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.
CMS dramatically increases financial penalties for noncompliance with hospital price transparency rules. On Nov. 2 2021 the Centers for Medicare 38 Medicaid Services CMS released the calendar year CY ... [ Read More ]
If youre leaning toward pausing your vaccination requirement process be ready to crank it back up on a dime legal experts stress. After the Biden administration issued two COVID19 vaccination regulati... [ Read More ]
Take 5 to read up on recent coding and billing news. There are plenty of coding updates in November including those made to certain Medicare policies. Payment thresholds for physical occupational and ... [ Read More ]
In first quarter 2022 the HCPCS Level II code set will get a refresh with several new revised and deleted codes. According to the Centers for Medicare 38 Medicaid Services CMS there are 155 new codes ... [ Read More ]
Kyruus survey shows that patients prefer the convenience of digital avenues when scheduling appointments and researching care options. To ensure that your healthcare facility offers a positive interac... [ Read More ]
a patient has aetna medicare and had a infusion the medicine was billed to pharmacy but the injection was billed to medical, aetna medicare denied for no medication what would be the proper modifier ... [ Read More ]
I know coding guidelines state that the CKD stage should be primary then D63.1, but I am wondering if that is different when seeing a patient at a hematology/oncology office. Currently billing 99215 w... [ Read More ]
Our clinic has started doing the Medicare AWV's with a phone call from the nurse. The patient doesn't come in and no vitals are taken. They just do the Depression screening and the AWV questionnaire... [ Read More ]
I have a surgeon who wants to bill a bilateral delayed insertion (19342-50) with a RT Mastopexy (19316-RT). According to CCI these are mutually exclusive...
Here is the OP note in short form...
Pr... [ Read More ]
I am getting conflicting information on this and need clarification. Can a physician who is Medical Director for a home health agency bill for certs and recerts. Also, does a physician being medical d... [ Read More ]
Does anyone know of a form that providers can sign authorizing, myself, as a CPC to bill a charge for them if they would forget to do it themselves? All of the providers that are in the practice I wo... [ Read More ]
I am just wondering if anyone uses this G0442 or G0443 code with a Medicare Wellness exam? If so, do you get reimbursed for it? Also, what ICD-10 codes do you use to get them to pay for you? Thank ... [ Read More ]
Hi! Would you code this as 52500 for bladder neck resection? Help is appreciated!
History of bladder cancer with bladder tumors.
Cystoscopy, transurethr... [ Read More ]