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 Jan. 13 social hour focused on updates to AAPC curriculum and certification exams. The bimonthly live sessions in the AAPC Facebook group have grown in popularity since their inception last Februa... [ Read More ]
Know your modifier KX rules to ensure payment for therapy in 2021.The post Therapy Threshold Amounts for 2021 appeared first on AAPC Knowledge Center.... [ Read More ]
Does new lost revenues clarification help or hurt agencies On Dec. 16 2020 the Department of Health and Human Services HHS announced that it added 4.5 billion to the Provider Relief Funds PRF phase 3 ... [ Read More ]
Several changes have been recently made to the ICD10CM Official Guidelines for Coding and Reporting for fiscal year FY 2021. The guidelines changes affect code assignment for conditions and symptoms r... [ Read More ]
CPT 2021 code updates for quarters 2 and 3 have been released by the American Medical Association AMA. The new revised and deleted codes will be updated in Codify by AAPC as the changes go into effect... [ Read More ]
My provider is lcsw and she has sessions with her patients for 1.5 and I billed the 90837 with the 99354 and the claim got denied. Please explain what I need to do to get this to be approved. Let's st... [ Read More ]
Does anyone know where I can find clinical examples using the new 2021 E/M Guidelines? The new CPT book does not include examples for Office or Other Outpatient Services in Appendix C. We have a provi... [ Read More ]
Can some one please help me to understand Bi Lateral Injections? Report is as follows:
*Start Penicillin G Benzathine Suspension, 2400000 UNIT/4ML, as directed, Intramuscular, once in clinic, 30 day... [ Read More ]
So I am working some psych charges for our PHP program, they're billing for a discharge 99239 and also psychotherapy 90833 on the same visit. Both are clearly documented, but the insurance is pushing ... [ Read More ]
Hey all! I used to be able to bill a pt eval 97164 w/mod 59 and then also bill therapeutic exercise (97530) and get paid for both. Recently I have been getting paid only for the 97530 and denied the... [ Read More ]
While performing my organization's annual Cardiology coding group education, the following question arose in regards to 99358 Non face to Face Prolonged care services:
"What if we spend (greate... [ Read More ]
Q) In an initial review of ENT notes, I'm finding lower levels this year than last year for 99213 established patient E&M CPT codes.
Factoring in presenting problems from first column, If 1 or l... [ Read More ]
Medicare is rejecting all of our claims with:
A3 : Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system.
23 : Re... [ Read More ]
Our office is wanting to start giving the blood transfusions in the office. The product will be coming from the hospital so I know they will be billing that portion. All research has led me to HCPCS 3... [ Read More ]
Hello,
I am currently training my Urology doctors on the new E/M changes for 2021. Can someone tell me what they are saying to their doctors regarding Cat 2 "Amount and/or Complexity of Data t... [ Read More ]