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1 / 26 / 2023

Sepsis Coding: How to Properly Code Sepsis

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...
1 / 16 / 2023

Clinical Documentation Improvement: Are EMR Shortcuts Wreaking Havoc on Your Practice’s Documentation?

By
Angela Wood
As providers look for ways to document more efficiently, they are increasingly turning to technology-based shortcuts. Unfortunately, there are some pitfalls associated with relying on some electronic medical record (EMR)...
6 / 14 / 2023

As CMS Focuses on Quality, there are Monumental Changes to Reimbursement for Quality on the Horizon!

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...
6 / 26 / 2023

Modifier 25: Is Your Documentation Up to Par?

By
Lori Carlin
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...
8 / 3 / 2023

Mental Health Changes V24 to V28

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...
8 / 8 / 2023

Telehealth Changes After Public Health Emergency

By
Lori Carlin
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 / 10 / 2023

CMS Proposes Expanded Coverage for Carotid Artery Stenting (“CAS”)

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...
9 / 14 / 2023

Decoding 2024 ICD-10 CM Changes: A Four-Part Series

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...
10 / 12 / 2023

Teaching Physician Basics

By
Jessica Sullivan
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...
10 / 19 / 2023

The How, Why, and Who: Capturing Social Determinants of Health (SDoH)

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...