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.
[QUOTE="SharonCollachi, post: 496814, member: 654943"]
You will have two different claims. The first claim is the facility where the patient is located. Box 32 will have your address (assuming you w... [ Read More ]
[QUOTE="kpeterson15, post: 492927, member: 746132"]
For the office visit, no the insurance company was billed but they decided to have this amount go towards his deductible, so we ended up having a bi... [ Read More ]
[QUOTE="podcoder70, post: 492924, member: 584850"]
Let me make sure I have got this straight...You paid in full for the visit AND the insurance company paid in full? That's double dipping. Contact t... [ Read More ]
I was looking for someone to give me some advice about an issue I am having with an office for overcharging.
About 4 months ago, my boyfriend went to a gastroenterologist as a referral from an ER doc... [ Read More ]
In our EHR, the provider is able to select his own diagnoses. We are curious as to whether the diagnoses he chooses are what we are able to code off of. I cannot find anything from Medicare stating th... [ Read More ]
I would report code O43.123 (Velamentous insertion of umbilical cord, third trimester)
[B]Velamentous cord insertion[/B] is an abnormal condition during pregnancy. Normally, the umbilical [B]cord[/B] ... [ Read More ]
Hello,
I am really new at the HCC coding and I was wondering if someone could help me out with finding the weight that goes along with the HCC diagnosis code to calculate the RAF score? Example- DM wi... [ Read More ]
Our billing office is under the impression that the following notes can be leveled at inpatient consult level 3. Humana thinks otherwise and wants to pay us a level 1.
Please give me your input if I ... [ Read More ]
Linda Irving CPC-A
123 W Esplanade Ave C305,
Kenner, LA 70065
[email]2urobb@gmail.com[/email]
225-252-4859
To employ with a clinic or healthcare institution where my experience and education w... [ Read More ]
Greetings SA Chapter,
The event reminder for the final chapter meeting of the year will be going out shortly. The meeting will be on November 10th, 2018. I am posting this thread i... [ Read More ]
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 ]
Collect and export a code list to work on a specific task. The Notepad feature in Codify by AAPC allows you to collect codes for a specific task without affecting your Favorite Codes list. Adding acce... [ Read More ]
Consider this otolaryngology case study to decide when to append modifier 25. The Cigna Group recently postponed a requirement for documentation to be submitted with all claims that include a 25 modif... [ Read More ]
Adults 1964 may benefit from routine screenings by PCPs. The U.S. Preventive Services Task Force USPSTF has recommended that all adults ages 1964 including pregnant and postpartum persons be screened ... [ Read More ]
Dont assume the codes youve been using to report drugs and biologicals still apply. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare 38 Medicaid Services CMS inclu... [ Read More ]