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.
A recent audit on Arkansas MMIS private contractor costs reveals millions in incorrect claims and inappropriate payments. Last month the Office of Inspector General OIG conducted an audit to determine... [ Read More ]
Make sure your facilitys ED billing guidelines meet criteria outlined in CMS OPPS. Those of you who work in the emergency department ED know that there is a lot of discussion on CPT codes 9928199285 a... [ Read More ]
The AAPC Social Hour on Facebook Live June 9 at 11 a.m. MT 1 p.m. ET focused on resume and interview tips. National Advisory Board NAB member Kiosha T. Forston MASS RHIA CPC CHTSTR joined moderator an... [ Read More ]
Members make the most of a bad year and prepare to rally. AAPCs 2020 Salary Survey is a reminder of the kind of year it was. After the COVID19 pandemic forced the United States to declare a public hea... [ Read More ]
About 150 million less will make it into home health than proposed. The scores of comments on the Home Health final rule for 2021 fell mostly on deaf ears. The Centers for Medicare 38 Medicaid Service... [ Read More ]
A patient had symptoms of cough and wheezing an xray was preformed the x ray showed a collapsed lung. A few days later a follow up x ray was performed and the findings were normal. What diagnosis code... [ Read More ]
One of our primary care offices is going to be doing some "group wellness classes" via zoom [sexual health as you age, diabetes, etc.]…looking for some insight as to how something like thi... [ Read More ]
Exploring billing for anesthesia....
Though very payer specific, do you obtain a separate auth for anesthesia? Or, do you bill with the auth obtained for the provider and/or facility? Thanks in adva... [ Read More ]
I just got my Associate's coding degree in December and I became certified just this month in February. The vibe I'm getting is that it is all meaningless without actual coding experience.
Anything I... [ Read More ]
Is there any NCD edits for the 92504, I know It can not be billed with another procedure in that area, but if the provider does an E/M and JUST the 92504 why won't the insurance cover??... [ Read More ]
I bill for several Behavioral Health providers. One of my providers was seeing a client virtually (Telehealth) with Medicare of Massachusetts. We billed out his claims only to have some of them them... [ Read More ]
A psych eval is required prior to an SCS Trial however, I can't seem to locate a policy (Medicare, Evicore, etc) that states a specific timeframe that this needs to be performed within/prior to surger... [ Read More ]
Our providers utilize aides to help with therapeutic exercises. We know we can't bill for the time of the aid, but I was wondering if we can still count that time in the total time for the 8 Minute R... [ Read More ]