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.
[QUOTE="ltl226, post: 492622, member: 512118"]
Two different providers, same practice (dermatology), both of the providers billed an E/M with different diagnosis codes. This is the first time I have ... [ Read More ]
Two different providers, same practice (dermatology), both of the providers billed an E/M with different diagnosis codes. This is the first time I have run into this. I thought we could not bill two... [ Read More ]
If 77080 is an age-specific CPT code, then verify correct DOB on claim, or if recurring denial reason, then verify payer has correct age and DOB. So correct and resubmit. If not,
Medicare Part B co... [ Read More ]
I agree with the above two responses you received. The ICD-10 CM guidelines specifically state if you have a definitive condition that includes the symptom, the symptom is not listed separately. You c... [ Read More ]
We are having a lot of issues with our Pain Management. A patient comes in for pain management due to back, hip and leg pain due to sacroiliitis, lumbar degenerative disc disease, lumbar radiculopathy... [ Read More ]
[b]coding[/b]
I do not understand when how a viable Diagnosis based on a lab result, path BX result, or diagnostic imaging rept would not qualify to better assign an actual DX over a SX... (even if n... [ Read More ]
When a facility bills for Labor room charges without delivery, what CPT/HCPCS codes should be used with revenue code 721 and 722. We have a number of claims denied because these were billed without t... [ Read More ]
I work in risk adjustment so we are still coding in ICD-9 (charts from 2015). I would appreciate it if anyone could help for the correct coding for the following diagnoses on an op report: degenerativ... [ Read More ]
Augusta University Medical Associates has the following on site positions available:
Patient Service Center Coordinator
Oversee the functions of providing patient test results and prescription refill... [ Read More ]
Avoiding claim denials requires knowing the rules for each procedure type. Being new to the medical field I have been relentlessly applying to jobs and going on interviews. One position I interviewed ... [ Read More ]
The revised risk adjustment model includes additional constraints. A new version of the Centers for Medicare 38 Medicaid Services CMS Hierarchical Condition Category CMSHCC risk adjustment model is sc... [ Read More ]
Learn how to conclude negotiations with a win for both parties. Every piece of life is a negotiation according to AAPC Senior Vice President of Sales Jeremy Schow. Life is a sale. Were either being so... [ Read More ]
The recently enacted No Surprises Act protects against most surprise billing but not ground ambulances. The No Surprises Act NSA which went into effect on Jan. 1 2022 protects people covered under gr... [ Read More ]
The January 1 compliance date is just around the corner yet key elements of the NSA are still missing. In July the U.S. Department of Health and Human Services HHS Labor and Treasury and the Office of... [ Read More ]