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.
While your medical practice continues to focus on treating patients during the pandemic cyber criminals are trying to take advantage of this hectic time to access your computers.The post Weathering Cy... [ Read More ]
Chronic care management CCM services are services that do not involve facetoface patientprovider contact. The Centers for Medicare 38 Medicaid Services CMS implemented Medicare coverage for CCM in Jan... [ Read More ]
Insufficient documentation accounted for nearly 82 percent of improper payments for ostomy supplies in 2018 according to the Centers for Medicare 38 Medicaid Services CMS. No documentation and medical... [ Read More ]
Clinical documentation improvement CDI is a process that continually seeks to answer How best can maximize the integrity of the medical record Although the goal of CDI is always the sameto provide a c... [ Read More ]
Here is why you should too. Lets face it HEALTHCON is a big investment for a person. Even if your company is paying for you to attend the Las Vegas venue April 28 to May 1 youll still need to take tim... [ Read More ]
I am getting denials from Medicare when billing 99497, 99498, and 99498. The time documentation is appropriate. Medicare is paying the 99497 and the first 99498, however they are denying the second ... [ Read More ]
HI. I received a issue from a fellow coworker. She has a patient who had a foot amputation done which has a 90 day global period. Paitent had a sig flex done during the global period. That claim w... [ Read More ]
I work in a critical access hospital as an inpatient coder and also as a documentation improvement specialist. One of our admitting providers has a very bad habit of not completing his H&Ps or Dis... [ Read More ]
I recently began working for a pain management physician's office. Everything is done in-house. 80307 is the CPT code currently billed. Should we bill the 80307 with QW modifier since we have a lab th... [ Read More ]
I was wondering if someone could let me know how to use modifier 27. I am using this modifier on the second visit on the Facility site when patients are coming to ED twice per day. I did rese... [ Read More ]
A patient comes in through the ER and is admitted for a femoral shaft fracture and a physician did surgery on the patient. The next day one of my ortho physicians ended up seeing the patient p... [ Read More ]
Can I use modifier NU for DME codes? I used a ZkX modifier and the claim denied.
Are there any specific guidelines for UHC COMMUNITY PLAN ARIZONA regarding billing DME codes?
Thank you.... [ Read More ]
It confuses me… a lot! I’ve done research and sometimes the answers are contradicting on this forum and on the internet. =(
Two questions here-
When the ED doctor preforms reductions, splinting ... [ Read More ]