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 ]
The Cigna Group will pay 172 million to resolve False Claims Act allegations. The U.S. Department of Justice DOJ announced Sept. 30 that The Cigna Group which owns and operates Medicare Advantage MA o... [ Read More ]
AAPC member Rosa Yanez CPC CRC CGIC CGSC has been a medical coder for 15 years and has worked for Humana as a senior Medicare risk adjustment educator for more than two years. Risk adjustment educatio... [ Read More ]
Understanding the rules surrounding interrupted stays in IPFs and IRFs is as easy as 123. When an interrupted stay occurs in an inpatient psychiatric facility IPF or inpatient rehab facility IRF a com... [ Read More ]
Using the right workload system leads to employee success. In any healthcare workplace employee accountability and engagement are paramount to patient and provider satisfaction as well as monetary liv... [ Read More ]
Embrace DEI data in applied behavior analysis and improve patient care for all. In the realm of healthcare the field of applied behavior analysis ABA has long been committed to understanding and impro... [ Read More ]