BRONCHITIS AND ASTHMA WITHOUT CC/MCC DRG Code 203

Do not miss using the appropriate ICD-10 codes, document 5 A’s, and more. Considering the importance of smoking cessation as a behavior modification intervention, Medicare provides guidelines on how providers can work their way to successful claims for the counseling [...]

Prepare for October 1 by checking out this ICD-9 and ICD-10 equivalent table. By standardizing your claims for bortezomib for Medicare, Medicaid, and private health plans, you can establish order and consistency in your reporting. Defy a denial or delay [...]

Billing report contractor, ZPIC contact docs about home care and hospice referrals. Reviewers peering over your referral sour-ces’ shoulders may have a slowing effect on your referral stream. At press time, comparative billing report contractor SafeGuard Services was set to [...]

Government pursues agency over sham jobs for physicians’ spouses. Add another case to the list of costly whistleblower lawsuits. The government has intervened in a qui tam lawsuit against Fort Lauderdale, Fla.-based A Plus Home Health Care Inc. and its [...]

Look for a one-to-one match for all codes. ICD-9-CM offers simple coding options for multiple myeloma. Keep your focus on remissions and relapses to make your way to the right code. Here is a quick walkthrough of the direct matching [...]

Question: The following administration encounter is for a patient with high risk monoclonal IgG kappa multiple myeloma, relapse confirmed with bone marrow biopsy. Which codes apply to this case? 8A-10A, IV Aredia, 30 mg 10:05A-10:06A, push IV Aloxi, 0.25 mg [...]

Home health agencies may find themselves fielding physician’s questions on certification and re-certification reimbursement more frequently, now that local medical review policies are trying to limit these payments. “Physicians are not well educated in billing their services related to home [...]

Comply with new narrative requirements to prevent denials. Palmetto GBA providers take note. The J1 and J11 Part B MAC has added an allowed diagnosis code to its Kyprolis coding guidelines. Background: In an earlier version of the guidelines, Palmetto [...]

Code J9999 is your drug code of choice until a more specific option is available.Attention Palmetto GBA providers: If your physician orders Kyprolis for multiple myeloma patients, be sure your claims match these recently released guidelines.Background: In July 2012, the [...]

Question: What diagnosis codes would you use on this clinic follow-up visit? Patient has multiple myeloma and has developed grade-1 peripheral sensory neuropathy, secondary to Velcade therapy.Codify MemberAnswer: The documentation doesn't include information on remission, so you should report the [...]