotics, the seventh character of “A” should be used to reflect this. If the complication had been “fixed” then the code for the complication with the seventh character of “D” should be used. 0:20 - Patient Scenario 0:31 - See it Coded 1:06 - Codes Explained ************************************ More about Our Company: http://ppsplus.com/about-us/ Master ICD-10 coding and all home health topics: http://ppsplus.com/what-we-do/education/ PPS Plus is headquartered in Biloxi, Mississippi. ************************************ PPS Plus provides the perfect solution for maximizing your reimbursement potential, growing your business and providing your patients with better care. We provide OASIS analysis software, benchmarking software, coding & OASIS review services, as well as online and on-site education and consulting services. ************************************ Do you have a tough coding scenario? Tell us about it in the comment box below, and you might just see your scenario in one of our upcoming YouTube videos! Take the tour! Explore our website to discover what makes us the BEST choice for your home health agency's BIGGEST challenges: http://www.ppsplus.com Start speeding up your OASIS analysis today: http://ppsplus.com/what-we-do/software/
Views: 709 PPS Plus
Diabetic Shoes – Do It Right the First Time - Pharmacy Podcast Episode 423
 
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PHARMACY COMPLIANCE GUIDE (5) Diabetic Shoes – Do It Right the First Time  Why would I ever consider doing Diabetic Shoes, Audits, insurance companies, and stinky feet? Is it not worth the hassle? Diabetic shoes is the only preventive medicine Medicare and Medicaid pay for. If done correctly, the process is just that, a process. Just like filling any other prescription. But it takes so much time Yes, it does take time. But whose time does it take? This is not a requirement for the pharmacist to accomplish. Depending on the type of shoe and the state, a manufacturer trained individual may see and fit a patient for their shoes and inserts. Then there is always the audits Yes, there is a lot of fraud with shoes. But understanding the audit documentation process and the details the auditors are looking for before you see the patient makes all the difference. OK, you make it sound simple. Then why are folks dropping diabetic shoes? It all in the documentation, that is why you must do it right the first time. Then let’s start at the beginning by asking, who is eligible? We are talking about Medicare patients billing through their Part B coverage because this is the most restrictive and most audited process. The patient must be diabetic The patient must have at least one of the following conditions documented by their physician History of partial or complete amputation of the foot History of previous foot ulceration Peripheral Neuropathy with evidence of callus formation Foot deformity Poor circulation Who can sign the prescription for diabetic shoes and inserts? The patient must see a MD, DO, PA, CNPT or Podiatrist for a face-2-face visit and receive a prescription for diabetic shoes and inserts. Once the prescription is received from the patient, a Detailed Written Order is completed and faxed to the individual writing the prescription requesting their signature and their clinical notes. If the prescription was signed by a PA, CNPT or Podiatrist, then the patient must be seen by a MD or DO for another face-2-face visit and a Physician Certification of Therapeutic Footwear is needed along with their clinical notes. If the initial visit was with a MD or a DO, then the Physician Certification of Therapeutic Footwear can be faxed with the Detailed Written Order. You mention clinical notes, pharmacists normally don’t deal with physician’s clinical notes. Why is importation for shoes? Clinical notes are a Medicare Part B, DMEPOS requirement. Almost all audits are lost on the clinical notes. The pharmacist, fitter or billing clerk do not need to be a medical expert to identify what is needed or the problem in the notes. The notes must state: The patient is diabetic Has an approved medical condition that requires the need for diabetic shoes The patient must have at least one of the following conditions documented by their physician History of partial or complete amputation of the foot History of previous foot ulceration Peripheral Neuropathy with evidence of callus formation Foot deformity Poor circulation Prescription was written for both shoes and inserts. You mentioned fitter, can all pharmacists fit diabetic shoes and insert? The fitter is designated by state law, licensure and CMS rules. In every state except Illinois, a Pharmacist Scope of Practice covers the dispensing of a medical device with a legal prescription. All that is needed is manufacturer’s training and a training certificate. Pharmacy technician and other staff also require manufacturer’s training and can fit diabetic shoes under the supervision of the trained pharmacist. DME facilities must follow state licensure requirements when applicable and an in most instances will only dispense heat moldable inserts. When can the initial fitting occur? The initial fitting can occur at any time after receipt of the initial prescription. The initial fitting is an assessment of the patient to ensure the patient meets the requirements for diabetic shoes and can be safely fitted. The assessment includes the entire foot and every aspect is document. Once the assessment is completed, the fitter and patient pick the best style of shoe and complete the order forms. Where can the fitting occur? At your pharmacy, DME facility, assisted living facility, senior center or the patient’s residence. You are not limited to stay within your facility. This is a wonderful way to get into your community. When is the final assessment / fitting completed? This is a scheduled appointment. When you have received the diabetic shoes from the manufacturer and have received all of correct documentation: Detailed Written Order Physician Certification of Therapeutic Footwear Clinical notes from all healthcare providers indicating Face-2-Face visits Needs for Diabetic Shoes Orders for Diabetic shoes and type of inserts One of the conditions that authorize...
Certified Durable Medical Equipment Specialist - PPN Episode 535
 
