Search results

  1. C

    Coding Manager Needed

    Coding Manager The Coding Manager will be accountable for successfully managing the Medical Coding team, audit documentation and coding practices to ensure accuracy in the data provided to CMS. The Manager will provide coding expertise as well as administrative oversight to ensure successful...
  2. C

    D vs. S for mechanical joint failure

    Patient admitted due to failure of total hip. Underwent revision. For the T84.090- code, would the correct 7th character be an S. The failure is a sequela of the original implant or would it be D for subsequent encounter since patient had surgery and is now being followed by rehab? I'm...
  3. C

    Echocardiogram and risk table

    Hi, I know that reviewing/ordering tests falls into the reviewed data category. My question is, would an echocardiogram ever be considered cardiovascular imaging studies with contrast and no identified risk under the diagnostic procedure(s) ordered moderate risk table? Physician did an EKG in...
  4. C

    Experienced anesthesia/pain coder needed

    Experienced anesthesia/pain coder needed. This is not a remote position. the client is in Santa Ana, CA. You will need to pick up and drop off work. It is part time coding both anesthesia and pain. email resume to: chris@pmplusinc.com
  5. C

    Scoring Physicians

    Hi all, Does anyone have a template or methodology they are willing to share for scoring physicians during an E&M audit? I've got a few samples, but want a tried and proven method to use. Thanks in advance to all who respond. Kristin
  6. C

    In need of experienced E&M Auditors

    Hi all, We are in need of experienced E&M auditors. Please email me privately through the forum with your resume/contact information so I can forward the test and more information. This is a remote position and can be FT or PT. it is a contract position currently and not permanent...
  7. C

    Need experienced E&M Auditor

    Hi all We are looking for experienced E&M auditors. Please send me a private message with your resume/contact information. This is remote work and can be PT or FT. It is contract/project work not permanent at this time. You can email me through the AAPC site or at...
  8. C

    Risk Level

    Hi all, when assigning risk level for a patient who is counseled on receiving an epidural injection in the future and all risks associated with it are reviewed...do you assign this as a High risk level? I see discography under high as well as elective major surgery, but an epidural isn't...
  9. C

    E/M Coding Software/Encoder

    Hi Do any of you use E&M coding software or an encoder? If so, which one? I'm looking for options or alternatives to Intellicode and 3M. Thanks in advance:D
  10. C

    H&Ps

    :D Hi all, I have an anesthesiologist who wants to perform pre-operative H&Ps in a hospital clinic. He will have NO involvement in the anesthesia services and will be performing the H&P only. Questions--can/should this be done? It is unbundling services (to an extent) so I want to be sure of...
  11. C

    AnesthesiologiIst performing H&Ps

    Hi all, I have an anesthesiologist who wants to perform pre-operative H&Ps in a hospital clinic. He will have NO involvement in the anesthesia services and will be performing the H&P only. Questions--can/should this be done? It is unbundling services (to an extent) so I want to be sure of...
  12. C

    AnesthesiologiIst performing H&Ps

    Hi all, I have an anesthesiologist who wants to perform pre-operative H&Ps in a hospital clinic. He will have NO involvement in the anesthesia services and will be performing the H&P only. Questions--can/should this be done? It is unbundling services (to an extent) so I want to be sure of...
  13. C

    Femoral and Sciatic blocks

    Question-- Physicians are documenting femoral and sciatic blocks. Sometimes femoral and popliteal blocks done at the same time. Is it appropriate to bill for both a femoral and sciatic block at the same time? Is there guidance to refer to either way? Thanks in advance. ps--I also posted...
  14. C

    Femoral and Sciatic blocks

    Question-- Physicians are documenting femoral and sciatic blocks. Sometimes femoral and popliteal blocks done at the same time. Is it appropriate to bill for both a femoral and sciatic block at the same time? Is there guidance to refer to either way? Thanks in advance.
  15. C

    ASC Coding/Billing

    :eek: Hi, It's been over 10 years since I've done ASC coding/billing so I need some help.... 1. Code CPTs and ICD-9 2. Don't code medications as they are included, correct? 3. Do we submit revenue code for those medications? Or generic pharmacy? 4. If case was a pain procedure, do we...
  16. C

    Retrobulbar blocks

    For cataract and other eye cases, the doc is indicating a MAC as well as retrobulbar block. After doing some checking, it appears to me the block is a combined anesthesia and postoperative pain technique. My question is...is it separately billable? If so, what code would be used? And would...
  17. C

