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.
The Centers for Medicare 38 Medicaid Services CMS released the July 2020 update of the Ambulatory Surgical Center Payment System ASC PS last month. Providers and suppliers billing Medicare Administrat... [ Read More ]
The Centers for Medicare 38 Medicaid Services CMS released on May 13 the July 2020 quarterly update to the HCPCS Level II file. There are 61 added codes to describe healthcare equipment and supplies n... [ Read More ]
Healthcare providers are granted even more latitude for use of telehealth services during the COVID19 public health emergency. On a Friday at monthend theCenters for Medicare 38 Medicaid Services CMS ... [ Read More ]
On Dec. 31 2019 as many of us here in the U.S. were celebrating New Years Eve a pandemic quietly began in the Chinese province of Hubei. First identified in Wuhan the provincial capital coronavirus mo... [ Read More ]
Karen DeSalvo MD MPH MSc opened 2019 HEALTHCON at Caesars Palace Las Vegas April 29 with a deep dive into how social determinants affect the business of healthcare. Claiming one of her best memories w... [ Read More ]
From a independent lab standpoint, Can you tell me if a doctor test for Flu or Strep via clia waived POC test in the office will the lab be able to test and bill for the PCR FLU and Strep or Strep cul... [ Read More ]
My provider has question. Can he bill for lab codes? Lets say if he were to get the lab company that runs the test charge his account. Can he then in turn bill the patients commercial insurance compan... [ Read More ]
1--If and RX is given, but picked up OTC, is this low or moderate risk?
2--If a medicine can be both OTC and RX, is it low or moderate risk? ie what is the best way to find out if a medicine is over ... [ Read More ]
Hi, I have a case in which a patient was not a candidate for a labor epidural. The patient was placed on a remifentanil pca and subsequently needed a c-section. I am not sure how to code this, because... [ Read More ]
I am coding for a outpatient infusion clinic facility, not professional fees- Should be easy, right?! Yea, sure! My questions do not revolve around the infusion coding.
I cannot find any writt... [ Read More ]
I am having difficulty finding an answer to this question. A patient is given an Oral tablet of Zithromax during the ER visit. While leveling the E/M for this ER visit, can this medication be conside... [ Read More ]
When billing a new patient annual/preventive code, can you bill a NEW patient E/M code with the 25 mod? My doc thinks you have to use the established code for the office visit, but I was taught that y... [ Read More ]
From Providers note:
PT. HAD SCREENING MAMMOGRAM COMPLETED AT XYZ MOBILE MAMMOGRAM UNIT. X-HOSPITAL TO
READ MAMMOGRAM REPORT AND SEND RESULTS TO PT VIA MAIL.
We had a mobile unit come to clinic and... [ Read More ]