Newsworthy OIG Work Plan Updates for October 2020, Trusty Tip for Correct Use of Hospice Modifiers, and Nelson Mandela’s Spark

Summary

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. 

Episode 10 provides Newsworthy details for the OIG’s hefty Work Plan updates for October 2020. Of course, telehealth services are under review for program integrity risks, as well as an audit of Covid19 testing to the uninsured, and many more additions to the Work Plan.

Trusty Tip touches on Sonal’s best practice recommendations for correct use of hospice modifiers, while Spark recounts the wise words of South Africa’s Nelson Mandela.

Go ahead and listen, subscribe, rate and review! 

Now on: Anchor: http://anchor.fm/sonal-patel5  

Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X 

Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177  

Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast 

Pocket Casts: https://pca.st/tcwfkshx 

Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw 

If you would like to reach out for Sonal’s consulting services, please contact her directly at: sonalpatel@nexsenpruet.com 

Find Sonal at Nexsen Pruet at: https://www.nexsenpruet.com/professionals/sonal-patel 

Find Sonal’s Services at: https://www.nexsenpruet.com/about-us/npcoding360 

Find Sonal on LinkedIn at: http://www.linkedin.com/in/sonapate 

Find Nexsen Pruet Healthcare on LinkedIn at: https://www.linkedin.com/showcase/nexsen-pruet-health-care/

Newsworthy Cybersecurity Resources, Trusty Tip for Diagnosis Coding Accuracy, and Albert Einstein’s Spark

Summary

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.

Episode 9 provides Newsworthy highlights on cybersecurity resources after several hospitals experienced cyberattacks at the end of October.

Trusty Tip touches on Sonal’s best practice recommendations for achieving diagnosis coding accuracy, while Spark illuminates us all with the words of Albert Einstein.

Go ahead and listen, subscribe, rate and review! Now on:

Anchor: http://anchor.fm/sonal-patel5

Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X

Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177

Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast

Pocket Casts: https://pca.st/tcwfkshx

Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw

If you would like to reach out for Sonal’s consulting services, please contact her directly at: sonalpatel@nexsenpruet.com

Find Sonal at Nexsen Pruet at: https://www.nexsenpruet.com/professionals/sonal-patel

Find Sonal’s Services at: https://www.nexsenpruet.com/about-us/npcoding360

Find Sonal on LinkedIn at: http://www.linkedin.com/in/sonapate

Find Nexsen Pruet Healthcare on LinkedIn at: https://www.linkedin.com/showcase/nexsen-pruet-health-care/

Newsworthy Month of Fraud, Waste, and Abuse in Operation Rubber Stamp, Trusty Tip for Modifier -25, and Mahatma Gandhi’s Spark

Summary

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.

Episode 8 provides Newsworthy highlights on the month’s Fraud, Waste and Abuse – in Operation Rubber Stamp! and my curated resources for Breast Cancer Awareness Month.

Trusty Tip touches on Sonal’s best practice recommendations for modifier -25, while Spark illuminates us all with the words of Mahatma Gandhi.

Go ahead and listen, subscribe, rate and review! Now on:

Anchor: http://anchor.fm/sonal-patel5

Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X

Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177

Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast

Pocket Casts: https://pca.st/tcwfkshx

Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw

If you would like to reach out for Sonal’s consulting services, please contact her directly at: sonalpatel@nexsenpruet.com

Find Sonal at Nexsen Pruet at: https://www.nexsenpruet.com/professionals/sonal-patel

Find Sonal’s Services at: https://www.nexsenpruet.com/about-us/npcoding360

Find Sonal on LinkedIn at: http://www.linkedin.com/in/sonapate

Find Nexsen Pruet Healthcare on LinkedIn at: https://www.linkedin.com/showcase/nexsen-pruet-health-care/

Newsworthy OIG Audit Report on Spinal Facet-Joint Injections, Trusty Tip for Ordering Lower Leg Orthoses, and Ernest Hemingway’s Spark

Summary

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. 

Episode 7 provides Newsworthy details on a recent OIG Audit Report for spinal facet-joint injections that affect 11/12 MACs. Beware – demand letters will be coming!

Trusty Tip touches on Sonal’s best practice recommendations for all the paperwork and details needed for compliant ordering of lower leg orthoses, while Spark recounts the wise words of our esteemed American author, Ernest Hemingway.

