The Medicare Advantage organization says they are being held to unreasonable standards. Health Net of California Inc. was recently called out by the Office of Inspector General OIG for failing to subm... [ Read More ]
Reduce the clutter on your home page with one click. Codify offers a lot of tools on its home page but you dont always want all of them expanded at once. There is a simple way to maximize the tools yo... [ Read More ]
Strategies for unlocking a dialogue with physicians. As auditors we bridge the gap between medical coding accuracy and financial stability in healthcare organizations. Its our role to knock on the doo... [ Read More ]
Encourage patients to take stock of their relationship with alcohol. From Dry January and Dry July to Sober September and Sober October the monthlong abstinence trend of shunning alcohol has gained gr... [ Read More ]
Meet a member who never stops learning and growing. Each month AAPC selects a member who demonstrates exemplary leadership qualities. This month weve chosen Jennifer Lavoie RN CPC. Lavoie has enjoyed ... [ Read More ]
[QUOTE="lambert82, post: 511338, member: 420797"]
How can I go about obtaining a NUBC - national uniform billing committee [B]bill type guide/description for UB04s?[/B] Any guidance on this is much ap... [ Read More ]
Hi All,
I am really trying to put an effort into understanding coding E/M's. Can you please tell me if you think this is a level 3 or 4, and how you are determining the outcome. Thank you
I had the... [ Read More ]
We are starting to get denials from Cigna for initial visit of newborns at our office using 99381 for CPT code and diagnosis Z00.110, Z00.111 or Z00.129 for ICD-10 code (depending on age of newborn ... [ Read More ]
G0101 is used for Medicare patients, and can only be billed every two years (and they are very strict on the dates). If the patient has a pap performed at that time then you can also bill a Q0091 wit... [ Read More ]
For the 2 procedures, you would list the higher allowable first. Depending on the insurance, they may require a billing modifier.
There is no code for a Tarsorrhaphy. Here are a list of acceptable co... [ Read More ]
Reviewing a medical record, I came across a patient with CAD that also has "morning angina." I am not a cardiology specialist coder, and all my research shows the possibility that one can code this to... [ Read More ]
I have a patient with two postoperative diagnosis (1. Right Shoulder high-grade partial thickness rotator cuff tear; 2. Glenohumeral osteoarthritis). Had three procedures done: (1. SHOULDER ARTHRO... [ Read More ]
I have an inpatient claim (bill type 111) billed with Rev Code 0120 (Room & Board Semi-Private). My issue is the authorization was obtained under Rev Code 0150 (Room & Board Ward).
Can I rebill under ... [ Read More ]
[HEADING=2]1.Sounds like the bottom half of the labrum, so it would be 29806.[/HEADING]
[HEADING=2]Coding Slap Tears[/HEADING]
The labrum in the shoulder connects the glenoid with the head of the hum... [ Read More ]