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.
Patient is brought in the operating present operatively supine position. A tourniquet was placed on the patient's right ankle. General anesthesia was achieved. The foot was then scrubbed prepped and d... [ Read More ]
Sorry my finger got carried away with the 1's.
I'm billing an ESI cpt 62323 with j1100 and UHC denial is CO-234 for the drug.
Many denials are coming in now from UHC and we can't any information how t... [ Read More ]
UHC is denying ESI' s with J1110 with CO-234. No auth. is needed. J1110 is denied as inclusive. We can't find any information on how to fight this. Anyone else coming across this?... [ 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 ]
I am in Wyoming and we just received a letter from BCBS-WY stating they are changing how they pay for allergy testing. We use the codes 95004, 95024, and 95027. For a normal Multi test (95004, 95024) ... [ Read More ]
I work for an independent lab that tests UA for pain management clinics and in-patient / out-patient addiction clinics. Many of the insurances that we bill indicate that payment is not paid separately... [ Read More ]
Sarah,
I would love a copy of this presentation as well for our Akron Chapter.
Thank you!
Mari Hasinski, CPC
AAPC Akron Area Chapter Secretary/Treasurer
PO Box 4502 | Akron, OH 44310
office 234.31... [ Read More ]
Harrisburg Pennsylvania Local Chapter #71704
Symposium Date: December 9, 2016
Symposium Location: Red Lion Hotel – Harrisburg East, 4751 Lindle Road, Harrisburg, PA 17111
Registration and Brea... [ Read More ]
Urgent care facility treated a 30 year old woman for an allergic reaction as Idiopathic Uticaria (L50.1) using dexamethasone. The physician billed the visit as a level 4 for new patient. The claim w... [ Read More ]
It depends on the ML used
PHARMACY PALIPERIDONE 117 MG/0.75 ML INJ KIT 65124941 $37.11
00219 HOSPITAL PHARMACY PALIPERIDONE 156 MG/1 ML INJ KIT 65124942 $37.11
... [ 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 ]