ZHealth News

The proposed changes to Medicare policies and payment in 2020 were released today. They can be accessed at the following sites:
Physician Payment: https://s3.amazonaws.com/public-inspection.federalregister.gov/2019-16041.pdf
OPPS Payment: https://s3.amazonaws.com/public-inspection.federalregister.gov/2019-16107.pdf

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Posted in News Free Newsletters By Sondra Dunn

ICD-10-CM Diagnosis Code Additions to Intensive Cardiac Rehabilitation (ICR)
Programs National Coverage Decision
CMS has added the following diagnosis codes to NCD 20.31 - Intensive Cardiac Rehabilitation (ICR) Programs:

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Posted in News By Sondra Dunn

ZHealth Launches New Cardiovascular Software That Improves Both Documentation and Coding Accuracy

September 20, 2018 10:00 AM Eastern Daylight Time

NASHVILLE, Tenn.--(BUSINESS WIRE)--This week, ZHealth unveiled Etch™, the first-ever software platform that successfully addresses both the documentation and the coding challenges of complex cardiovascular procedures. Etch™ will be launched at the 2018 American Health Information Management Association (AHIMA) convention in Miami Beach, Florida.

“From our 18 years of consulting, we found that only about half of these cases are accurately coded by hospitals. The average under-coding can be $140 to $200 per case, and that is just for Medicare reimbursement,” said Dr. David Zielske, president of ZHealth.

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Posted in News By Sondra Dunn

ACR Gains Reversal on Bone Biopsy NCCI Edits

Full Article Here

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Posted in News By Sondra Dunn

Electrocardiographic Claim Edits

Jul 3, 2018 4:40:37 PM

Electrocardiographic Claim Edits

A system edit has been turned off that was rejecting and denying claims for certain electrocardiographic services for services processed on/after 7/31/2017 through 6/14/2018. Affected claims will be reprocessed by the MAC. If you have questions, please contact your MAC provider contact center.

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Posted in News By Sondra Dunn

AAPC HealthCon 2018 Winners!

Apr 18, 2018 11:34:41 AM

Congrats to our AAPC HealthCon winners from last week!

Helena Polk, CPC - CIRCC Study Guide
Gary Chan, MD - Interventional Radiology Coding Reference
Linda King, CPC, CPCO, CPC-I, CCVTC, CEMC, CGSC- Vascular & Endovascular Surgery Coding Reference
Sheila Russell - Diagnostic & Interventional Cardiovascular Coding Reference
Kelly Brian - Cardiothoracic Surgery Coding Reference
Dana Dayries, CPC - Diagnostic Radiology Coding Reference

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Posted in News By Sondra Dunn

ZHealth Coding Newsletter - March 2018

Mar 24, 2018 11:18:00 AM

March 2018 Q & A

Question: 36904

How would you bill for crisscross infusion catheters placed in a AV dialysis fistula? Fistulogram showed thrombus within AV fistula with total occlusion. Successful crisscross placement of 5 F sheath and 10 cm infusion catheter within the venous limb directed peripherally and 6 French with 10 cm infusion catheter within the arterial limb directed centrally.

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Posted in Free Newsletters By Sondra Dunn

February 2018 Q & A

Question: Single Lead Pacemaker Generator Change

1. Pacemaker generator change 2. Placement of a new lead in the right ventricle 3. Capping and abandonment of old lead. When the existing right ventricular lead has been capped and abandoned and new lead is advanced into the right ventricular apex using a combination of straight and custom-formed stylettes onto new pacemaker generator, (pulse generator was also changed), should this procedure be coded as 33212, 33216, 33233? Or 33227 with 33212 and 33216, and is fluoroscopy always included in a pacemaker procedure?

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Posted in Free Newsletters By Sondra Dunn

ZHealth Coding Newsletter - January 2018

Jan 29, 2018 11:18:00 AM

January 2018 Q & A

Question: Peripheral Angiography with a Cardiac Cath

Left heart catheterization is ordered for a patient with unstable angina. The Op report states that the patient also has a small ulcer on the foot, a history of atherectomy of the SFA, and reassuring ABI. Catheterization is performed via a right radial artery access. Subsequently, the catheter is moved down to right common femoral artery where runoff of the right leg with digital subtraction at 2 levels is performed. CFA is normal and arthrectomy site is patent. Would this be coded 93458, 36247, 75710?

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Posted in Free Newsletters By Sondra Dunn

Retroactive Billing Medicare for Drug Coated Angioplasty Balloon Code C2623 with AV Dialysis Intervention Codes

Medicare is allowing pass-through payment for code C2623 with AV dialysis interventions for claims filed retroactively for dates of service from August 25, 2017, through December 31, 2017. Pass-through payment wasn’t made with this combination in 2017 due to Medicare not changing its limited coverage for the catheter’s use only in the femoral popliteal arteries. Effective January 1, 2018, pass-through payment for code C2623 ended.

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Posted in Free Newsletters By Sondra Dunn

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