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.
Learn about the organ procurement and transplant process to ensure patients are covered. National Donate Life Month in April is about encouraging people to donate organs and tissues to save the lives ... [ Read More ]
Know the codes and documentation to help prove medical necessity for genderrelated surgical procedures.The post From Registration to Claims Billing Overcome Gender Identity Barriers appeared first on ... [ Read More ]
The Office of Inspector General OIG expects a banner year in recoveries stemming from fraud investigations and audits. According to the OIG semiannual reportreleased Dec. 2 the U.S. Department of Heal... [ Read More ]
They came to New York City from near and afar medical coders billers auditors practice managers and all others who work in revenue cycle integrity to learn how to advance the business of healthcare ... [ Read More ]
My boss says we shouldn't use a 79 modifier to bill for an aspiration of the knee in the global period of a total knee replacement. I was taught that an unplanned procedure in a post op period was not... [ Read More ]
We are having trouble with Anthem paying this code and was wondering if anyone else was struggling to get 15777 paid. The Mue is one but the code description does allow for bi-lateral procedure. When... [ Read More ]
Hi all -
I am new to behavioral health coding and would like to know if DM with CKD can/should be the primary and secondary dx for a visit when a patient sees a psychiatrist. The provider does couns... [ Read More ]
I’m a coder but haven’t worked in a specialist practice before, and I have a question regarding billing related to an in-office procedure.
Someone I know had a 12-core prostate biopsy in his urol... [ Read More ]
If a patient is seen and treated at one facility and the treating physician is working under that group's credentials and Place of Service then the treating physician leaves the practice and is now bi... [ Read More ]
I understand telemedicine and telehealth guidelines are temporary due to covid.
Has anyone out there any knowledge on changes as of August or upcoming changes or restrictions on telemed use for ENT sp... [ Read More ]
Can someone help me with this. I was thinking 31528 for one of the codes but I am just lost.
Pre-op Diagnosis: Subglottic tracheal stenosis
Post-op Diagnosis: same
Procedure Performed: Micros... [ Read More ]
One of our general surgeons performed a procedure on a pt back in May, 2021 that had a 90 global period. He was performing the service under contract at a different facility and they would have billed... [ Read More ]