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 ]
Hello, Sometimes I get cases with CPT 87086(urine culture) along with CPT87186 done multiple times because they are testing for different microbiology susceptibility studies. My results may show E col... [ Read More ]
what would be the correct code for food poisoning - A05.9? or T62.91XA? and why?
There is no other specification on food poisoning. The patient went to doctor for nausea, abdominal cramping and bloody... [ 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 ]
Surgery done in OR under endotracheal anesthesia. Patient taken to OR from ER and Discharged same day from Recovery same day. So, the patient was not admitted but was in the OR with ENT surgeon to ... [ Read More ]
Mcal keeps denying claims as max allowed since they are bundling admin and J codes together on the claim but they pay very little on admin codes compared to other insurances. Is there some way to get ... [ Read More ]
I was wondering if 87428 was billed once for each test. The code is for Flu A+B and Covid but I found an article that stated "When separate results are reported for different species or strain of... [ 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 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 ]
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 ]