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 know a lot more about the disease than they used to but diagnosis remains difficult. By Renee Dustman Stomach pain diarrhea nausea heartburn these are common symptoms for any number of ail... [ Read More ]
Centers for Medicare 38 Medicaid Services CMS Transmittal 1766 Change Request 6548 issued July 10announcesthe changes that will be included in the October 2009 release of Medicares edit module for cli... [ Read More ]
By Chris Owens CPC andSuzanne Leder MPhil CPCA Your diagnosis coding for a newpregnancy can get tricky especially whenyou have to decide between annual visitsand nonscheduled exams. But if you payatte... [ 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 ]
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 ]