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.
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="thranowski, post: 488264, member: 428915"]
According to HIPAA laws, they can pay cash for visits and don't have to have it billed to their insurance. I would be wary of billing below contracte... [ Read More ]
According to HIPAA laws, they can pay cash for visits and don't have to have it billed to their insurance. I would be wary of billing below contracted rate. There was a case in my area that a radiolog... [ Read More ]
We are pain management specialty office. One PT is covered by Blue Shield and we are in-network with Blue Shield. She has to pay $114 deductible for every office visit. Our cash price is only $90. ... [ Read More ]
[QUOTE="wynonna, post: 484939, member: 45822"]
1 ml deep to canal wall. 7-8 mm of exophytic growth.
Since the ear is cartilage, and it is soft tissue, I went with 69145 for "Excision of soft tissue l... [ Read More ]
1 ml deep to canal wall. 7-8 mm of exophytic growth.
Since the ear is cartilage, and it is soft tissue, I went with 69145 for "Excision of soft tissue lesion, external auditory canal"
I think it's de... [ Read More ]
I'm thinking this would be a level 3 because of medical necessity with low risk with 2 or more self-limited or minor problems? Even though the history and exam are detailed? There's also a full past... [ Read More ]
[B][I][SIZE=3][SIZE=5]Good morning, we need help. Our doc's are billing and E&M with most Annual wellnes visits. I am posting an example visit note, I do not see enough treatment or discussion for an ... [ Read More ]
My provider wants to code a 99215 for this visit but in my review the documentation is lacking a Review of Systems which would drop the coding significantly. Am I overlooking something?
Patient is a... [ 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 ]