For the Week of April 15, 2024

What are some of the key MPFS reimbursement policies in 2024 that are pertinent to cardiology?

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When both an adequacy assessment and a definitive diagnosis are rendered during a cytopathology evaluation, which codes should be reported?

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We received a patient from the ER who presented with severe pelvic pain. The HCG indicated pregnancy, but there was no intrauterine pregnancy so an ectopic is suspected. What is the correct code for this scenario?

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When should code 95813 be reported during a sleep study, and what is the duration of monitoring that qualifies for this code?

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Can we report medically necessary hydration in addition to blood transfusion?

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To provide you with the most actionable compliance and regulatory questions, we are retiring the pharmacy compliance question of the week to focus on answering more commonly asked questions that safeguard accurate coding and save reimbursement. The pharmacy archive will still be available and is accessible here. Compliance Question of the Week will continue to help you overcome compliance challenges, reduce operational waste, and optimize healthcare.

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