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.
Has anyone else had any difficulty getting WC and Medicaid insurances to process trials and implants under the new APG groups effective 07/01/2021? Prior to 07/01/2021, the HCPCS with EAPG Assignment ... [ Read More ]
My practice doctor was seeing patients at local hospital and getting paid by hospital for some patients. For rest, was told to bill in house. We did it. During this time, the psychiatrist (MD) and the... [ Read More ]
Hello!
Is there anyone having modifier issues with Humana in regards to billing for TOB 222? I billed TOB claims 222, 223, 224, 232, 233 and 234 claims for Revenue Codes for 420, 430 and 440. With ... [ Read More ]
Hello! putting this out there once more, thanks!!
I need some help with the following report, the Dr sent 34713/50, 36200/50, 33880 (75956), 37252, & 33889. I see 34713, 34812, 36200/50, 33880 (7595... [ Read More ]
We are struggling to educate providers on appropriate level for screenings when there are no symptoms present other than patient age and or history of never having a colonoscopy. We are also questioni... [ Read More ]
We are struggling to educate providers on appropriate level for screenings when there are no symptoms present other than patient age and or history of never having a colonoscopy. We are also questioni... [ Read More ]
University of Nevada Reno is expanding the School of Medicine to take volunteers (Coders) to learn to audit.
Please contact Veronica Patterson for more details.
401 West Second Street # 223
Reno, N... [ Read More ]
Pt. is seen in ER. Physician #1 ADMITS the pt. Next day (still inpt.) Physician #2 is consulted on the pt.'s condition. The CPT books states for CPT code 99221-223:
" The following codes are used t... [ Read More ]
I am not sure if using CPT code 79101 is the correct code or not? Thanks for any help that can be given.
74 y/o M with metastatic, castrate resistant prostate cancer on protocol 2016-120
using Xof... [ 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 ]
Know the rules for compliance before engaging in telehealth services. One of the things we love most about the internet is its unregulated nature. We post and share whatever we want achieving unpreced... [ Read More ]