Chronic obstructive pulmonary disease (COPD) is a blanket term for progressive diseases of the lower respiratory tract — most commonly, chronic bronchitis and emphysema. Approximately 15.7 million men and women in the United States were reportedly diagnosed with COPD in 2015; millions more are believed to go undiagnosed every year, according to the Centers for ...
Mar 1st, 2015
Several conditions fall under COPD; understand how to code them all. By Gouri Pathare, MBBS, CPC Chronic obstructive pulmonary disease (COPD) refers to chronic bronchitis, emphysema, and alpha-1 antitrypsin deficiency, a genetic form of emphysema. Diagnosis coding and sequencing for COPD depends on physician documentation in the medical record and application of the official coding ...
In Billing
Apr 24th, 2014
Since Jan. 1, 2011 a certifying physician must document that he or she—or an qualified non- physician practitioner (NPP)—had a face-to-face encounter with the beneficiary prior to certifying a beneficiary’s eligibility for the home health benefit. The Centers for Medicare & Medicaid Services (CMS) has clarified this documentation requirement in a special edition of the ...
In Coding
Aug 30th, 2013
At first glance, diagnosis coding for chronic obstructive pulmonary disease, more commonly known as COPD, seems like a cinch. ICD-9-CM links “obstructive pulmonary disease [COPD]” to 496 Chronic airway obstruction, not elsewhere classified. Easy! Except … does that “not elsewhere classified” make you a bit nervous? Aren’t three-digit ICD-9-CM codes usually best avoided due to ...
Apr 1st, 2013
By Penny Osmon Bahr, BA, CPC, CPC-I, CHC, PCS The 2013 Medicare Physician Fee Schedule (MPFS) final rule makes several changes to the Physician Quality Reporting System (PQRS). Providers who begin reporting now in accordance with these changes stand to gain incentive payments, while those who don’t will soon suffer economic consequences. Incentives: The Good, ...