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RAPs, Enhanced Oversight, What does it mean for new HHAs?

Newly-enrolled Home Health agencies are now required to undergo an enhanced oversight provisional period wherein the Request for Anticipated Payments (RAPs) are suppressed, effective now (March 2019). According to CMS, this provisional period will last at least 30 days, but don’t forget to submit a RAP at the beginning of each 60-day Home Health episode or you will not be paid when the final claim is submitted! 

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Robyn Petersen
Tips for Documenting and Coding Injections and Infusions

Encounters for patients who are pregnant, in delivery, or in the puerperium, use codes from Chapter 15 Pregnancy, Childbirth and the Puerperium (O00-O9A).  There are key data points and specific guidelines that must be followed.  As with all coding, remember to imagine how the story unfolded and aim to relay that story with the correct codes. A well-documented provider’s note related to the care of an antepartum or postpartum patient will include...

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Coding for Primary Cancer and Metastatic Cancers

Encounters for patients who are pregnant, in delivery, or in the puerperium, use codes from Chapter 15 Pregnancy, Childbirth and the Puerperium (O00-O9A).  There are key data points and specific guidelines that must be followed.  As with all coding, remember to imagine how the story unfolded and aim to relay that story with the correct codes. A well-documented provider’s note related to the care of an antepartum or postpartum patient will include...

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Coding Conditions that take place in Pregnancy, Childbirth, and the Puerperium

Encounters for patients who are pregnant, in delivery, or in the puerperium, use codes from Chapter 15 Pregnancy, Childbirth and the Puerperium (O00-O9A).  There are key data points and specific guidelines that must be followed.  As with all coding, remember to imagine how the story unfolded and aim to relay that story with the correct codes. A well-documented provider’s note related to the care of an antepartum or postpartum patient will include...

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Sepsis Documentation and Coding Guidelines

Sepsis coding can be difficult, especially with the need for coders to be more knowledgeable on the clinical indicators of Sepsis, Severe Sepsis, and Septic Shock.  First, coders need to understand the definition of Sepsis:

  • Sepsis is the presence in the tissues of harmful bacteria and their toxins, particularly through an infection of a wound.
  • Severe Sepsis is Sepsis plus either failure of an essential system in the body or inadequate blood flow to parts of the body due to an infection.
  • Septic Shock is life-threatening low blood pressure (shock) due to Sepsis.
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