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Certified Durable Medical Equipment Specialist What is a Certified Durable Medical Equipment Specialist? A Certified Durable Medical Equipment Specialist or a CDME is a certification created by the BOC or the Board of Certification / Accreditation Int’l BOC saw a need to highlight the skills and qualifications of the highly skilled yet unknown individuals who are key to the dispensing of DME products. The CDME certification demonstrates the broad knowledge of the Durable Medical Equipment (DME) industry. What does a Certified DME Specialist do? The CDME basically does every aspect within the DME realm.  They are the people who meet the patients, do the documentation, fit the patients, determine what product the patient is eligible for and bills Medicare, Medicaid and the insurance companies for DME products.  The also help with basic repairs, troubleshooting, and home inspections for DME products like oxygen, transfer systems, enteral supplies, and wound care. A trained and certified DME specialists are highly valued in the DME industry as an assurance to patients and referral sources of professionalism and quality care. The BOC CDME Scope of Practice provides greater detail regarding the role of a BOC Certified DME Specialist. Jeff, I really haven’t heard about this before, so what advantage does a pharmacy or DME supplier gain by having a CDME on staff? This is simple.  We live in a very competitive market.  We need to ensure the pharmacy has unique qualities and products outside the normal pharmacy prescription filling process.  Those days have come and gone.  We have talked about immunizations and diabetic shoes in previous podcasts.  We will talk about other opportunities in future podcasts.  Pharmacists are experts in pharmacy operations.  When it comes to Medicare Part B and DMEPOS products, the rules are completely different.  For example, a physician writes a prescription or eScript and the pharmacist fills the script, the patient picks the medication up and pays their co-pay.  The insurance company and secondary adjudicate the claim and reimburse you for it.  Hopefully there is a low dollar DIR fee so the PBM claw back isn’t too severe next month. However, when it comes to Medicare Part B, everything changes when the physician writes a prescription.  The pharmacy language stops working.  So you look for someone who can do this work.  What do most pharmacies do? You grab a tech and throw them into this world and let them try to figure it out.  The tech starts reading reading Medicare Supplier Manuals, DME MACs and then learns about Detailed Written Orders and Local Coverage Determination and this doesn’t make sense.  Again the language has changed and there really is only limited training out there for dispensing or billing these products.  This is why the CDME certification was created.  It certifies individuals who have the basic skills for dispensing, setup and billing Medicare Part B and DMEPOS products. That makes sense.  I have heard about all the audits from Medicare and all the paperwork that is needed.  Jeff, you and I talked about the Diabetic Shoes April 2017 on an earlier podcast last year about the importance of the documentation and following the process.  So this certification helps the pharmacy? Absolutely.  When you are confused about something or you are losing money and audits, you stop dispensing that item.  This is what has happen with DME products.  Over 40% of DME facilities have gone out of business in the last six years due to competitive bidding.  Pharmacies have dropped DME products because of the bad taste of audits and not understanding the process. Now imagine having staff properly trained and certified who know what they are doing when it comes to Medicare Part B and DMEPOS products.  They can advise the pharmacist not to fill a prescription of albuterol because it needs a “Detailed Written Order Prior to Delivery” signed by the physician.  Who knew?  Your CDME did.  That saves your reimbursement. Whoa, is it that simple? Yes.  Now you are ready to market your pharmacy.  Your pharmacy may be accredited or exempt.  Your pharmacists are licensed.  Are you doing something out of the ordinary to make you stand out?  Your DME department has “board certified” specialists.  Who else in town has this? Here are some other advantages. Differentiation in the market; Management of risk; Criteria for evaluating potential employees; Limiting of fraud, waste, and abuse; Increase in customer satisfaction; Assurance for referral sources; and Medicare human resources management standards require that technical personnel be knowledgeable, competent, and trained in order to deliver products. A CDME will provide additional assurance of compliance.  How do you get...
M0030 (SOC Date) vs. M0090 (Date Assessment Completed) (OASIS Tip by PPS Plus) Aug 2015
 
