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.
Physician Fee Schedule proposed rule lays the groundwork for payment and policy changes in 2021.The post CMS Proposes Medicare Telehealth Coverage in 2021 appeared first on AAPC Knowledge Center.... [ Read More ]
Physicians now may use telehealth to conduct facetoFace encounters for home health patients. Home care providers may not be getting all the support they want from regulators in the face of the COVID19... [ Read More ]
Consistent with previous reporting the Office of Inspector General OIG has added to its 2020 Work Plan a targeted audit of Medicare Advantage MA programs for risk adjustment diagnosis codes. This is n... [ Read More ]
Updates to the list of codes that sometimes or always describe therapy services under Medicare Part B go into effect Jan. 1 2020. Make sure your coding andbilling staff are aware of the following upda... [ Read More ]
Three new HCPCS Level II G codes are added to the Medicare Telehealth Services list for Calendar Year CY 2020. These codes describe new bundled services for the treatment of opioid use disorders OUD. ... [ Read More ]
What ICD-10 codes would be first listed for a pregnant 30 weeks pregnant female admitted to antepartum preterm contractions following a motor vehicle accident (Pt hit a deer head-on; c/o pain where se... [ Read More ]
Anyone performing telemedicine visits as the role of a hospitalist? I'm looking for very specific info....we would like to contract with a hospital and have them pay us a flat rate for our services (d... [ Read More ]
We are trying to fill an A/R Specialist position and struggling to find candidates with the right experience (heck, we're struggling just to get candidates with any experience!). We've been looking f... [ Read More ]
With the new code description for shoulder debridement listing each tissue of the shoulder joint, does labrum debridement gets counted as one structure even if the surgeon debrided multiple areas of l... [ Read More ]
could you please define "decision regarding minor/major surgery" in the new 2021 e/m guidelines? Is this for the decision to do surgery or can it be utilized for preoperative H&P service... [ Read More ]
I have a doctor that bills for ASC and his professional billing for same DOS and same codes. Exp: 64493, 64492 with 50 modifier on both. Both POS are 24. One under Ambulatory Center the other under th... [ Read More ]
The physician shingled a rib to prevent uncontrolled breaking of the rib during a Segmentectomy (32484). Then once done with the procedure he repairs the rib. Can you bill seperately ... [ Read More ]
Please help clear up a question on correct billing for Exparel in an ASC and provided by either the Surgeon or Anesthesiologist.
We are billing for the facility on this.
Are there only certain pro... [ Read More ]