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 ]
How to code Medicare Part B claims for reimbursement. These past few months have been a whirlwind for everyone but its fair to say medical coders have been hit with a category 5 hurricane. New codes a... [ Read More ]
New telemedicine rules diagnosis and testing codes and critical developments you should know. Hours after the coronavirus was declared a global pandemic Americans braced themselves for what was to com... [ Read More ]
During an emergency meeting in response to the COVID19 crisis the American Medical Association AMA convened the CPT Editorial Panel to approve a new pair of Category 1 CPT codes.These two new codes ar... [ Read More ]
Clinical diagnostic laboratories can identify specimen collection for COVID19 testing using two new HCPCS Level II codes effective March 1 2020. Check Patient Location Before Coding Medicare posted th... [ Read More ]
I am getting denials from Medicare when billing 99497, 99498, and 99498. The time documentation is appropriate. Medicare is paying the 99497 and the first 99498, however they are denying the second ... [ Read More ]
HI. I received a issue from a fellow coworker. She has a patient who had a foot amputation done which has a 90 day global period. Paitent had a sig flex done during the global period. That claim w... [ Read More ]
I work in a critical access hospital as an inpatient coder and also as a documentation improvement specialist. One of our admitting providers has a very bad habit of not completing his H&Ps or Dis... [ Read More ]
I recently began working for a pain management physician's office. Everything is done in-house. 80307 is the CPT code currently billed. Should we bill the 80307 with QW modifier since we have a lab th... [ Read More ]
I was wondering if someone could let me know how to use modifier 27. I am using this modifier on the second visit on the Facility site when patients are coming to ED twice per day. I did rese... [ Read More ]
A patient comes in through the ER and is admitted for a femoral shaft fracture and a physician did surgery on the patient. The next day one of my ortho physicians ended up seeing the patient p... [ Read More ]
Can I use modifier NU for DME codes? I used a ZkX modifier and the claim denied.
Are there any specific guidelines for UHC COMMUNITY PLAN ARIZONA regarding billing DME codes?
Thank you.... [ Read More ]
It confuses me… a lot! I’ve done research and sometimes the answers are contradicting on this forum and on the internet. =(
Two questions here-
When the ED doctor preforms reductions, splinting ... [ Read More ]