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.
The Toledo, Ohio AAPC chapter meets on the 2nd Wednesday of each month. We have many great educational speakers scheduled for 2022, and our meetings are typically worth 2 CEUs.
Announcements and meet... [ Read More ]
(Posting this in the General Coding Forum as well, just in case) Does anyone have any information regarding telehealth visits for out of state patients? At AuditCon, my co-worker heard in a webinar th... [ Read More ]
(Posting this in the Billing Forum as well, just in case) Does anyone have any information regarding telehealth visits for out of state patients? At AuditCon, my co-worker heard in a webinar that prov... [ Read More ]
Hello,
I read this as a laminectomy for decompression of spinal nerve [B]through the lateral recess thus [/B]63047 and 63048 is the way I would go. If there is a dx on OP for stenosis then per the AHA... [ Read More ]
Hello Coding Professionals! :) I am a new coder and will greatly appreciate your help with understanding on how to choose the correct CPT code for the following scenario.
I have seen a few cases when ... [ Read More ]
[QUOTE="SharonCollachi, post: 489165, member: 654943"]
Have you read the ECW billing guide here?: [URL]http://71.14.243.179/Customer_Manuals/Old/BillingUsersGuide_070207.pdf[/URL]
It looks like it g... [ Read More ]
Have you read the ECW billing guide here?: [URL]http://71.14.243.179/Customer_Manuals/Old/BillingUsersGuide_070207.pdf[/URL]
It looks like it gives you a comprehensive step-by-step guide to handling... [ Read More ]
[QUOTE="thomas7331, post: 486379, member: 5404"]
Yes, but if that's the case, the payer should be using a CO-243 denial code, not PR-243.
[/QUOTE]
This is true. But they still screw it up. Frequentl... [ Read More ]
[QUOTE="SharonCollachi, post: 486365, member: 654943"]
Unless it's an HMO in a state that forbids billing the patient when the provider did not obtain an authorization... like here in California.
[/QU... [ Read More ]
[QUOTE="ashleyw2120@yahoo.com, post: 486229, member: 697308"]
I have a denial remit from BCBS. The reason code that was given was PR-243, which states "Services not authorized by network/primary care ... [ Read More ]
70 coding changes are coming soon. The American Medical Association is scrapping almost all of the COVID19 vaccine administration and product CPT codes it has created over the last several years. In t... [ Read More ]
Use miscellaneous CPT codes to bill physician services not performed during regular business hours. CPT includes three codes to describe services a physician provides during nontraditional hours. Alth... [ Read More ]
Certification and diversification will keep U.S. medical coders in demand. Many large U.S. health systems have found it advantageous to outsource their medical coding and billing processes. This conce... [ Read More ]
Complete and print forms with a few clicks in AAPCs code lookup tool. One of the hidden gems of AAPCs Codify is its Regulatory Information section chockfull of documents from the Centers for Medicare ... [ Read More ]
Medicare reminds healthcare providers of an important coverage change through claims denials. Ever since a public health emergency PHE for COVID19 was declared on Jan. 27 2020 there has been several n... [ Read More ]