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 have a new SR. Management team that wants to change the way we bill out therapy codes based on what the insurance would cover so for instance- Medicare would be billed how we always have been in the... [ Read More ]
Hi - in my role as a privacy officer for a large system, I have encountered multiple complaints about practices charging patients or our providers for records sent to our providers when patients eithe... [ Read More ]
I have billed 36247 and 75630 26, 59 with DX of I70.211, I70.212, and I70.0. The insurance is Humana Medicare both are being denied for needing additional Diagnosis. I have been res... [ Read More ]
Hello! I need help with coding an RN certified in Lactation Education. Lately I have been including her services in the E/M and accounting for time along with the physician's assessment. Is there a... [ Read More ]
Pt has a bleeding AVF aneurysms. They go in for a revision of AVF( resection aneurysms, and Artegraft placement)
Is this all covered under the revision code or can the AVG placement be additionally c... [ Read More ]
Good Morning Everyone,
My name is Jessenia. I am new to Medical Coding. This is my first post ever to AAPC. First post in my life on AAPC. Hello Hello!
Question: Will I be taking my classes through t... [ Read More ]
I have a surgery that I am stumped on, and was hoping someone could help me figure this one out.
my doc was planning on removing a mass but after getting closer to the "mass" he realized it... [ Read More ]
Hoping someone can assist with this. Florida Blue is denying claims with these codes billed stating a modifier is needed. These were performed in the office place of service and have always paid bille... [ Read More ]