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    New patient changed to establish

    If we have a edit set up that all new patients codes picked by the provider are to be checked to make sure they are truly new since we bill as a group. As a certified coder can we change the coder to the appropriate est level or does this need to go back to the provider? Where can I find...
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    Coding Class

    Thank you! I am looking for something to help with coding the procedures more.
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    Coding Class

    What is the best online coding class or course for Orthopedics?
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    endoscopic surgical dissection (esd)

    Looking for a cpt code for endoscopic surgical dissection (esd)?
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    20610

    Thank you!
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    20610

    Question my provider feels that a 20610 is same as a lumbar puncture on the table of risk? Thoughts. Patent has DJd of the knee.
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    Codex software

    Thank you! So if they follow the NCCI edits if the codes are truly not meant to be billed together than there is no way around it correct? My provider is trying to tell me that we need the software and that I can bill even though there is a NCCI edit.
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    Codex software

    Does anyone use Codex Software? My provider was telling me about it and he says that (the software states he can use codes together which are normally bundle?)
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    Mdm

    See they are not. She thinks she review what the ED provider/Rad since the ED provider order the CT report then she does her own visualization and documents in the chart her findings. So she thinks this is 3 points.
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    New patient with workup

    Work up If the patient is going to Surgery in 24 to 48 hours count for Additional work up?
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    Mdm

    Thank you! Question would be this provider didn't order the CT she reviewed the one performed in the ED. So her thought: 1 point for order/review of rad 2 points for independently visualization which she documents her finding For a total of 3 points on the same CT?
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    Mdm

    Hi, I have a question. I have a provider who saying she should get points in the amount of data for order and reviewing a ct and also points for independently visualization of an imagine when she read the CT scans and interrupts it in the chart. Is this double dipping and where can I find the...
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    psych eval for bariatric patients

    What icd 10 code would you use for psych eval for bariatric patients?
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    26608 and wound closure

    Can you code 26608 with 13131? Or should it be 12045? Operative note: On 07/14/2017 patient was seen in the emergency department taken back to the operating room to the preoperative area where the operative extremity was identified and marked. Subsequently the patient was taken back to the...
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    Rules

    If a provider performs a THR on the left side and a month later does a THR on the right does this effect reimbursement?
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    CPCO Exam Question

    Thank you Thank you all for your help. I took the exam on Saturday March 24th and I PASSED. :)
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    MDM Question

    Patient comes in for a follow up and provider list in assessment: I25.10 E11.9, uncomplicated I10 HPI is patient coming in for follow up no chest pain. 8 Physical exams How would you code this. Do you count the E11.9, and I10 as est problems stable and two stable chronic conditions...
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    MDM Question

    Patient comes in for a follow up and provider list in assessment: I25.10 E11.9, uncomplicated I10 HPI is patient coming in for follow up no chest pain. 8 Physical exams How would you code this. Do you count the E11.9, and I10 as est problems stable and two stable chronic conditions...
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    MDM Question

    Patient comes in for a follow up and provider list in assessment: I25.10 E11.9, uncomplicated I10 HPI is patient coming in for follow up no chest pain. 8 Physical exams How would you code this. Do you count the E11.9, and I10 as est problems stable and two stable chronic conditions...
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    CPCO Exam Question

    Cpco I felt like a lot of the items I study where not on the test at all. I had printed out items and binder.
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    CPCO Exam Question

    I bought the study guide and printed out the reference on the website. Did all chapter questions, practice test in book and practice test online. I felt pretty comfortable for the test. I failed it. What else can I do to help prepare for my retake. I felt like the a lot of question where...
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    Urgent Care E/M for Pediatrics

    Found this very helpful Re: Prescription Drug Management Postby Shannon DeConda » Thu Jul 17, 2014 7:02 pm Prescription drug management has to do with drugs that can only be attained through a physician order (prescription) and are managed by the physician. The physician assigns a liability...
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    MDM Help

