Novitas and FCSO will require documentation for certain pathology and laboratory claims. Medicare Administrative Contractors MAC Novitas Solutions and First Coast Service Options FCSO recently announc... [ Read More ]
Potential erroneous Medicare payments million to treat patients with opioid use disorder OUD are estimated at 17.8 million. The opioid crisis in the United States has led to record numbers of people d... [ Read More ]
Get an overview of key updates to the postacute care quality reporting programs for 2025. The Centers for Medicare 38 Medicaid Services is offering a crosssetting webbased training course that provide... [ Read More ]
Hospitals should use this tool to protect their profit margins. Diagnosisrelated group DRG validation ensures the accuracy of DRG assignment and payment for inpatient hospital stays. Since inpatient c... [ Read More ]
Meet a member who has made an indelible impression in the healthcare industry. AAPCs Member of the Month Nancy Reading RN BS CPC CPCP CPCI is a longtime member and a pillar in the healthcare community... [ Read More ]
[QUOTE="lambert82, post: 511338, member: 420797"]
How can I go about obtaining a NUBC - national uniform billing committee [B]bill type guide/description for UB04s?[/B] Any guidance on this is much ap... [ Read More ]
Hi All,
I am really trying to put an effort into understanding coding E/M's. Can you please tell me if you think this is a level 3 or 4, and how you are determining the outcome. Thank you
I had the... [ Read More ]
We are starting to get denials from Cigna for initial visit of newborns at our office using 99381 for CPT code and diagnosis Z00.110, Z00.111 or Z00.129 for ICD-10 code (depending on age of newborn ... [ Read More ]
G0101 is used for Medicare patients, and can only be billed every two years (and they are very strict on the dates). If the patient has a pap performed at that time then you can also bill a Q0091 wit... [ Read More ]
For the 2 procedures, you would list the higher allowable first. Depending on the insurance, they may require a billing modifier.
There is no code for a Tarsorrhaphy. Here are a list of acceptable co... [ Read More ]
Reviewing a medical record, I came across a patient with CAD that also has "morning angina." I am not a cardiology specialist coder, and all my research shows the possibility that one can code this to... [ Read More ]
I have a patient with two postoperative diagnosis (1. Right Shoulder high-grade partial thickness rotator cuff tear; 2. Glenohumeral osteoarthritis). Had three procedures done: (1. SHOULDER ARTHRO... [ Read More ]
I have an inpatient claim (bill type 111) billed with Rev Code 0120 (Room & Board Semi-Private). My issue is the authorization was obtained under Rev Code 0150 (Room & Board Ward).
Can I rebill under ... [ Read More ]
[HEADING=2]1.Sounds like the bottom half of the labrum, so it would be 29806.[/HEADING]
[HEADING=2]Coding Slap Tears[/HEADING]
The labrum in the shoulder connects the glenoid with the head of the hum... [ Read More ]