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.
Find out what you8217ll need to do to get these claims paid. Expansion of the Prior Authorization Model for Repetitive Scheduled NonEmergent Ambulance Transports RSNAT will begin as early as Dec. 1 fo... [ Read More ]
Survey shows Healthcare Business Monthly is your goto resource. AAPC recently reached out to members to take a Healthcare Business Monthly survey. One of the questions on the survey was What topics wo... [ Read More ]
EMRs are not the endall for capturing essential MDM. As of Jan. 1 2021 we have been given new evaluation and management EM guidelines for outpatient office and ambulatory services that include specifi... [ Read More ]
Retroactive code pricing updates may require claims lookback. The Centers for Medicare 38 Medicaid Services CMS has posted a retroactive update to the April Average Sales Price ASP pricing file for th... [ Read More ]
Make sure your physician practice is prepared for renewed scrutiny of Medicare claims. Medicare Part B postpayment servicespecific medical reviews resumed Aug. 17 2020 after a brief hiatus due to the ... [ Read More ]
We've always used 01992 as the crosswalk for 64493, but since the new codes came out my boss is using 01940 as a crosswalk for it. 01940 is destruction procedures by neurolytic agent, so why would she... [ Read More ]
Here is my situation.
Pt was in the preop holding area being prepped for a urological procedure. The anesthesiologist administered Fentanyl. The patient went into tachycardia and had to immediately... [ Read More ]
I need help...since 12/12/21 I am getting my CPT code 00731 (anesthesia for upper endoscopic procedures) rejected by Medicare. Explanation on EOB is saying due to an LCD determination- I looked up 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 ]
Anesthesiologist injects kenalog under live ultrasound guidance into the left and right SI joints. Medicare patient - NGS is the contractor. LCD says nothing about ultrasound guidance - just flouros... [ Read More ]