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Conquer your coding & OASIS challenges with the best home health tips on YouTube: http://ppsplus.com. Walk through this OASIS tip with PPS Plus' Director of Coding & OASIS Review, Ann Giles. Ann provides examples of when M0030 and M0090 will differ. ************************************ Don’t compromise your OASIS. Let’s analyze it! http://bit.ly/OASISAnalysisPlus ************************************ More coding tips for nurses delivered right to your inbox: http://bit.ly/PPSPlusNewswire Let’s Connect & Chat it Up! ************************** Website: http://ppsplus.com/ Facebook: https://www.facebook.com/ppsplus Twitter: https://twitter.com/ppsplus Google +: https://plus.google.com/+Ppsplus/posts LinkedIn: https://www.linkedin.com/company/pps-plus-software RSS: http://ppsplus.com/news/ Pinterest: https://www.pinterest.com/ppsplus/ Video Notes: --------------------------- The majority of start of care assessments that we often see have the same date reported in M0030, SOC Date, and M0090, Date Assessment Completed. We would like to think that this is just a mere coincidence, but we realize that this is due to a lack of understanding of what should be reported in these M items. Master these M items as Ann guides you through this helpful OASIS tip. 0:16 Intro 0:31 M0030 Definition 0:43 M0090 Definition 1:12 M0030 and M0090 Differences (Example 1) 1:41 Example 2 2:13 Example 3 More about Our Company: http://ppsplus.com/about-us/ Master ICD-10 coding and all home health topics: http://ppsplus.com/what-we-do/education/ PPS Plus is headquartered in Biloxi, Mississippi. ************************************ PPS Plus provides the perfect solution for maximizing your reimbursement potential, growing your business and providing your patients with better care. We provide OASIS analysis software, benchmarking software, coding & OASIS review services, as well as online and on-site education and consulting services. ************************************ Do you have a tough coding scenario? Tell us about it in the comment box below, and you might just see your scenario in one of our upcoming YouTube videos! Take the tour! Explore our website to discover what makes us the BEST choice for your home health agency's BIGGEST challenges: http://www.ppsplus.com Start speeding up your OASIS analysis today: http://bit.ly/PPSPlusOASISAnalysisPlus
Views: 1735 PPS Plus
E/M Coding Documentation and Guidelines
 
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E/M Coding Instructions and documentation guidelines. www.medicalreimbursementinc.com
Increase Reimbursement Approval with Accurate Coding of Non Routine Supply
 
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http://www.supercoder.com Non Routine Supping coding video from home care coding specialist Tricia A. Twombly. This valuable seminar will enable you, discover the true relationship between coding and non-routine supplies, and how it impacts your reimbursement. SuperCoder.com is powered by the coding experts from The Coding Institute, LLC, who bring 110 years of combined coding expertise to coders, physicians, and payers.
Views: 32 supercoder video
How to Code an Infected Hip Joint Replacement in ICD-10 (Coding Tip by PPS Plus) - March 2017
 
