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.
Texting is convenient butit isn8217t always permissible in a healthcare setting. A recent memorandum from the Centers for Medicare 38 Medicaid Services CMS instructs that healthcare providers may not ... [ Read More ]
Avoid fighting stacks of denials by adhering to documentation requirements in LCDs. The importance of diagnostic test orders to proper compliance and reimbursement is well illustrated by a personal st... [ Read More ]
Recent government publications support telemedicine but policy changes are needed to ensure its sustainability. By Emily H. Wein Esq. The healthcare industry generally regards telemedicine as benefici... [ Read More ]
by John Verhovshek MA CPC The Centers for Medicare and Medicaid Services CMS designates two sets of rules regarding radiology services depending on where the services are provided. The 8220Ordering of... [ Read More ]
Facility Stand up to scrutiny by ensuring key components are included in patient documentation. By Heather Greene MBA RHIA CPC CPMA The Centers for Medicare 38 Medicaid Services CMS will conduct prepa... [ Read More ]
I need insight from some experts! What would you do with this?
Pt. in today for pump check and possible scheduling of replacement. The pump has had volume discrepancies showing that no medic... [ Read More ]
Can these modifiers both be billed on the same claim form if NPI numbers for each provider are listed? Also, is the website anesthesiabilling.org a trusted and reliable resource? Who are they?
Thank... [ Read More ]
Our providers are doing Subcostal TAP Blocks and have been trying to use 64425. This is not an Intercostal Nerve Block, so I do not feel 64425 is appropriate. The procedure description is re... [ Read More ]
Hello, My question concerns acceptable modifiers for anesthesia for two separate surgeries but they are on the same day. We say append the 59 modifier only on the second surgery. Others are saying y... [ Read More ]
My MTF surgeons have started using epidural anesthesia in lieu of general anesthesia for qualified hip and knee replacement candidates. I have confirmed with the anesthesia providers this is not a ner... [ Read More ]
I am new to anesthesia billing and have a question regarding calculation of time units. I am trying to figure out when to 'round up' units when the time exceeds 15 minutes. For instance, how many ti... [ Read More ]
We code G0260 for our ASC billing and Pro 27096 for all Medicare/Medicare replacements / work comp claims. We are having the BX and BS deny the 27096 on the pro side. Is anyone else having th... [ Read More ]
I am new to Anesthesiology billing and wondered if anyone can provide guidance about this- Medicare (Novitas) and Medicaid (Pennsylvania) do not make any additional reimbursement for the physical sta... [ Read More ]