ED Coding and Reimbursement Alert
Be Savvy About NPI Location
Question: I am a Medicare provider who recently moved from Minnesota to North Carolina and I’m about to take a new job in an ED there. Will my NPI change when I start working in North Carolina? North Carolina Subscriber Answer: No, it won’t. National provider identifiers (NPIs) were mandated in 2004 to align with HIPAA and simplify electronic transactions. They consist of a 10-digit numeric identifier and are specifically for HIPAA-covered healthcare providers. NPIs don’t “carry information about you, such as the state where you practice, your provider type, or your specialization,” Medicare guidance says. And that’s why “your NPI will not change, even if your name, address, taxonomy, or other information changes,” notes the MLN booklet “NPI: What You Need to Know.”
ED Coding and Reimbursement Alert
- Diagnosis Coding:
Check Your Diagnosis Coding Skills With This Quick Quiz
From lacerations to ulcers, determine how you’d fare in these scenarios. On any given day, [...] - Modifiers:
12 Tips Help Sharpen Your Modifier Skills
Hint: Modifier 95 was responsible for scores of denials this year. Although every ED uses [...] - Tonsillitis Coding:
Differentiate Acute, Chronic to Ace Tonsillitis Coding
Hint: Don’t trust your EHR’s default options. The colder temperatures have arrived, which means your [...] - You Be the Coder:
Can You Code the Thorn in This Patient’s Side?
Question: A patient came into the ED with a thorn embedded in the subcutaneous tissue [...] - Reader Questions:
Pick the Correct PICC Line Code
Question: I’m looking for clarification about whether radiological supervision is required to receive reimbursement for [...] - Reader Questions:
Be Savvy About NPI Location
Question: I am a Medicare provider who recently moved from Minnesota to North Carolina and [...] - Reader Questions:
Protect Those e-Signatures
Question: We recently performed a risk assessment in our ED and found that the e-signatures that [...] - Reader Questions:
Get Specific With Nosebleed Control Codes
Question: A patient came to the ED with a nosebleed following an accidental head-butt by [...]
