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.
UHC is denying my Surgical Oncologist's complex repair of radical resection, "...does not meet criteria...a more appropriate CPT code ...should b used". This is his documentation. "Closure is made as... [ Read More ]
PROCEDURES:
Right femoral and arterial cannulation using Heartport access, right mini
thoracotomy, this would be considered a redo mediastinum to enter, complex
mitral valve repair with a small triang... [ Read More ]
And some words of encouragement...
A 68% means that you got 136 questions right on your most recent attempt. You at least 140 to pass - you're only 4 correct questions away from a passing store.
On ... [ Read More ]
On December 28th it looks like they ruled that 92650 will not be covered under Medicare but did accept the recommended values from the ASHA, AAA, AAN, and AAO-HNS for VEMP (92517, 92518, 92519), AEP, ... [ Read More ]
Here is one opinion:
[URL='https://www.aceanesthesiapain.com/blog/uncategorized/update-on-2020-anesthesia-and-pain-management-coding/'][B]Clarifying the Coding for Genicular Nerve Blocks Versus IPACK... [ Read More ]
[QUOTE="csperoni, post: 469984, member: 164618"]
Here's my summary. Everything below is only for providers that may bill E/M services (physicians, nurse practitioners, physician assistants, etc.)
1) ... [ Read More ]
[QUOTE="michelleaapc2012, post: 470697, member: 175049"]
I am not finding this anywhere. I have been looking on CMS website and I can't find this new change.
[/QUOTE]
As of 03/31/2020 interim final ru... [ Read More ]
As of 03/31/2020 interim final rule, CMS states for telehealth, "report the POS code that would have been reported had the service been furnished in person." with modifier -95 to designate it was tele... [ Read More ]
[B]UPDATE ON 04/02/2020 TO ORIGINAL POST, AS GUIDANCE FROM CMS HAS CHANGED[/B]
As of 03/31/2020 interim final rule, CMS states for telehealth, "report the POS code that would have been reported had th... [ Read More ]
Medical coders billers and auditors have the expertise to weigh in. This article discusses forensic work with respect to healthcare usual customary and reasonable UCR fee ranges. This is a peer review... [ Read More ]
Contributing to the financial health of your organization comes in many forms. Revenue integrity RI has become common language in the healthcare profession. Whether you know it as a department name jo... [ Read More ]
Changes to Medicare Part B policy for these tests could save lives. Colorectal cancer is the third most common cancer diagnosed in the United States and the third leading cause of cancerrelated deaths... [ 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 ]
Colonoscopies that require additional related procedures will soon see a change in Medicare coinsurance. A provision of the Consolidated Appropriations Act CAA of 2021 has put Medicare patients on a g... [ Read More ]