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MIPS
Promoting Interoperability: Numerators and Denominators
One of the aspects to score on Promoting Interoperability is Numerators and Denominators. There are five components to Numerators and Denominators: E-prescribing, Provide Patients Electronic Access to Their Health Information, Support Electronic Referral Loops by Receiving and Reconciling Health Information, Support Electronic Referral Loops by Sending Health Information and Bidirectional Health Exchange.
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Coding
Wound Care Coding: Multiple Skin Substitutes
“My billing team and I have a difference of opinion. If we apply more than one graft, they have been using modifier -76. It is getting paid, but I am not sure that is the appropriate use of the modifier. I just assumed we bill for total units. However, each graft has a unit number. So, if we bill double the units, we need a way to alert the insurance company as to why the units are doubled. This is why we started using the 76 Modifier. Any input would be appreciated.”
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FDA Recalls
HIPAA
HIPAA: Back to Basics
The Health Insurance Portability and Accountability Act (HIPAA) focuses on protecting the privacy and security of individuals' medical information while also ensuring that people maintain health insurance coverage when changing or losing jobs. HIPAA is divided into five titles, each addressing different aspects of healthcare regulation.
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MIPS
Promoting Interoperability: Public Health Reporting
For promoting interoperability, you need to report to at least two registries. There are five different types of registries that you can report to: Clinical data registry, Immunization Registry Reporting, Syndromic Surveillance Reporting, Electronic Case Reporting and Public Health Registry Reporting.
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Coding
Issues Billing “At Risk,” Routine Foot Care: Challenges Billing CPT 11057
“How are we supposed to bill CPT 11057 to Medicare to get paid? For the typical patient, we currently use the ICD-10-CM codes E11.42, E11.51, L84, R26.2. We bill this as its own claim. We put the podiatrist as the referring physician. We do not use any modifiers and we previously used the Q8 Modifier when appropriate, but it was denied. What does the proper 1500 form look like for CPT 11057?”
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