In Coding
Jun 10th, 2019
Providers no longer need to link documentation to diabetes mellitus for certain related conditions for coding; it’s implied. Medicare risk adjustment (MRA) coders identify active diagnoses that determine a patient’s level of risk (the likelihood of that patient needing medical care). This helps health plans project the cost of caring for their patient population. That ...
In Coding
May 7th, 2019
Excludes 1 and 2 notes often hold the key to preventing claims denials. There are two type of excludes notes in the ICD-10-CM classification system: Excludes 1 and Excludes 2. Medical coders need to understand the meaning of these notes because they are integral to correct coding, and payers are beginning to deny claims based ...
In Coding
Feb 5th, 2019
Don’t forget to review guideline changes while you familiarize yourself with 2019 code updates. For fiscal year 2019, we have 78,881 ICD-10-PCS codes to work with. Thankfully, there aren’t quite as many updates as last year: 392 new codes, eight revised codes, and 216 deleted codes. As usual, most of the code changes are in ...
The ICD-10-CM Official Guidelines for Coding and Reporting is effective Oct. 1 through Sept. 30. That means the updated guidelines for fiscal year 2019 have been in effect for a month, already, by the time this issue makes it to your mailbox (or inbox). Changes include a new coding guideline in the Coding Guidelines section; ...
In the absence of payer guidance, look to CMS and CPT® for guidance on reporting an E/M as a separate service from chiropractic manipulative treatment with modifier 25. Editor’s Note: Healthcare Business Monthly was recently asked about reporting evaluation and management (E/M) services separately from chiropractic manipulative treatment (CMT) of the spine. As with most ...