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.
Our office provides MH assessments which we normally bill as 90791 but our billing office wants to bill these out as H0031 because it is paid out at a higher rate. Another example would be using H0004... [ Read More ]
Hello, trying to find an answer or direction. Our hospital gets lab orders from local providers. Some come with only dx descriptions, others come with only ICD-10-CM codes, others have both code and d... [ Read More ]
For TCM, our Care Manager is under the impression that if a patient is seen within 48 hours of their discharge, we do NOT need to make a phone call prior to the TCM since their appointment is within t... [ Read More ]
Hello! I work for a local hospital, which used to be a hybrid of remote and on-site employees. We are now fully remote. One of my jobs is to keep our resources updated. We utilize a shared drive for n... [ Read More ]
I don't know if I should be posting this on the resume forum, but I could use some advice. The outpatient coding manager at the hospital I work at just informed me that they're going to have an openi... [ Read More ]
Has anyone found a new or the most recent HCC category truncation table? I'm looking for it in the latest CMS call letter but only see one for HCCRX. Can you help me out?
Roma... [ Read More ]
Any help would be appreciated.!. My surgeon refers to the closure as star wedge, but I'm not finding any reference to that. I'm sort of thinking just a complex closure, but possibly a rearrangement in... [ Read More ]
Legal actions continue concerning the NSAs independent dispute resolution process. The second interim final rule IFR related to the No Surprises Act NSA legislation that regulates surprise billing in... [ Read More ]
Adverse side effects make the Janssen vaccine an option of last resort. Emergency use authorization guidelines for Johnson 38 Johnsons COVID19 vaccine labeled as Janssen and reported with CPT code 913... [ Read More ]
Recipients still have time to report Provider Relief Fund payments if they can prove extenuating circumstances. The deadline for requesting lateProvider Relief Fund PRF reporting for Period 1 has pass... [ Read More ]
A quarterly update for the Clinical Laboratory Fee Schedule CLFS issued May 4 includes nine new CPT codes for proprietary laboratory analyses PLAs. Medical coding and billing staff that process claims... [ Read More ]
Medicare Advantage Organization denials raise concerns that private insurers are maximizing profits at the expense of patients. Every year tens of thousands of people enrolled in private Medicare Adva... [ Read More ]