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Millennials are changing everything about how we do and how we think and their choices will challengemedical coding and billing dramatically as revealed in a recent survey by EBRI Research. Here are s... [ Read More ]
Has anyone run into the iStent inject (placement of 2 istents) and the medicaid insurance indicates the 0376T is not on the fee schedule, so not payable. The LCD for this indicates it is payable for o... [ Read More ]
Do you see this as 44125? Or 44120.52-44310?
PREOPERATIVE DIAGNOSIS: Perforated NEC, s/p resection and abdominal closure
POSTOPERATIVE DIAGNOSIS: Same
1. Exploratory laparot... [ Read More ]
I am looking for any tips to pass the CPPM exam. I scored a 56 my first attempt and a 67 my second attempt, my boss is paying for this and I really just need any advice from those that... [ Read More ]
A patient has been followed for OA and the decision for total knee replacement is made due to exacerbation of OA and pain limiting daily activities. For the visit when the decision for surgery is made... [ Read More ]
I wondered if another CRC might be able to help me with a question regarding Risk Adjustment encounter data for 2022....
Does anyone know if the rule to exclude IP claim data applies only to MA Risk o... [ Read More ]
On Amount and/or Complexity of Data: I can't find anything that will help me determine whether my provider "reviewed the results" of a test or did an independent interpretation of a test. Do... [ Read More ]
Hello, can any experts help clarify what is correct reimbursement for this situation? We are billing bilateral pain management injections and the insurance is paying the + on levels @ 200% of the sing... [ Read More ]