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.
Know how to find the answer and improve your clean claims rate. Medicare revises its National Correct Coding Initiative NCCI edits on a quarterly basis. As a medical coder not only must you keep up wi... [ Read More ]
The quality of evaluation and management documentation is paramount for clinician reimbursement. Evaluation and management EM services are the most vulnerable to billing errors because it is complicat... [ Read More ]
Part 2 Strengthen your ICD10PCS coding for lumbar spinal fusion procedures. Coding spinal fusion in an outpatient or ambulatory surgery center ASC setting with CPT is very different than coding spinal... [ Read More ]
Part 1 Proper payment starts with understanding lumbar spinal fusion anatomy and procedures to better code them in the facility setting. Spinal fusion arthrodesis procedures are performed every day ar... [ Read More ]
In general, are any type of repairs including complex always included in any breast procedure? I have been getting denials every time a complex repair is billed with any of those codes. Is there a rel... [ Read More ]
I'm an extremely motivated CPC-A currently working in Risk Adjustment and would like to increase my knowledge. I plan on taking the CRC exam in June 2021, I've already bought the 2021 CRC ... [ Read More ]
We are using CPT code 21085 for the Somnogard device. We order the guards and our physicians shape and fit the appliance . Do you think the description "This code should only be used when physic... [ Read More ]
Hi, I will be taking my CPC exam soon and the one thing I struggle with is knowing what information I need to pull from the documentation. In knowing this I know it will be easier looking up the code ... [ Read More ]
Re: 2021 E&M audit tool. Or is there a specific audit tool for E&M for ENT?
Any idea where I can find examples of documentation for the different levels of care? Such as 99212, 99213, 9921... [ Read More ]
I billed G0180 to Medicare and was denied for "payer deems the information provided does not support these many services". I called Medicare and they told me that another doctor has billed ... [ Read More ]