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.
In my last blog Special Rules Apply to Endoscopic Sinus Surgeries I discussed the change to the Multiple Endoscopy Rule for multiple surgeries when performed within the family of endoscopic sinus code... [ Read More ]
The jury is still out on whether cutting the red tape will lessen burdensome regulations that have long plagued evaluation and management services. Providers have long complained about having to enter... [ Read More ]
Yes officer training is required even if youve served recently or in the past. There are always changes some significant and some subtle but it is important to participate anyway. The good news is tha... [ Read More ]
Critical care coding is complex. You need to be certain that documentation supports that the patient has a critical illness or injury. You must be sure that the time reported as critical care does not... [ Read More ]
Hello, my name is Janki Surati. I am recently CPC-A certified and currently working on Practicode program to get my real world coding experience. I am looking for full time job opportunities as a CPC-... [ Read More ]
I'm wondering if someone could advise. We are an Article 28 Hospital with out patient Family practice and Cardiac services so billing for Medicare is split.
We received a denial from Medicare on CPT 9... [ Read More ]
This one is a first for me.
Patient seen one day post-circumcision by an out of state doctor. Had penile hematoma. My doctor took the patient to the OR, expecting to repair the circ. Instead found t... [ Read More ]
I am trying to bill 87811 to Medicare for the rapid COVID test and they are denying it stating that the CLIA # the provider has does not support this test. Is there something special we need to do to... [ Read More ]
I have a new provider in our practice. My management staff wants her to start seeing patient's even though her set up is not completed with our PPO contracted insurance companies. Can I bill shared ... [ Read More ]
Hoping to get some other people's input on this scenario.
I have a physician that recently posted this question to me:
"If I see a patient and do an independent interpretation of a KUB during t... [ Read More ]
I need help with how many units to put and the charge. We have a J1100 x10 units but charge is 10.00 for 1 unit so what should be posted?
J1100; Dexamethasone- per mg provider injected 1 mL 10 mg/mL ... [ Read More ]
Can a coder enter diagnoses codes under assessment prior to office visit (to remind providers to capture HCC codes)?
I've been asked by my supervisor to review charts prior to appt and in the assessm... [ Read More ]
One of my in-laws works for a pharmaceutical company and she and her colleagues need advice regarding the J codes and the reimbursement issues coders/billers face with regards to them. I know ... [ Read More ]