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 ]
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 ]