Go ahead and listen, subscribe, rate and review! Now on: 

Anchor: http://anchor.fm/sonal-patel5  

Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X 

Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177 

Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast 

Pocket Casts: https://pca.st/tcwfkshx 

Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw 

If you would like to reach out for Sonal’s consulting services, please contact her directly at: sonalpatel@nexsenpruet.com 

Find Sonal at Nexsen Pruet at: https://www.nexsenpruet.com/professionals/sonal-patel 

Find Sonal’s Services at: https://www.nexsenpruet.com/about-us/npcoding360 

Find Sonal on LinkedIn at: http://www.linkedin.com/in/sonapate 

Find Nexsen Pruet Healthcare on LinkedIn at: https://www.linkedin.com/showcase/nexsen-pruet-health-care/

Newsworthy OIG Work Plan Updates for September 2020 and My New 2021 CPT Manual, Trusty Tip for FNA Biopsies, and Margaret Mead’s Spark

Summary

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.

Episode 6 provides Newsworthy details for the OIG’s Work Plan updates for September 2020, as well as the arrival of Sonal’s new 2021 CPT manual. Trusty Tip touches on her best practice recommendations for fine needle aspiration biopsies for the breast, while Spark recounts the wise words of our late, great, cultural anthropologist, Margaret Mead.

Go ahead and listen, subscribe, rate and review!

Now on: Anchor: http://anchor.fm/sonal-patel5 

Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X

Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177 

Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast

Pocket Casts: https://pca.st/tcwfkshx

Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw

If you would like to reach out for Sonal’s consulting services, please contact her directly at: sonalpatel@nexsenpruet.com

Find Sonal at Nexsen Pruet at: https://www.nexsenpruet.com/professionals/sonal-patel

Find Sonal’s Services at: https://www.nexsenpruet.com/about-us/npcoding360

Find Sonal on LinkedIn at: http://www.linkedin.com/in/sonapate

Find Nexsen Pruet Healthcare on LinkedIn at: https://www.linkedin.com/showcase/nexsen-pruet-health-care/

Newsworthy MS-DRG Changes for FY 2021, Trusty Tip for Split-Care Billing During the Global Surgical Package, and Mark Twain’s Spark

Summary

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. 

Episode 5 provides Newsworthy details in FY 2021’s Final Rule for the Inpatient Prospective Payment System (IPPS), highlighting some changes in MS-DRGs. Trusty Tip touches on my best practice recommendations for split-care billing. Spark recounts the wise words of our beloved American author, Mark Twain.  

Go ahead and listen, subscribe, rate and review!

Now on: Anchor: http://anchor.fm/sonal-patel5 

Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X 

Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177 

Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast 

Pocket Casts: https://pca.st/tcwfkshx 

Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw 

If you would like to reach out for Sonal’s consulting services, please contact her directly at: sonalpatel@nexsenpruet.com 

Find Sonal at Nexsen Pruet at: https://www.nexsenpruet.com/professionals/sonal-patel

Find Sonal’s Services at: https://www.nexsenpruet.com/about-us/npcoding360 

Find Sonal on LinkedIn at: http://www.linkedin.com/in/sonapate 

Find Nexsen Pruet Healthcare on LinkedIn at: https://www.linkedin.com/showcase/nexsen-pruet-health-care/

Newsworthy Month of Fraud, Waste, and Abuse Cases from the OIG, Trusty Tip for Comparative Billing Report (Breast Re-Excisions), and JFK’s Spark

Summary

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.

Episode 4 provides Newsworthy details in this month’s fraud, waste, and abuse cases. I pay particular attention to 3 cases that involve inflation of bids, improper compensation, and market allocation, respectively.

Trusty Tip touches on my best practice recommendations when receiving a comparative billing report on breast re-excisions.

Spark recounts the wise words of our 35th president, John F. Kennedy.  

Go ahead and listen, subscribe, rate and review! Now on:

Anchor: http://anchor.fm/sonal-patel5

Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X

Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177

Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast

Pocket Casts: https://pca.st/tcwfkshx

Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw

If you would like to reach out for Sonal’s consulting services, please contact her directly at: sonalpatel@nexsenpruet.com

Find Sonal at Nexsen Pruet at: https://www.nexsenpruet.com/professionals/sonal-patel

Find Sonal’s Services at: https://www.nexsenpruet.com/about-us/npcoding360

Find Sonal on LinkedIn at: http://www.linkedin.com/in/sonapate

Find Nexsen Pruet Healthcare on LinkedIn at: https://www.linkedin.com/showcase/nexsen-pruet-health-care/

Newsworthy ICD-10-CM for FY 2021 & Maintenance Committee Meeting Outcomes, Trusty Tip for Time-Based Codes, and Vincent Van Gogh’s Spark

Summary

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.

