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.
I use the same "G" codes that I use with Medicare. I also use the same form UB 837
Im attaching a list of Home Health codes I got from UHC. this basically has all the codes you need.
Also look at Pag... [ Read More ]
[QUOTE="wonder1963, post: 497278, member: 293861"]
I am needing assistance with correct format for billing Medicare claims for a provider based clinic under a CAH , specifically what name/Npi do we li... [ Read More ]
whats a good 835/837 convertor? i currently have '835 solutions' and pay $100 monthly for it however I'm interested in something more detailed.... [ Read More ]
Hi,
I received this error message from Molina when transmitting the 837, they can only tell me it is throughout the invoice, does anyone know what the error definition(s) are. Please and Thank You.... [ Read More ]
Depending on where you are seeing this error message (assuming in your Claims system) and in what context, I have two possible explanations:
[B]Missing/Invalid/Incomplete Data from Submitted Claim[/B... [ Read More ]
The agency that I work for is currently implementing our EHR and I was informed that I am to be made the EDI specialist due to the fact that I have been primarily responsible for obtaining the 837 req... [ Read More ]
Although Medicare Advantage claims are reimbursed PMPM and not Dollar-for-Dollar like straight Medicare FFS if an APC ( Advanced Practice Clinician/Non-Physician Practitioner)has an NPI# and credentia... [ Read More ]
Hi all- Apologies if this is posted elsewhere. I did search around and didn't find exactly what I'm looking for. Some qualifiers before I ask my question. 1) This is for outpatient billing only. 2) I ... [ Read More ]
Here8217s what the OIG is looking for and Medicare carriers will be too. Did healthcare providers meet Medicare requirements and guidance when billing for psychotherapy services during the public heal... [ Read More ]
Billing updates aim to help physician offices get paid for CAR Tcell therapy. The latest round of updates to HCPCS Level II coding clarifies outpatient billing requirements for chimeric antigen recept... [ Read More ]
Dont assume the codes youve been using to report drugs and biologicals still apply. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare 38 Medicaid Services CMS inclu... [ Read More ]
Four new HCPCS Level II codes are payable under Medicare. The terminology to describe skin substitute products and the Medicare payment methodology did not change this year but there are four new HCPC... [ Read More ]
Stay on top of the latest government reports to ensure compliance in your organization. When you hear the words clinical documentation improvement what do you think of Many of us may initially think o... [ Read More ]