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.
Final changes to the hospice quality reporting program along with new wage index payment rates and cap amounts for 2017 have been announced by the Centers for Medicare 38 Medicaid Services CMS. The ru... [ Read More ]
Be ready to transition from 400.x series codes to the I13 category when ICD10CM takes effect. By Deborah Grider CPC CPCH CPCI CPCP CEMC CPMA COBGC CPCD CCSP This months focus is Understanding the ICD1... [ Read More ]
I know that it is illegal to make corrections to a medical record after a denial, in order to get the claim paid, or after documents are requested by a payor. In fact it is not appropriate to... [ Read More ]
If you came across a statement of 'felt to be' or 'believe to be' when the provider is talking about a condition, would you consider this an uncertain diagnosis and not code it? Some stated to me that... [ Read More ]
Had a provider that performed a TEE on a patient then left practice without dictating note. Another provider reviewed films and dictated note. Can this be billed for his part of reviewing films with... [ Read More ]
This one has me doing circles. Any input would be helpful. Especially if I need to query him if this is not a 99205.
Currently I get a 99204
I working the problem up as 1 stable chronic condition ... [ Read More ]
I earned my medical billing and coding certificate in December 2019. A few months after, I took my CPC exam. In february 2021, I finished practicode of 600 medical cases and removed my apprenticeship.... [ Read More ]
I need some help! The provider scheduled for 56700 partial hymenectomy or revision of hymenal ring. During the procedure the provider discovered that it was not hymenal tissue but vaginal tissue measu... [ Read More ]
I had a patient (non-medicare) that came in for a Screening. The dr only advanced to the sigmoid colon. Since he only reached the sigmoid colon do I bill the Sigomoidoscopy 45330 or Colonoscopy 4537... [ Read More ]
Wondering if someone could give guidance when it comes to patients who have their annual physical with a male physician but prefer to have a female do the pap/breast exam on a different day- ar... [ Read More ]
Good morning all.
I am a coder/auditor for a medium group practice specializing in pediatrics. I have done side work for other fields such as orthopedics, urology, family practice, and psych. I have... [ Read More ]