View the ICD-9 code's corresponding Diagnosis Related Groups (DRGs). In a click, verify the DRG, its IPPS allowable, length of stay, and more. Protect your facility's payments by subscribing to DRG Coder.
We are struggling with interpreting Medicare's direction when it comes to the time requirements to bill 99292 for Critical Care split/shared. Per the internet-only manual at [URL]https://www.cms.gov/R... [ Read More ]
Does anyone have a table for the new Medicare threshold times for billing 99292? My MAC hasn't published anything about the change to needing a whole additional 30 minute time increment (104 minutes)... [ Read More ]
[QUOTE="scott.jenkins@advancedmd.com, post: 509353, member: 786228"]
Hello. I have a client in Washington who is billing telehealth visits for an EM code with 99417. Modifier GT cannot be used with 99... [ Read More ]
I cannot stress enough how helpful and valuable the AMA 2021 outpatient guidelines are. They define the items listed in the table.
[URL unfurl="true"]https://www.ama-assn.org/system/files/2019-06/cpt... [ Read More ]
It is definitely moderate risk. It’s a 14 month old with 104 fever, croup and at time of visit had positive exposure to COVID 19. Both father and sibling have COVID. The patient’s pcr result came ... [ 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 ]
[QUOTE="susan.ellis, post: 505310, member: 141028"]
If the Pt presents for a PCR test and you are ONLY performing the swab in the office/UC/ER but sending the swab to a lab you would code a level 1 or... [ Read More ]
[QUOTE="mgarcia400, post: 505182, member: 133599"]
I work for a Family practice and we currently do PCR COVID swabs that are sent out to a lab. We use cpt 87635 for billing. We are currently trying t... [ Read More ]
With the new Medicare LCD's kicking in for ESI's and also the part about anesthesia being rarely, if ever, necessary embedded within the LCD's, I'm curious if any groups that have provided anesthesia ... [ 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 ]
Know the rules for compliance before engaging in telehealth services. One of the things we love most about the internet is its unregulated nature. We post and share whatever we want achieving unpreced... [ Read More ]