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.
Physicians providers and suppliersshould note the Centers for Medicare 38 Medicaid Services8217 CMS8217srecent coding policy changes to several clinical diagnostic laboratory services8217 national cov... [ Read More ]
I need some clarification on x-rays if anyone can help. Our provider office, specialty clinic, bills and reads their own x-ray, have a tech who takes them then the provider reviews and... [ 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 ]
Question about ABN- if a patient is seen by a provider that is not covered by Medicare- example an LCPC for 908XX services. Should an ABN be issued so we can bill the patient.
We do bill for the deni... [ Read More ]
I am looking for clarification on the new 2021 EM MDM scoring for the Amount and/or Complexity of Data to be Reviewed and Analyzed Category 1. (I also posted this in auditing forum.) W... [ Read More ]
i am a facility cath lab coder . i have cardioversion cpt 92960 denied from healthoptions( medicaid plan) stating its hitting cci edit component 2 coding. they couldn't tell me which cpt exactly was h... [ Read More ]
I recently got a super helpful user friendly interactive audit tool for the new EM changes of 2021 along with Prolonged code for a reasonable price! Interesting clickable elements with a few quick gui... [ Read More ]
Our company does OCM coding, it's an HCC type model for Oncology.
We haven't started yet but we are looking at a program that will allow us to catch missed codes.
This program has a list of missed HC... [ Read More ]