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.
In a final rule CMS expands telehealth coverage but enforces budget neutrality mandate. After a slight delay the Centers for Medicare 38 Medicaid Services CMS has finalized 2021 payments and policies ... [ Read More ]
Educate physicians on the importance of documenting all complications of diabetes a patient may have.The post Factor in Uncommon Diabetes Complications for Risk Adjustment appeared first on AAPC Knowl... [ Read More ]
Physician Fee Schedule proposed rule lays the groundwork for payment and policy changes in 2021.The post CMS Proposes Medicare Telehealth Coverage in 2021 appeared first on AAPC Knowledge Center.... [ Read More ]
The new CPT codes are for only nonphysician practitioners who cannot report their own evaluation and management EM services. The post New Behavior Assessment Codes for Telehealth appeared first on AAP... [ Read More ]
Hello, I work at a Pediatric office and it is getting closer for parents coming in with sports physical forms, when we see a patient for a Well visit and a sports physical, we try to bill for both as ... [ Read More ]
I'm a little confused as to how I should do a corrected claim to Medicare. We accidentally submitted a 99211, I want to void that claim and submit a 99213 and 69210. Would I put the new claim on a HC... [ Read More ]
I have billed out 33235 78, 33216 78, and 92960 59. I have received a denial for 92960 stating it is inclusive. I have been doing some research to figure this out. Is 92960 inclus... [ Read More ]
If the patient's primary insurance states that the patient has no copay, deductible or coinsurance, leaving a $0.00 balance after payment and contractual adjustment and sequestration, do you still hav... [ Read More ]
I was just told by a company that there is no reimbursement allowed for IM injections or injections/infusions of any kind in the OP hospital setting. Is this true? and when did this change? i am str... [ Read More ]
So my question is where I am not sure do I use 44206 with modifier 52? or 44204 and 44188?
Operative note: abdomen is then prepped and draped in the standard sterile fashion. The site of the end c... [ Read More ]
MD coded 49320 Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
I'm thinking 49321 Laparoscopy, surgical... [ Read More ]