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.
Perform followup visit reviews to be sure providers know the difference between medical necessity and MDM. By Gene Clarke MBA CIA CISA In the primary care setting managed care generally means a patien... [ Read More ]
By Nancy Clark CPC CPCI Modifiers are crucial in telling the story of the claim by identifying procedures that have been altered in some way without changing the core meaning of the codes submitted. L... [ Read More ]
Make Assigning HIV and AIDS Diagnosis Codes Straight Forward. By Katherine Abel CPC CPMA CPCI CMRS Assigning ICD9CM codes for human immunodeficiency virus HIV and acquired immunodeficiency syndrome AI... [ Read More ]
By Beverly Welshans CPC CPCI CPCH CCSP The same care your providers take when administering preventive care to assure all has been covered must be taken when coding those services as well. It never hu... [ Read More ]
Heres How to Know for Sure By G.J. Verhovshek MA CPC In 2006 the Office of Inspector General OIG released the report Consultations in Medicare Coding and Reimbursement claiming as many as 75 percent o... [ Read More ]
What if a dermatology provider doesn't think the ICD-10 for a patient isn't considered self-limited/minor? Is documentation in the office note the only thing needed to "upgrade" the complex... [ Read More ]
I just took the 2021 E/M Guideline Changes workshop for Dermatology and when it came to doing the case studies I became confused. They were billing high level codes for an OV when a biopsy or surgica... [ Read More ]
I get rejections from NM medicaid on cpt code 99402 stating "only recipients under the age of 21 are eligible for these services". I CANNOT find ANY information on any website (CMS included)... [ Read More ]
What Cpt code modifier would you use if any for a GI physician called emergently to the CV operating room for GI assistance for a patient having an aortobifemoral bypass graft in prog... [ Read More ]
In our practice, our surgeons occasionally perform more than one lumpectomy either same breast or opposite. Medicare has a MUE of 1 unit, my question is do you see this scenario in your practice? if ... [ Read More ]
As an orthopaedic practice, we do a lot of steroid injections in the office. We also, see a lot of Pennsylvania workers' compensation.
does anyone else bill work comp claims? If so, how are you billi... [ Read More ]