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Conquer your coding & OASIS challenges with the best home health tips on YouTube: http://ppsplus.com. Join Victoria Jones, Assistant Director of Coding & OASIS Review at PPS Plus, as she review how to code an infected hip joint replacement in ICD-10. ************************************ Don’t compromise your OASIS. Let’s analyze it! http://bit.ly/OASISAnalysisPlus ************************************ More coding tips for nurses delivered right to your inbox: http://bit.ly/ppsplusnewswire Let’s Connect & Chat it Up! ************************** Website: http://ppsplus.com/ Facebook: https://www.facebook.com/ppsplus Twitter: https://twitter.com/ppsplus Google +: https://plus.google.com/+Ppsplus/posts LinkedIn: https://www.linkedin.com/company/pps-plus-software RSS: http://ppsplus.com/news/ Pinterest: https://www.pinterest.com/ppsplus/ Video Notes: --------------------------- 0:13 - Scenario 1 0:29 - See it Coded 1:05 - Rationale Copy and paste this tip into a Word document for future reference: Scenario: The patient is admitted to home health following an infection of her right hip replacement. She is receiving IV vancomycin for the infection, and nursing will be drawing vanc peak and trough levels as well as completing wound care. M1021a – Infection and inflammatory reaction due to internal right hip prosthesis, initial encounter T84.51XA M1023b – Encounter for adjustment and management of vascular access device – Z45.2 M1023c – Encounter for therapeutic drug level monitoring – Z51.81 M1023d – Long term (current) use of antibiotics – Z79.2 The hip replacement is complicated, so an aftercare code is not appropriate. Because the infection is being actively treated with IV antibiotics, the seventh character of “A” is appropriate in home health. Also because the right hip joint is indicated in the complication code, a status code is not necessary. The attention to IV is captured by the use Z45.2. The drawing for vanc peak and trough levels is indicated by the use of Z51.81 followed by the antibiotic code of Z79.2. ************************************ More about Our Company: http://ppsplus.com/about-us/ Master ICD-10 coding and all home health topics: http://ppsplus.com/what-we-do/education/ PPS Plus is headquartered in Biloxi, Mississippi. ************************************ PPS Plus provides the perfect solution for maximizing your reimbursement potential, growing your business and providing your patients with better care. We provide OASIS analysis software, benchmarking software, coding & OASIS review services, as well as online and on-site education and consulting services. ************************************ Do you have a tough coding scenario? Tell us about it in the comment box below, and you might just see your scenario in one of our upcoming YouTube videos! Take the tour! Explore our website to discover what makes us the BEST choice for your home health agency's BIGGEST challenges: http://www.ppsplus.com Start speeding up your OASIS analysis today: http://ppsplus.com/what-we-do/software/
Views: 991 PPS Plus
Audio Educator: Preparing for ICD 10 in the Pulmonary Office
 
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Click here: http://www.audioeducator.com/pulmonology/icd-10-pulmonary-06052013.html Preparing for ICD-10 in the Pulmonary Office Presented by : Jill M. Young, CPC, CEDC, CIMC Get a full spectrum of ICD-10 pulmonary coding know how from Jill Young in this 60 minute webinar.
Views: 121 AudioEducator
CMS Webinar – MIPS Quality and Cost Performance Categories
 
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CMS presents a webinar discussion of MIPS Quality and Cost Performance Categories. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html
Views: 7932 CMSHHSgov
Getting Started With MedicareFind.com
 
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The Search is Over. Find your answer in our comprehensive database of Medicare rules, regulations, and CMS documents governing reimbursement - http://www.medicarefind.com.
Views: 335 H3.Group
ICD-10 Coding Clinic Update: Sepsis – Clinical Guidelines
 
