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.
Keep an eye out for Medicarespecific rule. As statespecific COVID19 vaccination mandates start to hit home health and hospice agencies a federal regulation on vaccination for all companies with more t... [ Read More ]
Second interim final rule implements additional protections and addresses the independent dispute resolution process. On Sept. 30 2021 the Department of Health and Human Services HHS the Department of... [ Read More ]
HEALTHCON Regional 2021 got off to a great start and the level of excitement remained high going into the third day. Many attendees both inperson and virtual began their day with the networking breakf... [ Read More ]
Those attending the first day of AAPCs Charleston regional conference hit the ground running and day two was no different. The day began with an early networking breakfast and a barrage of sightseeing... [ Read More ]
Education networking and good times drew hundreds of medical billers coders auditors and other healthcare business professionals to an AAPC regional conference today. The threeday conference Oct. 46 c... [ Read More ]
Context: Urgent care, physician fee.
When doing charge entry and there is an injury, we have an injury code (S code) and an external cause with sometimes a place of occurrence code.
When we bill for ... [ Read More ]
A physician is ordering hysterectomy for medical reasons-bleeding and cramping-on a patient that is transgender female to male. He is keeping his ovaries, doesn't take hormones, and no longer ... [ Read More ]
When doing charge entry, if you have a patient who presents for abdominal pain and the physician does an XR and a pregnancy test, should I link the diagnosis code for the reason they are having the pa... [ Read More ]
Please help!! I don't why I get so confused w/ plastics & breast px's. I feel the more I look into it the more confused I get. Should I use 19380 for right breast or 11970? This is what I have... [ Read More ]
I have been an AAPC member since 2014. I passed my CPC exam in the same year and have been in the apprentice status since passing my exam. I currently work in finance at an FQHC in Tenn... [ Read More ]
I have been out of the field for awhile and would appreciate the appropriate way to code simple removal of sutures. The patient presented for ER follow up to get sutures removed. '3 stitches to be r... [ Read More ]
We are getting denials on our 3rd level MBB or Facet injections stating not medically necessary. Are any of you getting this? Any insight on why they would pay for the 1st 2 levels but not the 3rd?
cp... [ Read More ]