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.
No time to read all those wordy transmittals Heres news you can peruse in under 5 minutes. Catch up on the latest Medicare Part AB news communicated via Medicare Learning Network MLN articles on your ... [ Read More ]
The FDA grants emergency use authorization for athome overthecounter COVID19 tests. On March 5 2021 Cue Health received emergency use authorization EUA from the U.S. Food and Drug Administration FDA f... [ Read More ]
Brush up on modifier 24 guidelines to ensure payment for postsurgical unrelated EM services. Standard postoperative care including related evaluation and management EM is not separately reportable but... [ Read More ]
Other claims system glitches fixed with one still waiting. The Centers for Medicare 38 Medicaid Services CMS continues to issue new rules to accommodate nopay Request for Anticipated Payments RAPs and... [ Read More ]
Make sure your practices billing for communication technologybased services is compliant before the OIG comes calling. For providers billing communication technologybased services CTBS with no video c... [ Read More ]
I was wondering if I could ask a question regarding flu shots for employees? Our facility suggests that everyone get a flu shot yearly. We sign a form stating we either accept or decline the shot. For... [ Read More ]
We have a claim that we are billing to UHC with procedure code 29806. The documentation is brief and to the point. It is as follows:
Findings: Small reverse Hill-Sachs lesion and torn posterior... [ Read More ]
Quick question regarding skin tags and excisions. A patient has come into the office to have a intermittent bleed skin tag removed due to clothing catching.
The provider removed skin tag by e... [ Read More ]
Does anyone know when this ICD - 10 code is appropriate? S06.5x9D-Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, subsequent encounter? I have a patient case where ... [ Read More ]
I am looking for some input on grammatical errors in the provider notes. Some errors are misspellings, others are that there is a gender issue where there is a "he" in the note instead of a... [ Read More ]
What criteria has to be met to be able to charge for a closed treatment of a fracture without manipulation? What constitutes treatment? Does the provider always have to stabilize the bone using a me... [ Read More ]
I am having a hard time getting pay by Medicare for SIJ injections performed at the office with ultrasound guidance. We are using 20552, 76942 with Dx: M53.3
Per CPT guidelines, if ultrasound is use... [ Read More ]
I wondered if someone out there can help me find the guidelines that state the collection of the blood sample (36415) is not separately billable from the labs if they are performed in-house?
We freque... [ Read More ]