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.
Physician Fee Schedule proposed rule lays the groundwork for payment and policy changes in 2021.The post CMS Proposes Medicare Telehealth Coverage in 2021 appeared first on AAPC Knowledge Center.... [ Read More ]
CPT codes for psychological and neuropsychological tests include tests performed by technicians and computers CPT codes 96102 96103 96119 and 96120 in addition to tests performed by physicians clinica... [ Read More ]
Approximately 10 million Americans have osteoporosisand about 34 million more are at risk according to Noridian Healthcare Solutions. To bring attentionto this preventable diseaseMay has been declared... [ Read More ]
Avoid fighting stacks of denials by adhering to documentation requirements in LCDs. The importance of diagnostic test orders to proper compliance and reimbursement is well illustrated by a personal st... [ Read More ]
A physician may order a bone mass measurement BMM study to identify bone mass detect bone loss or determine bone quality in a patient. BMM is performed with either a bone densitometerother than single... [ Read More ]
Hi - I'm trying to find some clear documentation regarding requirements on when notes need to be signed. We have one primary care provider whose notes are billed before they're signed (he completes th... [ Read More ]
Good Morning I'm looking for some help with coding denials for Retrograde Pyelogram-CPT 74420(26) and Cystourethroscopy-52332. As I have reviewed there are no active CCI edits between the two codes, h... [ Read More ]
I am reaching out to ask some questions regarding 29823. In an effort to explain to my providers the use of 29823, I want to make sure my understanding is accurate.
29823 (Arthroscopy, shou... [ Read More ]
Our prior employee that was our credentialing. department, has left. she spent time training the new person, but it was not enough time. Does anyone have any recommendations on what we can do t... [ Read More ]
My nurse care manager traveled to a patient's home and completed a visit. The idea was for the visit to be a shared visit with the patient's PCP zooming in at the last part of the visit via telemedic... [ Read More ]
The physician keeps billing visits for follow up of normal results.
Results was done over the phone.
Shouldn’t this be consider abuse?
No medical necessity established here.
There is nothing else be... [ Read More ]
Hi Derm Coders!
I usually code Urology with a little derm here and there, so I'm looking for your expertise. One of my doctors has a patient with "multiple sebaceous cysts on his scrotum" ... [ Read More ]
When we must separate the OB package and the patient had 1-3 visits and we are directed to bill as an E/M code.
I am trying to figure out how to "carve" out the LOS.
As you know, most norm... [ Read More ]
In our office we split vision and exam codes 99214 or 92014 (etc.) and bill the refraction 92015 for (H52.4 Presbyopia) separate. I was told this was done because it had caused problems with ... [ Read More ]