Episode 3 provides Newsworthy details of the ICD-10-CM coding and reporting guidelines for Covid-19, and more, for the effective date of October 1, 2020 for these 490 new diagnosis codes, 47 revised codes and 58 invalidated codes within the new 2021 ICD-10-CM Manual. The recent virtual Maintenance Committee Meeting outcomes rounds out this week’s Newsworthy.

Trusty Tip touches on my best practice bonus points for properly documenting time-based codes.

Spark brings the small details into larger focus with inspiration from Vincent Van Gogh.

Go ahead and listen, subscribe, rate and review! Now on:

Anchor: http://anchor.fm/sonal-patel5

Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X

Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177

Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast

Pocket Casts: https://pca.st/tcwfkshx

Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw

If you would like to reach out for Sonal’s consulting services, please contact her directly at: sonalpatel@nexsenpruet.com

Find Sonal at Nexsen Pruet at: https://www.nexsenpruet.com/professionals/sonal-patel

Find Sonal’s Services at: https://www.nexsenpruet.com/about-us/npcoding360

Find Sonal on LinkedIn at: http://www.linkedin.com/in/sonapate

Find Nexsen Pruet Healthcare on LinkedIn at: https://www.linkedin.com/showcase/nexsen-pruet-health-care/

Newsworthy OIG Work Plan Updates for August 2020, Trusty Tip for Avoiding Allegations of Fraud, Waste, and Abuse, and Abraham Lincoln’s Spark

Summary

Welcome to the Paint The Medical Picture Podcast, a Nexen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.

Episode 2 provides Newsworthy details of the August 2020 updates to the OIG Work Plan. There are a total of 10 updates that emphasize the needs from CMS and the OIG to begin reviewing and auditing the delivery accuracy of funds distributed during the Covid-19 pandemic.

Trusty Tip underscores compliance with Medicare by avoiding allegations of fraud, waste, and abuse.

Spark illuminates us to this day with the wise words of Abraham Lincoln.

Go ahead and listen, subscribe, rate and review! Now on:

Anchor: https://anchor.fm/sonal-patel5

Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X

Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177

Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast

Pocket Casts: https://pca.st/tcwfkshx

If you would like to reach out for Sonal’s consulting services, please contact her directly at: sonalpatel@nexsenpruet.com

Find Sonal at Nexsen Pruet at: https://www.nexsenpruet.com/professionals/sonal-patel

Find Sonal on LinkedIn at: http://www.linkedin.com/in/sonapate 

Find Nexsen Pruet Healthcare on LinkedIn at: https://www.linkedin.com/showcase/nexsen-pruet-health-care/

Newsworthy Lab Codes for Covid-19 and CPT 2021 Manual, Trusty Tip for Modifier -62, and Aristotle’s Spark

Summary

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 1 provides a glimpse into Sonal, as well as the ways this new podcast is structured each week – with Newsworthy news, Trusty Tips for best practices, and inspirational quotes in a segment called Spark. Newsworthy discusses four new lab codes for Covid-19, as well as sweeping new changes to office and outpatient E/M codes for 2021. Trusty Tip highlights best practices for appendage of modifier -62. Spark illuminates us to this day with Aristotle’s wisdom. As a nation, we’ve all been walloped with details of the coronavirus Covid-19 for months now. As health information management professionals, as medical coders, billers, and compliance officers we have been reeling with the seemingly endless changes in rules and regulations and have done our best to keep our heads above water. Kudos to all of you for that impressive feat! Go ahead and listen, subscribe, rate, and review! Now on: Anchor: https://anchor.fm/sonal-patel5 Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177 Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast Pocket Casts: https://www.breaker.audio/paint-the-medical-picture-podcastIf you would like to reach out for Sonal’s consulting services, please contact her directly at: sonalpatel@nexsenpruet.com Find Sonal on LinkedIn at: http://www.linkedin.com/in/sonapate Find Nexsen Pruet Healthcare on LinkedIn at: https://www.linkedin.com/showcase/nexsen-pruet-health-care/