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 ]
Can I get some clarification on billing for anesthesia when performed by Anesthesiologist supervising and the CRNA. I was told to use the anesthesia code with QK and the anesthesia code with QX.
I th... [ Read More ]
Can someone please help me on the proper coding for the following scenario:
labor analgesic provided from 0840 pm to 0916 pm on day one (08-23-18)
csection provided from 0503 am to 0643 am on day tw... [ Read More ]
I need some help.....
I have an anesthesia case that was a return to OR for chest exploration after the patient had a CABG. The second case was done later in the evening and it is hitting an edit aga... [ Read More ]
Hello there, just a heads up that the MACs are working on a uniform LCD for epidural injections for chronic pain and are accepting comments on the proposed updates (CGS [edit: and Noridian] hasn't pos... [ 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 provider was to perform a Vertiflex on a patient in the ASC - Anesthesia started giving the patient Mac & IV sedation and the patient became unresponsive & stopped breathing. My provider as... [ Read More ]
When anesthesia is performed for transforaminal ESIs what anesthesia code do you bill? It states that anesthesia not typically required so doesn't have an ASA but years ago I know it crossed to 01935... [ Read More ]
The provider I code for has begun doing some injections in the office. He's using Bupivacaine for the injections. No other meds are used for the injections (such as Depo-Medrol). An example is: 0.50 ... [ Read More ]
On a recent audit, I had a deduction for the use of the PT modifier. Question: Do any of you use the PT modifier for Medicare procedures only that are screenings that transition to therapeutic? I was ... [ Read More ]