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.
Knowing when and how to query providers is key. Documentation deficiencies occur in both outpatient and inpatient settings but clinical documentation integrity CDI programs have been implemented prima... [ Read More ]
Obstructive sleep apnea causes those who suffer from it to sleep poorly and always feel tired. Obstructive sleep apnea is also indicative for heart problems and complications. It is not a good idea to... [ Read More ]
Is ambulatory blood pressuring monitoring reasonable and necessary for people with masked hypertension It has been 18 years since the Centers for Medicare 38 Medicaid Services CMS issued the National ... [ Read More ]
Undercoding or reporting a lesser service than was performed and documented is sometimes employed as a defensive strategy to stave off claims denials or audits. But undercoding can make a provider an ... [ 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 ]
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 ]
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 ]
If provider orders a KUB and we have the facility to do the TC portion of the KUB and then we send out to have read by another source who intrepret the KUB. When patient comes in and we interpret doe... [ 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 ]
Has anyone run into the iStent inject (placement of 2 istents) and the medicaid insurance indicates the 0376T is not on the fee schedule, so not payable. The LCD for this indicates it is payable for o... [ Read More ]
Do you see this as 44125? Or 44120.52-44310?
PREOPERATIVE DIAGNOSIS: Perforated NEC, s/p resection and abdominal closure
POSTOPERATIVE DIAGNOSIS: Same
1. Exploratory laparot... [ Read More ]
I am looking for any tips to pass the CPPM exam. I scored a 56 my first attempt and a 67 my second attempt, my boss is paying for this and I really just need any advice from those that... [ Read More ]