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.
Brush up on modifier 24 guidelines to ensure payment for postsurgical unrelated EM services. Standard postoperative care including related evaluation and management EM is not separately reportable but... [ Read More ]
Other claims system glitches fixed with one still waiting. The Centers for Medicare 38 Medicaid Services CMS continues to issue new rules to accommodate nopay Request for Anticipated Payments RAPs and... [ Read More ]
Make sure your practices billing for communication technologybased services is compliant before the OIG comes calling. For providers billing communication technologybased services CTBS with no video c... [ Read More ]
Know when to use remote physiologic monitoring codes and what to look out for when you do. Along with accelerating the adoption of telehealth and telemedicine the COVID19 pandemic has also seen increa... [ Read More ]
Part three Learn the ins and outs of remittance processing denials and patient collections. Successful and efficient revenue cycle management RCM is key for all healthcare organizations both large and... [ Read More ]
Quick question regarding skin tags and excisions. A patient has come into the office to have a intermittent bleed skin tag removed due to clothing catching.
The provider removed skin tag by e... [ Read More ]
Does anyone know when this ICD - 10 code is appropriate? S06.5x9D-Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, subsequent encounter? I have a patient case where ... [ Read More ]
I am looking for some input on grammatical errors in the provider notes. Some errors are misspellings, others are that there is a gender issue where there is a "he" in the note instead of a... [ Read More ]
What criteria has to be met to be able to charge for a closed treatment of a fracture without manipulation? What constitutes treatment? Does the provider always have to stabilize the bone using a me... [ Read More ]
I am having a hard time getting pay by Medicare for SIJ injections performed at the office with ultrasound guidance. We are using 20552, 76942 with Dx: M53.3
Per CPT guidelines, if ultrasound is use... [ Read More ]
I wondered if someone out there can help me find the guidelines that state the collection of the blood sample (36415) is not separately billable from the labs if they are performed in-house?
We freque... [ Read More ]
I am looking for any documentation from AMA or AASEM, or anyone, regarding the proper documentation and requirements of pf-Ncs testing. I have so many chiropractors overusing and I can't prove it. I... [ Read More ]
I'm having lots of denials for 93571. I use the 26 modifier because they are done in the Cath Lab. I identify the vessel but they still deny. I usually do them with a left heart cath and I add the ... [ Read More ]