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 ]
Certain telemedicine services are already covered under the Physician Fee Schedule PFS when provided to Medicare patients in accordance with regulations. In response to the public health emergency PHE... [ Read More ]
Medicare claims payment hinges on knowing the differences between settings. Inpatient and outpatient coding although similar in theory are very different. Services performed in either setting are repo... [ Read More ]
Be sure the practitioner is authorized to practice in your state and requirements are met. When working in an organization that bills for services performed by a nurse practitioner NP or physician ass... [ Read More ]
Part 2 Billing services incidentto the supervision of an NP or a PA. Several readers have questioned the accuracy of the Ask the Legal Advisory Board article Dont Let Incidentto Turn into Incident4 Bi... [ Read More ]
I am having a very hard time getting Bilateral Add on codes processed correctly by Medicare jurisdiction J8 Mac WPS GHA when there are 3 levels.
My example is Bilateral Lumbar Discectomies... [ Read More ]
Medicare patient presented for med-refill. The patient was previously prescribed furosemide (Lasix) due to bilateral swelling in her lower extremities from travel. The patient has a history of swellin... [ Read More ]
I am new to podiatry coding. Can someone tell me when it is appropriate to bill office visits 99xxx vs the G0245-47? If I use the G codes, would I use the 11055, 110721... codes. What documantation... [ Read More ]
WE have been receiving this denial from Humana now for several months when we do a percutaneous thrombectomy on a dialysis AV graft . I cannot find anything on their website of what code in particula... [ Read More ]
Does anyone have any experience with billing for injections under fluoroscopy completed by a physician assistant?
We use the normal injection codes such as 20610 and then bill 77002. I am struggling ... [ Read More ]
HELLO AND THANK YOU IN ADVANCE. I AM CODING INPT HOSPITAL VISITS. PTS HAVE COVID, THE PROVIDER IS NOT SEEING THE PT FACE-TO-FACE, BUT IS MAKING DECISIONS ON CONTINUED CARE. CAN WE STILL CODE A 9923_ O... [ Read More ]