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.
Know federal and state Medicaid policies for entitlement and their use. You shouldnt expect your state Medicaid fund to pay or behave the same as other thirdparty payers or even Medicare. Medicaid is ... [ Read More ]
Do you see this as 44125? Or 44120.52-44310?
PREOPERATIVE DIAGNOSIS: Perforated NEC, s/p resection and abdominal closure
POSTOPERATIVE DIAGNOSIS: Same
1. Exploratory laparot... [ Read More ]
I am looking for any tips to pass the CPPM exam. I scored a 56 my first attempt and a 67 my second attempt, my boss is paying for this and I really just need any advice from those that... [ Read More ]
A patient has been followed for OA and the decision for total knee replacement is made due to exacerbation of OA and pain limiting daily activities. For the visit when the decision for surgery is made... [ Read More ]
I wondered if another CRC might be able to help me with a question regarding Risk Adjustment encounter data for 2022....
Does anyone know if the rule to exclude IP claim data applies only to MA Risk o... [ Read More ]
On Amount and/or Complexity of Data: I can't find anything that will help me determine whether my provider "reviewed the results" of a test or did an independent interpretation of a test. Do... [ Read More ]
Hello, can any experts help clarify what is correct reimbursement for this situation? We are billing bilateral pain management injections and the insurance is paying the + on levels @ 200% of the sing... [ Read More ]
Dr performed 50590, 19 days later 52332 and 52353....tried to bill but got denied for the 52332/52353 for global. I don't see 52353 w/ 50590 and a code 9 for the 52332...Need help to understand ... [ Read More ]