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.
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Hello,
I want to ask that ED facility has higher payment (like $230 for 99283) than ED profee ($73 for 99283 as per encoderpro). can someone make me u... [ Read More ]
Hello,
I want to ask that ED facility has higher payment (like $230 for 99283) than ED profee ($73 for 99283 as per encoderpro). can someone make me understand how this charges deviate and how to bil... [ Read More ]
The Chapter 15 link above is the go-to. This is the section that speaks to that: 230.5 - Physical Therapy, Occupational Therapy and Speech-Language Pathology Services Provided Incident to the Services... [ Read More ]
No. An aide or tech is not a Physical Therapy Assistant (PTA) or OTA or SLPA. Refer to the Medicare Benefit Policy Manual 230.1 - Practice of Physical Therapy (Rev. 179, Issued: 01-14-14, Effective: 0... [ Read More ]
I have a patient that has UMR as primary and Medicare as secondary. We billed 95165 with 230 units, the UMR paid and applied a portion to the patients deductible. We sent to Medicare and they denied s... [ Read More ]
According to CPT guidelines for "Time": "For facility reporting on a single date of service or for continuous services that last beyond midnight (ie, over a range of dates), report the total units of ... [ Read More ]
According to CPT guidelines for "Time": "For facility reporting on a single date of service or for continuous services that last beyond midnight (ie, over a range of dates), report the total units of ... [ Read More ]
Alcohol with-drawl is actually classified under dependence - so I would use F10.230 - and then a separate code for the Depressive disorder. Unless the provider notes that the depression is from the de... [ 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 ]
Know the rules for CLIA waived tests to ensure proper claims payment. Modifier QW indicates a Clinical Laboratory Improvement Amendment CLIA waived test performed by a lab with a CLIA certificate. App... [ Read More ]
Know the reimbursement rules for students working in your medical practice. Many medical offices and clinics allow medical students to train in their practices to gain invaluable clinical education an... [ Read More ]
Follow CPT ACR and payer guidelines to ensure accurate reporting and reimbursement. Diagnostic radiology encompasses a variety of services including diagnostic radiology plain film diagnostic ultrasou... [ Read More ]
Payers are looking for more than just the correct codes for nonroutine pathology stains. Pathology stains are crucial for the diagnostic evaluation of tissue samples by pathologists. There are many ty... [ Read More ]