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.
By Ken Camilleis CPC CPCI CMRS CCSP Analyze documentation to understand the intricacies of diagnostic and procedural fracture coding. Because there are so many types of fractures and fracture treatmen... [ Read More ]
We are trying to see if we are able to bill 82985 (Glycated protein) at the same time as 83036 (Hemoglobin; glycated) and if there are limitations on frequency. There is no Medicare LCD and very litt... [ Read More ]
I have a provider that tends to see pts for their AWV, ACP and often a seperate E/M code on the same visit. Lately I am being told that insurance will not cover the ACP 99497 portion of the visit. We ... [ Read More ]
I have an office who is wanting to do only telemedicine visits, even after COVID. They are a regular outpatient provider office. The will be "seeing patients" on telemedicine visits that ar... [ Read More ]
I work in a busy little internal medicine practice and once in awhile my providers will bill and e/m code with a physical AND also smoking cessation. I know that I have to use a 25 mod on the E/M code... [ Read More ]
I have a provider trying to bill for 99213, G0439 & 99397. I feel like these should bump up against each other ?
99213-25 DX H40.023, M05.79, R80.9 & L89.309
G0439-25 DX E11.628 &am... [ Read More ]
Need help. I have a provider that is billing SNF telehealth. What POS do you use? 2? 31? Append 95? Place of service is that in Doctors office of the Nursing home where the patient resides?... [ Read More ]
Having completed my medical insurance specialist course, it is my understanding that it is illegal to charge a patient for goods and services that they would be able to obtain for free via medicaid, i... [ Read More ]