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 ]
Proposed rule recommends increase in Medicare reimbursement for ESRD and other policy updates. On June 21 2022 the Centers for Medicare 38 Medicaid Services CMS issued the calendar year CY 2023 endsta... [ Read More ]
AAPC8217s RISKCON virtual conference prepares healthcare professionals for the future of reimbursement. What is risk adjustment Its a methodology that the Centers for Medicare 38 Medicaid Services CMS... [ Read More ]
Look for them at a hospital near you. The ICD10PCS update for fiscal year 2023 is now available. To prevent coding errors that result in claim denials inpatient coders should download the code files a... [ Read More ]
Starting Jan. 1 Certificates of Medical Necessity and DME Information Forms will no longer be required. If you are a provider supplier biller or vendor who bills durable medical equipment DME Medicare... [ Read More ]
But be aware that some of the changes for coding and billing outpatient claims are retroactive to April or January. Many of the changes to Medicares Outpatient Prospective Payment System OPPS in the J... [ Read More ]