    Ultrasound Guided Transforaminal Injection

    Is anyone billing Medicare (California or other states) for an ultrasound guided transforaminal injection. We have Category III Code 0228T for a cervical injection. I'm looking for payment and policy information. Thanks in advance.:o
  18. C

    HCC Coding Changes

    Hi, I've been hearing that there are big changes coming for HCC coding. I've read through most...but the one 'rumor' I'm hearing and trying to confirm, I haven't been able too so I need help: What I'm hearing is that CMS is going to start focusing on those HCCs submitted only once by a...
  19. C

    need help with 2 procedures...urgent

    :confused: Physician performed a chondrocostal injection and an injection of the thoracic nerve at the scapula. The area over T5-T8 was prepped with Betadine and a 25-gauge needle placed in the chondrocostal joint at T5-6 and T6-7 under fluoroscopic guidance. 2cc of 0.5% marcaine with...
  20. C

    Ca work comp experts...help!!

    I need help with how CA workman comp wants us to bill injectable medications. For example 150mg of Demerol. Do we use the HCPCS or something else? I have a doctor that is questioning how I am billing them. I need help ASAP!
  21. C

    Ca work comp experts...help!

    I need help with how CA workman comp wants us to bill injectable medications. For example 150mg of Demerol. Do we use the HCPCS or something else? I have a doctor that is questioning how I am billing them. I need help ASAP!
  22. C

    labs and venipuncture

    Labs are not my area of expertise, so I need help with this: office bills 36415 rather than labs, is this appropriate??? Office bills 36415 and lab codes (i.e. 80050, 80061, etc); is this appropriate? Thanks
  23. C

    Lab and venipuncture

    I have a provider billing 36415 with routine labs (ie lipid panels). Is it appropriate to report 36415 when drawing blood for labs? It seems like it would not be...but lab billing/coding is not my area of expertise. I didn't see anything on the CCI to say it was bundled. It just seems like...
  24. C

    URGENT...need help with CPT for open placement of subarachnoid shunt

    I need help with coding this case: Open placement of subarachnoid shunt for external decompressive drainage Details: patient undergoing corrective lumbar spine surgery resulting in dural tear so a subarachnoid drainage shunt was requested by surgeon. Patient was still under general...
  25. C

    CEMC optional reference

    I've looked at several posts on here about the CEMC exam and how difficult it is. I also know to really be prepared and to know the DGs. What I'm not seeing and what I have a question about...is what did those of you who took this exam and passed, use as the one optional reference we can have...
  26. C

    Code for Fentanyl 20mg for pump/NEED ASAP

    Physician reprogrammed and refilled pump with Fentanyl 1mg/ml x20ml=20mg. that's how he wrote it. Would the correct code for the Fentanyl be J1810 x20 or J3010 or is it another HCPCS altogether? Need help ASAP...please! Thanks in advance
  27. C

    HEDIS/CMS 5 Star/HCC auditing

    Hi, I'm looking for additional training on HEDIS and CMS 5 star measures. Does anyone have any webinar/seminar information, websites, or other helpful information for obtaining training on HEDIS and CMS 5 star. I currently do a lot of HCC Auditing would like to build upon my existing HEDIS...
  28. C

    RADV Audits

    Does anyone know when CMS will complete their RADV audits for 2009 DOS? Thanks
  29. C

    HCC Coding/RADV audits

    Hi, Anyone familiar with HCC coding and RADV audits...I need information. Does anyone know when CMS is supposed to close out the RADV audits for 2009? I can't find the current information on what calendar year they are curently doing RADV audits and really need some information. Thanks
  30. C

    Stroke Volume Variation and Cardiac Output

    I have a client who is marking the following on the reports: Stroke Volume Variation(SVV) Cardiac Output (CO). He explained it as follows: "This is monitoring of the cardiovascular function of patient on bigger and sicker patients, and it is done and calculate by having both Arterial line...
  31. C

    need scanning Companies and services

    Hi all, I need recommendations on reputable scanning companies who are capable of working in California as well as other states. If anyone knows of a reliable company with great references, please reply to this post. You can also reply privately to consultingbykristin@cox.net Thank you Kristin
  32. C

    compounded drugs for pump refill

    I need help coding for a compounded morphine sulfate used in a pain pump refill. The physician is using 30mg of a 20ml bottle, which should be 600mg, would it be appropriate to code J2275 x60? Or is it better to use J2271 x6? He also uses Bupivicaine, would S0020 be correct? The majority of...
Top