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 ]
We received a denial from Anthem regarding a well child visit. Stating that the procedure code was not listed on their fee schedule? Of course they did not let us know which procedure code it was and ... [ Read More ]
Please see attached OP report.
I work for an Ambulatory Surgery Center and need help with the coding on the OP report. I have coded it but wanted to make sure I am not missing anything (code... [ Read More ]
I am hoping I can get some feed back with the new E/M Coding in Eye Care. What tests are appropriate in eye care in the data elements? Contrasts sensory, Sherma, tear break up tests?, D... [ Read More ]
A physician saw a patient in the hospital and billed a subsequent visit with a 95 modifier. Should the 95 modifier be removed if the physician physically saw the patient in their room?
Thank You!... [ Read More ]
Hello, we are looking to start a drive by covid testing center. We have the CLIA waived tests 87635. If a patient comes specifically for the testing (no e/m) may we bill 99211 & 87635QW? From what... [ Read More ]
I have attached a document we received from one or the hospitals that we participate with. Just wondering if anyone has seen anything like this or if this is something that the hospital has come up wi... [ Read More ]
The company is looking to hire Remote coders. The coding is different than your normal coding. It is called MedDRA coding. The company is hiring now and it's a contract position lasting at least 6 mon... [ Read More ]