Medicare Compliance & Reimbursement
Check The Diagnosis--All Migranes Are Not The Same
Intractable versus non-intractable can set your reimbursement success. Before coding for migraine treatment, be sure you're using the correct diagnosis. Note: ICD-9 includes several choices in the 346.xx (Migraine) family, with fifth-digit classifications of 0 (without mention of intractable migraine) and 1 (with intractable migraine, so stated). Tip: "Be sure to identify if the migraine is intractable or non-intractable," says Marianne Wink-Sturgeon, RHIT, CPC, ACS-EM, with the University of Rochester Medical Center's department of neurology. "This helps define the status and severity of the migraine." Example: Diagnosing a non-intractable migraine does not support the medical necessity of Botulinum injections as treatment. Some carriers, however, will approve Botulinum injections to treat an intractable migraine (346.91, Migraine, unspecified; with intractable migraine, so stated) once traditional treatments fail.
Medicare Compliance & Reimbursement
- MEDICARE PART B:
Make Sure You Cover Your Diagnosis-Code Bases
Lesion-removal ignorance could be costing your practice money.
Myth: Medicare won't pay for shave removal codes [...] - PQRI:
Some Practices Decide The PQRI Bonus Won't Add Up
Is it worth the extra effort?
Eye Center of Central Georgia was preparing to participate in [...] - MODIFIERS:
How 'Unrelated' Is 'Unrelated To The Original Surgery'?
When you should use the 79 modifier for post-operative issues.
Although many providers are tempted [...] - REIMBURSEMENT:
3 Ways To Do Dx Coding Right
Signs and symptoms may sometimes be your best choice.
Choosing the right CPT procedure code [...] - ICD-9:
Check The Diagnosis--All Migranes Are Not The Same
Intractable versus non-intractable can set your reimbursement success.
Before coding for migraine treatment, be sure [...] - HIPAA:
Selecting Certified Software Is A Crucial Step On The Road To Compliance
The feds are making health IT a top priority--are you?
The government is demanding increased [...] - CODING:
Key Steps To Making The Most Of Injection Claims
Train your MD to document the muscles clearly -- so you can code correctly.
You [...]
