Factor children into the risk adjustment equation through awareness. The definition of a pediatric chronic condition is a health problem that lasts over three months, affects the child’s normal activities, and requires many hospitalizations and/or extensive medical care. Approximately 15-18 percent of children in the United States live with a chronic health condition. A pediatric ...
In Coding
Dec 20th, 2018
The National Correct Coding Initiative (NCCI) bundles evaluation and management (E/M) service and same day immunization administration (IA) codes, (e.g., CPT® 90460-90474). As a result, providers may face rejected claims when reporting an E/M service and same day immunization administration. The key to overcome these denials is to document precisely, and to append modifier 25 Significant, ...
Dec 1st, 2011
If you see an increase in HIV screening in your pediatrician/family practice office, it’s because new American Academy of Pediatrics (AAP) guidance encourages pediatricians to know the symptoms of early-stage HIV and openly discuss sexual activity and other sexually transmitted diseases (STDs) with patients. An estimated 1.2 million people 13 and older were living with HIV ...
In Audit
Jul 2nd, 2010
New Category I CPT® influenza vaccine codes announced in 2009 and slated for publishing in the 2011 CPT® manual are effective July 1. All four codes have the pending approval icon as the vaccines are not yet approved by the U.S. Food and Drug Administration (FDA). 90664 Influenza virus vaccine, pandemic formulation, live, for intranasal use ...
Feb 10th, 2010
Vaccinations and immunizations are some of the most frequently administered services at pediatric practices. Unfortunately, it is also common for coders to report them incorrectly. Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC,COBGC, CPEDC, CENTC and Jacqueline J. Stack, AAB, CPC, CPC-I, CEMC, CFPC, CIMC, CPEDC, CCP-P are quoted in the article discussing proper billing processes and ...