10 / 19 / 2023
By
Amy Crenshaw-Pritchett
The Centers for Medicare and Medicaid Services (CMS) issued the FY 2023 Final Rule, which required hospitals to report the new Inpatient Quality Reporting (IQR) program to submit two...
10 / 12 / 2023
Some facilities allow for a medical graduate training program where residents and medical students can participate in the care of patients under the direction of a licensed attending physician...
9 / 14 / 2023
By
Amy Crenshaw-Pritchett
Pinnacle is conducting a four-part series to delve into the upcoming 2024 ICD-10 CM code changes and break them down chapter by chapter. On June 16, 2023, The Centers...
8 / 10 / 2023
By
Amy Crenshaw-Pritchett
Traditionally, carotid endarterectomy has been the primary method of treating high-grade asymptomatic and symptomatic carotid artery stenosis. However, a minimally invasive technique known as carotid artery stenting (“CAS”) has...
8 / 8 / 2023
COVID-19 public health emergency (PHE) ended on May 11, 2023. Medicare’s coverage of telehealth for outpatient services will be extended through the end of 2024. Patients may continue to...
8 / 3 / 2023
By
Amy Crenshaw-Pritchett
While mental health awareness month occurred in May, we need not forget the upcoming changes to Medicare Advantage members in CY 2024 and beyond. On March 31, 2023, The...
6 / 26 / 2023
Modifier 25 Scenarios Is your documentation up to par to support Modifier 25? First, you should read The Center for Medicare and Medicaid Services (CMS) National Correct Coding Initiative...
6 / 21 / 2023
By
Andrea Ferrari &
Jodi Nayoski
1. What is a split/shared service? This term refers to evaluation and management services that are performed partly by a physician and partly by a non-physician practitioner (NPP) who...
6 / 14 / 2023
By
Amy Crenshaw-Pritchett
The Centers for Medicare and Medicaid Services (“CMS”) utilize risk adjustment factors to estimate the cost of Medicare Advantage (“MA”) beneficiaries and those associated costs of providing care. Risk...
1 / 26 / 2023
Introduction: Sepsis is a potentially life-threatening complication of an infection and occurs when chemicals released in the bloodstream to fight the infection trigger inflammatory responses throughout the body. This inflammation...
