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Showing posts from June, 2024

Seizures and Epilepsy are they the same thing?

 Are seizures and epilepsy the same thing? ¿Es el mismo perro pero con distinto collar? Seizure and epilepsy are related but distinct medical terms: 1. A seizure refers to a sudden, uncontrolled electrical disturbance in the brain. It can cause changes in behavior, movements, sensations, or consciousness. Seizures can vary widely in their presentation, from mild staring spells to convulsions or loss of consciousness. 2. Epilepsy is a neurological disorder characterized by recurrent seizures. It's diagnosed when someone has had two or more unprovoked seizures. Epilepsy can have various causes, including genetics, brain injury, infections, or developmental disorders. It's a chronic condition that requires ongoing management and treatment.   In summary, while a seizure is a single event, epilepsy is a neurological disorder characterized by recurrent seizures. Not all seizures indicate epilepsy, but epilepsy is defined by the occurrence of seizures and this is important in I...

Risk Score Run - Dates of Service

  From the May 1 2024 Memo from CMS they outlines the "Deadline for Submitting Risk Adjustment Data for Use in Risk Score Calculation Runs for Payment Years 2024, 2025, and 2026". https://www.cms.gov/files/document/py202420252026submissiondeadlinememog.pdf Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the date of publication.

Data.cms.gov Medicare Physician & Other Practitioners

Have you ever wondered how providers in the same specialty and area compare?  On this site you can see how a provider compares to their peers.  Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by physicians and other healthcare professionals; aggregated by provider. Does not contain Medicare Advantage plans data.  click on View Data https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider The Medicare Physician & Other Practitioners by Provider dataset provides information on use, payments, submitted charges and beneficiary demographic and health characteristics organized by National Provider Identifier (NPI). Enter the provider's name to perform a search.