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Libman Education, providing in-depth discussion of selected coding advice and clarifications from recent issues of Coding Clinic for ICD-10-CM and ICD-10-PCS, offers this series of videos for use by individual coders and healthcare organizations. Coding Clinic, published by AHA Central Office, is the official publication endorsed by CMS for coding guidelines and advice. Coding Clinic provides specific information and guidelines that are helpful for determining proper coding. About the speaker: Barry Libman, MS, RHIA, CDIP, CCS, CCS-P, CIC, is founder and president of Barry Libman Inc. and Libman Education. Barry Libman is nationally recognized for his in-depth knowledge of coding and reimbursement issues. https://www.libmaneducation.com/
Views: 3235 Libman Education
2014 Arthroscopic Coding issues : Audio Educator
 
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Click here for more Information: http://www.audioeducator.com/orthopedics/arthroscopic-coding-2014.html 2014 Arthroscopic Coding issues Presented By: Presenter(s)Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR Know the Best Practices for Documentation of Medical Necessity, Critical Care and Other Timed Services! More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Views: 49 AudioEducator
Coding Clinic Advice: Decompensated Systolic Heart Failure (Q2 2013)
 
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To receive an AHIMA CEU for viewing this video series, click here http://www.libmaneducation.com/store/Selected-Topics-from-Coding-Clinic-Video-Series.html Coding Clinic, published by AHA Central Office, is the official publication endorsed by CMS for coding guidelines and advice. Coding Clinic provides specific information and guidelines that are helpful for determining proper coding. These videos by Barry Libman, MS, RHIA, CDIP, CCS, CCS-P, offer a discussion of selected topics from recent issues of Coding Clinic (both ICD-9 and ICD-10). (Lectures were recorded during the 2014 GHIMA Annual Meeting and Exhibit on 8/21/2014.)
Views: 1245 Libman Education
Annual Wellness Visit
 
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Annual Wellness Visits are important appointments to keep your health in check and keep you at the top of your game! Millennium Physician Group has a disciplined Annual Wellness Visit program to help you manage your health.
ICD-10: How to Code Residuals of CVAs (Home Health Coding Tip by PPS Plus) - July 2015
 
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Conquer your coding & OASIS challenges with the best home health tips on YouTube: http://ppsplus.com. In this video, we will walk through a patient scenario, show you how to code it using M1021 and M1023, then provide a rationale for the coding structure. ************************************ Don’t compromise your OASIS. Let’s analyze it! http://bit.ly/OASISAnalysisPlus ************************************ More coding tips for nurses delivered right to your inbox: http://bit.ly/PPSPlusNewswire Let’s Connect & Chat it Up! ************************** Website: http://ppsplus.com/ Facebook: https://www.facebook.com/ppsplus Twitter: https://twitter.com/ppsplus Google +: https://plus.google.com/+Ppsplus/posts LinkedIn: https://www.linkedin.com/company/pps-plus-software RSS: http://ppsplus.com/news/ Pinterest: https://www.pinterest.com/ppsplus/ Video Notes: --------------------------- Copy and paste this tip into a Word document and use it for future reference. Scenario: After suffering a spontaneous brain hemorrhage resulting in paralysis on the right side and speech difficulties, a patient is admitted to home health for physical and speech therapy. The patient also has hypertension and diabetes and has a prescription for sliding scale insulin. How would you code it? So this is how I have coded it… M1021a……………………………I69.251 (Hemiplegia following CVA affecting right side) M1023b……………………………I69.222 (Dysarthria following CVA) M1023c……………………………I10 (Hypertension) M1023d……………………………E11.9 (Diabetes) M1023e……………………………Z79.4 (Long-term use of insulin) Let’s discuss why we’ve coded it this way… Rationale: Because the focus of care are the issues related to the recent stroke, the late effects of hemiplegia and dysarthria are coded first. Unlike ICD-9, in ICD-10 we may assume that the right side is dominant and the left side is non-dominant, unless otherwise documented. Also if ST had more visits than PT, these diagnoses may have been sequenced differently. The diagnoses of hypertension and diabetes are coded next, because these will be impacting the plan of care. Lastly the status code for the current, long-term use of insulin is also included. More about Our Company: http://ppsplus.com/about-us/ Master ICD-10 coding and all home health topics: http://ppsplus.com/what-we-do/education/ PPS Plus is headquartered in Biloxi, Mississippi. ************************************ PPS Plus provides the perfect solution for maximizing your reimbursement potential, growing your business and providing your patients with better care. We provide OASIS analysis software, benchmarking software, coding & OASIS review services, as well as online and on-site education and consulting services. ************************************ Do you have a tough coding scenario? Tell us about it in the comment box below, and you might just see your scenario in one of our upcoming YouTube videos!
Views: 2614 PPS Plus
Dr. Joel Wallach -  Medical Billing
 
