Rehab facility status is key to answering M1010, M1012, M1016
Are rehabilitation facilities considered inpatient settings? That is the key to answering M1010, M1012 and M1016 correctly if you patient comes from such a facility. Let’s say a patient is discharged...
View ArticlePlace diagnoses in M1010 when treatment goes beyond standard medications
CMS has given guidance on when to list inpatient diagnoses, M1010, and the agency specifically answers the question of whether giving medicines is “active treatment.” Question: If a patient is...
View ArticleLook beyond payment with M1016 and ROC
I wanted to clarify the use of M1016 when you’re changing diagnosis codes at a resumption of care. In this circumstance, would you change the codes in M1016 at recertification or just keep an eye on...
View ArticleCVA, V12.54 and Hemiplegia
There seem to be some lingering questions from guidance of a few months ago. This issue is one that never seems to go away: CVA.In the past, the Coding Clinic had instructed hospitals not to code...
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