Draw the line between diabetes before pregnancy and gestational diabetes. So you know that a diabetic pregnant patient requires services that are separate from the global package and demand a higher level of management skill — but does your patient’s [...]
Watch for tobacco use correlations to urologic cancers. While there are not major HCPCS Level II changes that will alter your 2023 coding, there are some new codes you should review and some deleted codes that you should pull out [...]
For hospice, terminal prognosis continues to be providers’ Achilles heel. Targeted Probe and Educate medical review is back, and it’s soaking up agencies’ precious time and resources. But before TPE, post-payment medical review from the HHH Medicare Administrative Contractors resumed [...]
Draw the line between diabetes before pregnancy and gestational diabetes. So you know that a diabetic pregnant patient requires services that are separate from the global package and a higher level of management skill — but does your patient’s payer? [...]
Pay special attention to the revision of G9633. Just because code changes for each upcoming year are released in the fall doesn’t mean adjustments can’t be made later. That happened with some HCPCS codes urologists might report, so be sure [...]
Hint: Diabetes before pregnancy is different from gestational diabetes. If you’ve run into a situation where you need to convince your payer that a diabetic pregnant patient diabetes require services that are separate from the global package and require a [...]
Question: One of our payers is taking back payment for 99291 and 99292, stating their reason is because we only billed one ICD9 code 434.91 (Cerebral artery occlusion unspecified with cerebral infarction). Where in the CPT® book can I find information [...]
Question: One of our payers is taking back payment for 99291 and 99292 stating their reason is because we only billed one ICD9 code 434.91 (Cerebral artery occlusion, unspecified, with cerebral infarction). Where in the CPT® book can I find [...]
This quick quiz will show you where you fall. Want to stay polished on your outpatient coding and billing skills to ensure stellar reimbursement and compliance? Give this quiz a whirl, and then turn to page 86 for the answers [...]
If the gestational diabetes is treated with both diet and insulin, code this. Gestational diabetes can often go undetected well into the pregnancy. Patients new to diabetes require significant counseling and education to establish a controlling regimen of care throughout [...]
