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 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 ]