Respiratory Question for the Week of October 5, 2015

We received a denial for a claim submitted for pulmonary rehab in a non-hospital setting. The reason for the denial, according to Medicare, was because we did not meet the services were not under the direct supervision of a physician. How can we prevent future denials?

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Respiratory Question for the Week of September 21, 2015

When a patient receives mechanical ventilation for 96 consecutive hours, we have been reporting, as required by Medicare, current ICD-9-CM procedure code 96.72 (continuous invasive mechanical ventilation for 96 consecutive hours or more). What will be the ICD-10 procedure code for this service?

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