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.
With understanding comes passion for this obgyn niche. Obstetrics and gynecology obgyn coding is one of those specialties you either love or just dont get. Or maybe you love it but just dont get it. P... [ Read More ]
Use the next two years to prepare for new documentation guidelines and payment rates. On Nov. 1 2018 the Centers for Medicare 38 Medicaid Services CMS finalized in the 2019 Physician Fee Schedule fina... [ Read More ]
Every year the Centers for Medicare 38 Medicaid Services CMS updates their Designated Health Services DHS Code List.What are designated health services and why should you care The Link to Designated H... [ Read More ]
AAPC spotlights its members each month by featuring Minute with a Member articles in the magazine Healthcare Business Monthly. The Minute with a Member feature interviews dedicated AAPC members who sh... [ Read More ]
Understand split billing modifier and copay rules for urodynamics to keep your revenue stream strong and consistent. Urodynamics or URODS pronounced yurodds refers to a diagnostic test that evaluates ... [ Read More ]
Has anyone going through the same issue that IEHP has been denying code 93623, stating - "Procedure modifier 26 was invalid on the date of service" and to submit with a diff... [ Read More ]
I got confused with a denial claim and thought someone can help me out here.
For initial visit (on which decision to perform Pacemaker insertion was made )- coded 99223 - 57 modifier
T... [ Read More ]
Our ASC manager was told by our new ophthalmologist the hospital he did his residency got paid for PanOptix through the VA.
An OPTUM CCN rep told her to get the code added to the auth and yes they wil... [ Read More ]
I am not able to get my out of state BCBS claims to properly route to the BCBS of OK. I have changed all payor IDs for the out of state policies (for example, BCBS of Texas) to be that of BCBS of OK ... [ Read More ]
We are trying to see if we are able to bill 82985 (Glycated protein) at the same time as 83036 (Hemoglobin; glycated) and if there are limitations on frequency. There is no Medicare LCD and very litt... [ Read More ]
I have a provider that tends to see pts for their AWV, ACP and often a seperate E/M code on the same visit. Lately I am being told that insurance will not cover the ACP 99497 portion of the visit. We ... [ Read More ]
I have an office who is wanting to do only telemedicine visits, even after COVID. They are a regular outpatient provider office. The will be "seeing patients" on telemedicine visits that ar... [ Read More ]