Several changes have been recently made to the ICD-10-CM Official Guidelines for Coding and Reporting for fiscal year (FY) 2021. The guidelines changes affect code assignment for conditions and sympto... [ Read More ]
Uninsured patients don't have to be the downfall of your practice during the COVID-19 pandemic.
The post Get Paid for COVID-19 Testing/Treatment of Uninsured appeared first on AAPC Knowledge Center.
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Insight into the history of ICD and how it has changed over time is key to developing a plan for moving forward and embracing ICD-11.
The post The Rules Are Changing: ICD’s Continued Evolution and t... [ Read More ]
Hi so i am wondering general census, i had an encounter where there was an I&D needed i didnt see that anything else was evaluated but this. The MD billed a E/M as well a 99213, well i was thinkin... [ Read More ]
I have a client that sees patients in AL facilities. They recently switched to us for billing and are using office visit E&M codes for patients seen at the AL facility.
"We were told by our ... [ Read More ]
I realize that the new guidelines for the E/M office visit codes state that a "medically appropriate history and exam" is required now. A question for those of you who do auditing: Since any... [ Read More ]
Can someone shed light on the difference between abstracting a dx code from the progress note, versus validating the dx code put on claim by provider? I have always abstracted the diagnosis code from ... [ Read More ]
We have patients under Prospect insurance paid by Capitation and fee for service. How do we figure out how much we got paid from fee for service claims each month? Right now, I have to open up each ... [ Read More ]
I just want some clarification on this as I am still learning how these carriers calculate their reimbursement and how they reimburse the providers:
I have checked on CPT add-on 20930 and 20... [ Read More ]
I have a Cardiologist who would like to know what the guidelines are for billing CPT 33949 for ECMO daily management. Reading the description and information in the CPT book, it does not state whether... [ Read More ]
With the new 2021 E/M Documentation changes, there have been questions that have arisen in regards to requirements for the HPI and Exam. Now that these components are deemed "me... [ Read More ]
This one is a little tricky. The patient has the home health nurse do his INR and the nurse calls into the office and tells the doctor the results. The doctor then make the appropriate changes if ne... [ Read More ]