MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC DRG Code 808
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Coding Alert(s)
- OPPS Final Rule: Brush up on the Top OPPS Final Rule Updates - (Dec 06, 2016)
Site neutral payment to hit provider-based departments. The much awaited 2017 hospital Outpatient Prospective Payment System (OPPS) final rule has arrived. Are you ready to embrace the provisions of the 2015 Bipartisan Budget Act? Read on for a rundown of [...]
- Face-To-Face: MACs Deny Staggering 92 Percent of Claims Under F2F Audits - (Apr 11, 2016)
One MAC maintains nearly a 100 percent denial rate. The face-to-face physician encounter rules that took effect last year are plaguing both physicians and home health agencies, and a recent audit reveals that most practitioners aren’t up to speed with [...]
- Medical Review: MACs Deny 92% Of Claims Under F2F Probe $ Educate - (Mar 10, 2016)
One MAC’s rate is a staggering 97 percent. Your reimbursement may be doomed under face-to-face physician encounter rules that took effect last year, even when you know the ropes. The proof: In the Probe & Educate medical review initiative Medicare [...]
- Reader Question: A 'Joint Fracture' Doesn't Make Sense - (Nov 13, 2014)
Question: Which diagnosis code should I use for an SI joint fracture? Ohio Subscriber Answer: When looking at these types of fractures, you should keep in mind that you can’t have a sacroiliac (SI) joint fracture because you can’t fracture a joint, [...]
- Reader Question: Pain Management Injection Doesn't Always Include Other Service - (Dec 11, 2013)
Question: A patient who was treated for a closed pelvic ring/pubic ramus fracture visited scheduled an appointment with practice. Our physician treated her with a steroid injection for pain relief (it’s been four months since the original injury but this [...]
- Reader Question: Only Code Injection if No Manipulation Is Done - (Nov 26, 2013)
Question: A patient who was treated for a closed pelvic ring/pubic ramus fracture visited scheduled an appointment with practice. Our physician treated her with a steroid injection for pain relief (it’s been four months since the original injury but this [...]
- Reader Question: Pick Up Pelvis Fracture Codes - (Jun 18, 2012)
Question: How do we report a fracture of the sacroiliac joint and ilium that the patient sustained in a road traffic crush injury?Ohio SubscriberAnswer: Assuming that this was a closed fracture, you look for codes for sacral, coccygeal, and ilium [...]
- ICD-9 2012: Don't Let Case Mix Changes Catch You Off Guard with 2012 ICD-9 Updates - (Nov 20, 2011)
New neoplasm codes don't make the grade. The 2012 ICD-9 updates brought a plethora of changes for home health. And there are some unpleasant surprises included in the new list of case mix codes. There are several new codes that [...]
- ICD-9: Prepare for a Slew of New Case Mix Codes in 2012 - (Oct 28, 2011)
Welcome improved dementia reporting. If you thought you'd have minimal 2012 ICD-9 updates to remember when completing M1020/M1022/M1024 because of the focus on transitioning to ICD-10 in 2013, you're in for a surprise. As of Oct. 1, you'll have more [...]
- ICD-9 Update: 2 New Multiple Pelvic Fracture Codes Improve Your Accuracy - (Oct 14, 2011)
Determine if fracture is open or closed to select the right code.As of Oct. 1, you'll have two new codes for to apply for pelvic fractures: 808.44 (Multiple closed pelvic fractures without disruption of pelvic circle)808.54 (Multiple open pelvic fractures [...]