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.
If an NP in a multispecialty office does an exam, provides some infusions and then also has a PT provide some therapy services on the same day, can both the NP and PT put charges on the same HFCA form... [ Read More ]
58-year-old patient who is presenting with acute ischemia of the right leg.
CTA showed thrombus in the popliteal artery and poor flow from the mid calf down
He is here for a right leg... [ Read More ]
I am working for NW Asthma and Allergy as a biller and one co workers asked me how we could get some claims paid on the administration of a experimental drug; Ligelizumab. this is her que... [ Read More ]
I need feedback from Auditors and fellow coders. Let me start off by stating this provider does handwritten notes, which in itself is an issue. It is not at all helpful in justifying the level of care... [ Read More ]
What ICD10 would you assign to: Pancreatic neck mass, Low-grade neuroendocrine tumor. Here are the guidelines I have been given: Any help appreciated.
Neuroendocrine tumors are almost always ... [ Read More ]
Our practice seems to be having an issue with the visual acquity screening (99173) being billed with a E/M service(99391-99394). We append modifier 25 to the E/M service and on the 99173 we have tried... [ Read More ]
The secret to ensuring both proper payment and compliance is in the details. Why is mental health coding so complex Laurie Bouzarelos MHA CPC asked and answered that question in her presentation Codin... [ Read More ]
Provisions include topsyturvy payment adjustments across the country. A proposed rule outlines payments wages and policies in fiscal year FY 2023 for inpatient psychiatric facilities paid under the In... [ Read More ]
Know what to look for when auditing behavioral health services to keep your organization compliant. One of the best things you can do prior to auditing outpatient and inpatient behavioral health claim... [ Read More ]
Weeks after finalizing payment rates and policy changes affecting Medicare services furnished in hospital outpatient and Ambulatory Surgical Center ASC settings for calendar year CY 2022 the Centers f... [ Read More ]
Know what auditors want to see in documentation in support of mental health claims. As a solo practitioner providing mental health counseling to adults families and couples I understood the value of b... [ Read More ]