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.
More than 14.4 million in inaccurate payments were made to Medicare Advantage MA organizations due to the submission of incorrect acute stroke diagnosis codes by traditional Medicare providers as per ... [ Read More ]
Physician Fee Schedule proposed rule lays the groundwork for payment and policy changes in 2021.The post CMS Proposes Medicare Telehealth Coverage in 2021 appeared first on AAPC Knowledge Center.... [ Read More ]
Know how to find the answer and improve your clean claims rate. Medicare revises its National Correct Coding Initiative NCCI edits on a quarterly basis. As a medical coder not only must you keep up wi... [ Read More ]
CPT 2020 Category I errata and technical corrections released by the American Medical Association AMA are effective Jan. 1 2020. If you have a CPT 2020 code book get out your marker. Youll need to kno... [ Read More ]
If provider orders a KUB and we have the facility to do the TC portion of the KUB and then we send out to have read by another source who intrepret the KUB. When patient comes in and we interpret doe... [ Read More ]
When billing an Outpatient telemedicine visit, do we follow the new MDM and Time Guidelines?
Does Telemedicine still require the more than 50% of face to face time or can we follow the 2021 Time guide... [ Read More ]
Has anyone run into the iStent inject (placement of 2 istents) and the medicaid insurance indicates the 0376T is not on the fee schedule, so not payable. The LCD for this indicates it is payable for o... [ 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 ]