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I am new to Medicare claims and have a Humana Medicare remit with several patients that are denying the 2nd and 3rd CPT billed as CO102 Major Medical Adjustment. I can't find any definitive answer as ... [ Read More ]
I could use some help in clarifying how a procedure should be coded, more specifically the catheter placements to code. The codes that were given were, 36005, 36011, 37238, 37252, 37253 x 4, 75822, 7... [ Read More ]
[QUOTE="ashae17, post: 493157, member: 490404"]
I'm a little bit confused, since there is mention of the angiography however the actual findings of everything viewed and pressures (stenosis, patency, ... [ Read More ]
I agree this is more a compliance issue than a coding issue. Particularly for chemo, dosing for many meds is based on BSA and simply "taking them" from a prior visit could impact patient care. You w... [ Read More ]
I hope this helps
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[LIST]
[*][URL='https://www.encoderprofp.com/epro4payers/hcpcsHandler.do?_k=102*U0002&_a=view']U0002[/URL] 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any tech... [ Read More ]
[LIST]
[*][URL='https://www.encoderpro.com/epro/hcpcsHandler.do?_k=102*G0513&_a=view']G0513[/URL] Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the off... [ Read More ]
In the CMS final rule for 2021, Medicare decided not to accept 99417 because the CPT wording was not clear as to the specific time requirements. They have created the substitute code G2212 which requ... [ Read More ]
Utilizing the 2021 New E&M Outpatient Coding Guidelines, Please code this E&M
[U]Patient [/U]1: This established 2-year-old female presents with cough, nasal discharge, and fever. Cough onset was one... [ Read More ]
I haven't frequently coded pulm angio and would like some input for this report...I think it should be coded as 93451-26, 93568, 37211-50. Thank you.
PROCEDURES
1. Right femoral venous access x2.
2... [ Read More ]
The Cigna Group will pay 172 million to resolve False Claims Act allegations. The U.S. Department of Justice DOJ announced Sept. 30 that The Cigna Group which owns and operates Medicare Advantage MA o... [ Read More ]
AAPC member Rosa Yanez CPC CRC CGIC CGSC has been a medical coder for 15 years and has worked for Humana as a senior Medicare risk adjustment educator for more than two years. Risk adjustment educatio... [ Read More ]
Understanding the rules surrounding interrupted stays in IPFs and IRFs is as easy as 123. When an interrupted stay occurs in an inpatient psychiatric facility IPF or inpatient rehab facility IRF a com... [ Read More ]
Using the right workload system leads to employee success. In any healthcare workplace employee accountability and engagement are paramount to patient and provider satisfaction as well as monetary liv... [ Read More ]
Embrace DEI data in applied behavior analysis and improve patient care for all. In the realm of healthcare the field of applied behavior analysis ABA has long been committed to understanding and impro... [ Read More ]