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.
Certain telemedicine services are already covered under the Physician Fee Schedule PFS when provided to Medicare patients in accordance with regulations. In response to the public health emergency PHE... [ Read More ]
Approximately every minute someone in the United States sustains a burn injury serious enough to require treatment. According to the American Burn Association an estimated 486000 hospital admissions a... [ Read More ]
Annual Wellness Visits AWV are covered by Medicare annually but they are often confused with other types of examinations so the Centers for Medicare 38 Medicaid Services CMS has published an MLN bookl... [ Read More ]
HEALTHCON 2019 is two and a half weeks away and we are getting excited. It is that time of year when we get to get together with our fellow coding and billing professionals many of whom who have becom... [ Read More ]
Medical coders and auditors are essential to their employers outcome in the Cost performance category. Of the four performance categories in the Meritbased Incentive Payment System MIPS one of two tr... [ 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 ]