    Re: Prescription Drug Management Postby Shannon DeConda » Thu Jul 17, 2014 7:02 pm Thank you but found this: Prescription drug management has to do with drugs that can only be attained through a physician order (prescription) and are managed by the physician. The physician assigns a...
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    Urgent Care E/M for Pediatrics

    Can you tell me where you can find that in writing that 800mg of ibuprofen is no longer OTC. Thank you
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    MDM Help

    *The lateral epicondylitis was a new problem without further workup. *The ibuprofen was new medication. *therefore, MDM was moderate and should have been a level 4 This was the provider response. Est. patient. He gave a 99214 I said 99213 because the problem was est and the 800mg was low.
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    MDM Help

    If a provider gives 800mg ibuprofen would this be a low or moderate MDM. I feel a low since you can get this otc. Provider wants to see this in written can you please help me. Thank you.
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    MDM Help

    If a provider gives 800mg ibuprofen would this be a low or moderate MDM. I feel a low since you can get this otc. Provider wants to see this in written can you please help me. Thank you.
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    Class or Books

    What are some good online class or books to help with ortho coding?
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    new ortho CPT codes

    22853 Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in...
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    new ortho CPT codes

    27197 Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or...
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    Information Needed

    Can someone tell me where I can find documentation stating that before the claim goes to the insurance company the chart needs to be signed off on? Thank you
  32. C

    Information Needed

    Can someone tell me where I can find documentation stating that before the claim goes to the insurance company the chart needs to be signed off on? Thank you
  33. C

    Information Needed

    Can someone tell me where I can find documentation stating that before the claim goes to the insurance company the chart needs to be signed off on? Thank you
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    47562 and 43281

    Does anyone have problems getting 47562 Lap Chole and 43281 Lap Paraesophag Hernia paid together? The 43281 has a modifier 59 on it. Thank you
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    Cpco

    Thank you so much.
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    Cpco

    For those who took the CPCO what references did you take for the test? Did you take notes with you? How did you remember all the information? Thank you, Shannon
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    2017 E/M Bell Curve & Auditing Sourcebook?

    Has anyone ever used the decision health 2017 E/M Bell Curve & Auditing Sourcebook? Thank you
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    Practicode Wrong Answers!!??!!

    There is a facebook page. Called Practicoders
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    E&M Guideliness

    Physical exams. 97 is by bullets.
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    Software Question

    If you use a software that codes the chart but tells the provider that you have coded a level 99203 but if you add x y and z you could code a 99204 isn't this leading an a compliance issue? Thank you
  41. C

    Software Question

    If you use a software that codes the chart but tells the provider that you have coded a level 99203 but if you add x y and z you could code a 99204 isn't this leading an a compliance issue? Thank you
  42. C

    Software Question

    If you use a software that codes the chart but tells the provider that you have coded a level 99203 but if you add x y and z you could code a 99204 isn't this leading an a compliance issue? Thank you
  43. C

    Software Question

    If you use a software that codes the chart but tells the provider that you have coded a level 99203 but if you add x y and z you could code a 99204 isn't this leading an a compliance issue? Thank you
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    ACOG Forms

    How do you get high e/m levels on the acog forms.
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    Cerner

    We are supposed to be switching to the software in may. My billing Manger told me To look into it. I can't find much on it. I currently audit and educate the provider's. She has me feeling like since the system will pick the level I won't have a job any more. Please help
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    MDM Question

    Thank you ! That's what I thought but I was using the decision health pro checker and it kept saying High.
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    MDM Question

    If you are filling out the final results for complexity and you have in box A. Extensive B. Moderate C. Minimal The overall MDM is Moderate correct?
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    Cerner Powerchart Clinical dx entry question

    Do use Discern nCode ?
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    Cerner

    Does anyone use Cerner and Discern nCode ?
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    Cerner

    Has anyone used Cerner and Discern nCode ?
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