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http://www.wallachslog.com Doc discusses fraudulent billing by doctors. Outlining several cases of doctors over billing Medicare and Medicaid. Often these doctors are billing for procedures and tests that were never performed. Sometimes even billing for patients that don't even exist. Turn your dreams into reality....Join us in the crusade to take back your health and your Freedom! R U next? Message Me or Visit: http://bit.ly/WGP1uJ http://bit.ly/1v3EzPi Call Me at 1(774)322-1690 For more information! Subscribe to my Youtube channel: http://bit.ly/1yqARxp Follow Me on TWITTER - http://bit.ly/1LEFzC4 Friend Me on FACEBOOK - http://on.fb.me/18pBC2b G+: http://bit.ly/1LNb8tm Disclaimer: These statements has not been reviewed or approved by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Views: 125 M Medeiros
The Conditions of Participation: Part 1 of 5 (OASIS Tip by PPS Plus) - June 2014
 
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The Conditions of Participation (Part 1 of 5) Click here for more OASIS tips by PPS Plus: https://www.youtube.com/watch?v=pgpwVK4kUsk&list=PLHmV_GZIrieDK_Cl0zhVTswG3mVLXI2WT Conquer your coding & OASIS challenges with the best home health tips on YouTube. Do you have a tough coding scenario? Tell us about it in the comment box below, and you might just see your scenario in one of our upcoming YouTube videos! PPS Plus provides the perfect solution for maximizing your reimbursement potential, growing your business and providing your patients with better care. We provide OASIS analysis software, benchmarking software, coding & OASIS review services, as well as online and on-site education and consulting services. ************************************ Don’t compromise your OASIS. Let’s analyze it! http://bit.ly/OASISAnalysisPlus ************************************ Sign up to receive our FREE monthly Newswire: http://bit.ly/PPSPlusNewswire Let’s Connect & Chat it Up! ************************** Website: http://ppsplus.com/ Facebook: https://www.facebook.com/ppsplus Twitter: https://twitter.com/ppsplus Google +: https://plus.google.com/+Ppsplus/posts LinkedIn: https://www.linkedin.com/company/pps-plus-software RSS: http://ppsplus.com/news/ Pinterest: https://www.pinterest.com/ppsplus/ Video Notes: --------------------------- Founded in 1996 by president John Shinn, PPS Plus Software started off with humble beginnings. In fact, our first office was actually in his garage. But today, we are a market leader in OASIS analysis software, working with hundreds of agencies all over the country. And although we've moved up the ladder and now even work out of a real office, we're proud to maintain "small company" values where customers can always call and actually speak to a live person, including our talented team of nurses, ICD-9 coders, OASIS specialists and IT professionals who make up the PPS Plus Software of today. More about Our Company: http://ppsplus.com/about-us/ We believe in protecting your home health agency from financial loss. We develop innovative solutions to help you achieve OASIS accuracy, reimbursement accuracy and to help you become market leaders. We believe in the value of superior customer service, which involves answering your call with a “live” person, not a recording (those are for YouTube!) We strive to make every video valuable to YOU – the home health professional. Our goal is to make sure your two minutes of video watching is worth your time and makes YOU a more successful business owner, administrator, director or clinician We strive to educate the home health community through our frequent educational workshops (on-line and on-site), publications, website blog, Newswire and our YouTube channel, so we can always be a valuable resource to keep your up to date on all the latest industry trends and changes. Discover superior home health education: http://ppsplus.com/what-we-do/education/ PPS Plus is headquartered in Biloxi, Mississippi.
Views: 1127 PPS Plus