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.
The industry receives a reprieve from the financial strain of the COVID19 public health emergency. A 1.4 trillion government spending bill and 900 billion COVID19 relief package signed into law Dec. 2... [ Read More ]
In a final rule CMS expands telehealth coverage but enforces budget neutrality mandate. After a slight delay the Centers for Medicare 38 Medicaid Services CMS has finalized 2021 payments and policies ... [ Read More ]
AAPCs coding expert Raemarie Jimenez gives you the scoop on next years updates. CPT 2021 includes 206 new codes 69 revised codes and 54 deleted codes. All sections of CPT received changes in codes and... [ Read More ]
The Centers for Medicare 38 Medicaid Services CMS released on May 13 the July 2020 quarterly update to the HCPCS Level II file. There are 61 added codes to describe healthcare equipment and supplies n... [ Read More ]
Our company does OCM coding, it's an HCC type model for Oncology.
We haven't started yet but we are looking at a program that will allow us to catch missed codes.
This program has a list of missed HC... [ Read More ]
I recently got a super helpful user friendly interactive audit tool for the new EM changes of 2021 along with Prolonged code for a reasonable price! Interesting clickable elements with a few quick gui... [ Read More ]
I am looking for clarification on the new 2021 EM MDM scoring for the Amount and/or Complexity of Data to be Reviewed and Analyzed Category 1. (I also posted this in auditing forum.) W... [ Read More ]
If provider orders a KUB and we have the facility to do the TC portion of the KUB and then we send out to have read by another source who intrepret the KUB. When patient comes in and we interpret doe... [ Read More ]
When billing an Outpatient telemedicine visit, do we follow the new MDM and Time Guidelines?
Does Telemedicine still require the more than 50% of face to face time or can we follow the 2021 Time guide... [ Read More ]
Has anyone run into the iStent inject (placement of 2 istents) and the medicaid insurance indicates the 0376T is not on the fee schedule, so not payable. The LCD for this indicates it is payable for o... [ Read More ]
Do you see this as 44125? Or 44120.52-44310?
PREOPERATIVE DIAGNOSIS: Perforated NEC, s/p resection and abdominal closure
POSTOPERATIVE DIAGNOSIS: Same
1. Exploratory laparot... [ Read More ]