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.
[QUOTE="jessicaparker1, post: 505621, member: 30914"]
I was reading the Federal register ([URL]https://public-inspection.federalregister.gov/2021-23972.pdf[/URL]) page 422 and it's only mentioning 85%... [ Read More ]
[QUOTE="jkyles@decisionhealth.com, post: 505620, member: 269282"]
No, billing/payment is based on who performs the substantive portion of the visit. So, 85% if the NPP performs the substantive portion... [ Read More ]
If you are interested, please use this link to apply, [URL]https://careers.hcahealthcare.com/jobs/7857079-coder[/URL]
Coder in Tamarac, Florida, United States ... [ Read More ]
Outpatient postop clinic visit - Would I just code Z48.89 encounter for other specified aftercare since this note doesn't state what the previous surgery was? Or since I had to check when the surgery ... [ Read More ]
I used Athena from 2016-2018 and I was hired to clean-up after Athena. They left a lot to be desired. The system is pretty, but it doesn't function as smoothly as I like. They make doing anything on t... [ Read More ]
You would just bill the OV. The Ambulance provider would code their claim with a QM and/or other destination modifiers.
Heather Jones, CPC, CPB
Absolute Practice Solutions
(ph) 336-422-7824
(f) 877... [ Read More ]
I don't have "proof" per say as a policy from any source, but I own a billing company and we use RT/LT modifiers all the time with our clients and we have no issues getting our claims processed. Was t... [ Read More ]
Medicare Advantage Plans Are Supposed to Follow The Two-Midnight Rule.
By David M. Glaser, Esq.
Original story posted on: February 4, 2019
Medicare Advantage: Learn Inside Tips t... [ Read More ]
[b]Welcome to our chapter[/b]
Hi! My name is Mary Cuffee and I am the 2017 New Membership Development Officer and the 2018 Vice President. I'm also available for any help you may need. Do you have... [ Read More ]
R93.4 is only deleted in the sense that it is now truncated - you need to go to the 5th (or even 6th) digit. It depends where the abnormal findings are:
R93.41 - for renal pelvis, ureter, or bladder
... [ Read More ]
Did you know that tetanus vaccines are only covered under Medicare Part B when given for treatment Preventative tetanus vaccinations are noncovered. I found this hard to believe so I looked it up. Sur... [ Read More ]
But be aware that some of the changes for coding and billing outpatient claims are retroactive to April or January. Many of the changes to Medicares Outpatient Prospective Payment System OPPS in the J... [ Read More ]
April is upon us. And for those who code and bill for products and services provided in the Ambulatory Surgical Center ASC setting its time to familiarize yourself with the quarterly updates to the AS... [ Read More ]
Perform well when faced with a RADV audit. If youre a hierarchical condition category HCC coder no doubt youve heard of risk adjustment data validation RADV audits. There are various types of RADV aud... [ Read More ]
Moderator and AAPC Social Media Manager Alex McKinley AAPC Alex was joined by Jaci Kipreos CPC COC CDEO CPMA CRC CPCI CEMC for the February 9 AAPC Social Hour on Facebook Live. Kipreos has been an AAP... [ Read More ]