In Billing
Dec 19th, 2018
Nine new HCPCS Level II codes recently released by the Centers for Medicare & Medicaid Services (CMS) and effective in 2019 address spreading contralateral routing technology. Medical coders and billers will want to make note of these. HCPCS Codes Reflect New Technology The codes reflect the growing use of the technology, commonly called CROS/BiCROS hearing ...
In Billing
Dec 2nd, 2013
You must always match preventive medicine codes with a V code, even for Medicare patients. A preventive medicine service is not a problem-oriented visit. Instead of signs and symptoms or other “problem” diagnoses, use an ICD-9 code that supports the services provided (e.g., V70.0 Routine general medical examination at a health care facility for adults; ...
Aug 1st, 2012
By Holly J. Cassano, CPC Proper hierarchal condition category (HCC) classification depends on a plan’s ability to obtain accurate diagnostic HCC information and report that information accurately to the Centers for Medicare & Medicaid Services (CMS). If a plan focuses solely on disease management to decrease costs (neglecting to develop an effective HCC strategy), it ...
Aug 1st, 2011
Report what documentation tells you, or you could be hurting the patient. By Debra Mitchell, MSPH, CPC-H Imagine this patient encounter: A 67-year-old female complains of a painful lump on her elbow. The physician performs an assessment and takes a biopsy. Both the office visit and the biopsy are linked to ICD-9-CM code 757.8 Other ...
Mar 1st, 2011
Make Assigning HIV and AIDS Diagnosis Codes Straight Forward. By Katherine Abel, CPC, CPMA, CPC-I, CMRS Assigning ICD-9-CM codes for human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) isn’t as straightforward as it initially appears. Observing a few simple but very important rules outlined in the ICD-9-CM Official Coding Guidelines (section I. C., chapter ...