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 ]
Novitas Solutions issued a reminder March 10 about billing for temporary implantable female urological prostheses reported with CPT codes 0596T and 0597T. If your claims for these services are being d... [ Read More ]
Recovery Audit Contractors RAC HealthDataInsights HDI and CGI Federalhaveadded to their list of newissues eligible for review as per the Centers for Medicare 38 Medicaid Services CMS. The RAC program ... [ Read More ]