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 ]
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 ]
I am trying to find a resource that explains when you do or when you don't bill a 76830 versus a 76817. I know the difference is one is non-ob and the other is ob. However, do you bill what the chi... [ Read More ]
Any advise on billing internal fetal monitoring (IUPC)
Can code 59050 be billed on same date of delivery?
Can IUPC 59050, be billed with 59200 (induction of labor)
59050 be billed with 59070 (Transab... [ Read More ]
I have a new doctor ( Dr A) that starting seeing patients before she was fully contracted with some insurances. The owner/top doctor ( Dr B) wants me to bill all of Dr A's claims as locum tenens using... [ Read More ]
I have a situation where a client was seen for a CDA and through the evaluation the client refused to talk and a diagnosis could not be determined. However, the client was seen after the initial CDA f... [ Read More ]
We are considering using oral sedation in the office for ABR’s on young children. Can you give me some information on the codes that might be involved for the drug administration, monitoring and et... [ Read More ]
Can anyone please verify the correct way to bill a pap that was part of annual preventative but was done on a different date of service?
A patients comes in we bill 99396 with Z00.00, insurance pays v... [ Read More ]
I work in pain management and my doctor is talking about using people from out of the country to read his notes and send feed back on note corrections/completion to help me free up my time. Currently... [ Read More ]
If you have two or more stable chronic diseases and your provider says to continue the medications that the patient is on; do you consider this prescription management? Is this a 99214? Everyon... [ Read More ]
Hello everyone. How are you handling office consultations these days? Many payers don't accept the 9924x codes and require new patient codes to be used instead. Are your physicians documenting cons... [ Read More ]