View the ICD-9 code's corresponding Diagnosis Related Groups (DRGs). In a click, verify the DRG, its IPPS allowable, length of stay, and more. Protect your facility's payments by subscribing to DRG Coder.
I am trying to code the ICD 10 PCS inpatient procedure for this. Do i need to query the provider for type of graft non-autologous or autologous to code this as a spinal fusion? or would i code this ... [ Read More ]
I code Home Health Certifications for my practice (I know it's not the same), and it seems to me, that dementia could be a more appropriate code than hypothyroidism.
Like I said, I have never heard ... [ Read More ]
We are struggling with interpreting Medicare's direction when it comes to the time requirements to bill 99292 for Critical Care split/shared. Per the internet-only manual at [URL]https://www.cms.gov/R... [ Read More ]
[QUOTE="nickelclaw, post: 510814, member: 256517"]
release of dupuytren's contracture (fascia of hand),[I][COLOR=rgb(44, 130, 201)] fasciectomy [/COLOR][/I](excision of Dupuytren's), with release part... [ Read More ]
release of dupuytren's contracture (fascia of hand),[I][COLOR=rgb(44, 130, 201)] fasciectomy [/COLOR][/I](excision of Dupuytren's), with release partial of finger(goes by how many)
in this case just o... [ Read More ]
[I][COLOR=rgb(85, 57, 130)][B]Does the doctor have to document alcohol use in the chart to code dependence as the secondary code to Alcoholic Cirrhosis?[/B][/COLOR][/I]... [ Read More ]
[COLOR=rgb(40, 50, 78)]Looking for a CPT code to cover the bold and underlined part of the procedure. Any input is appreciated![/COLOR]
Preoperative Diagnosis
1) Closed right LC 2 pelvis fracture d... [ Read More ]
I have a questions regarding billing a[B] Stress Test[/B] and an [B]EKG[/B] for [COLOR=rgb(85, 57, 130)]same[/COLOR] day. Is the [B]59 modifier[/B] required on [B]both[/B]? I know that the EKG must ... [ Read More ]
Thanks. yes we follow the ACEP guidelines - and if meds or contrast given with scenario above it be a 5. I was wondering what you do for the Multiple test. Does Labs, EKG, and CT without contrast or... [ Read More ]
The Toledo, Ohio AAPC chapter meets on the 2nd Wednesday of each month. We have many great educational speakers scheduled for 2022, and our meetings are typically worth 2 CEUs.
Announcements and meet... [ Read More ]
Test yourself with these two sticky situations. With almost 250 different diagnosis codes to choose from, it’s no wonder that diabetes is among the most difficult diseases to code. And with so many variables, coding for ophthalmic complications of diabetes [...]
Pay attention to payer’s conservative treatment guidelines. Patients that require nerve injections are a common sight in a PM practice. During her HEALTHCON 2024 presentation “Taking the Pain Out of Pain Management,” Jessyka Burke, BHSA, CPC, COSC, CASCC, discussed some [...]
Recent payment models offer primary care, behavioral health expanded options. Not only did the pandemic shed light on the healthcare industry’s systemic issues with equity, but it also reminded many how critical a role primary care providers play and how [...]
Remember: A high blood pressure reading doesn’t always mean hypertension. With 12 different types, primary and secondary diagnoses, and instructions for sequencing and adding additional codes, there’s a lot to remember when you code hypertension (HTN). So, whether you’re new [...]
Doc convicted of CAAP fraud may be a warning shot. If you thought you were in the clear because you’ve paid back CAAP payments, you might want to think again. Why? Even though the COVID public health emergency is coming [...]
Understand CMS’ rules on CAAP usage, reporting, and recoupment. As the COVID-19 public health emergency (PHE) winds down, pandemic-related fraud enforcement is ramping up — and you shouldn’t expect that scrutiny to end any time soon. Context: On Feb. 9, [...]
You’ll need to start using these codes Oct. 1, 2022 Don’t get overwhelmed with more than 1500 new and revised ICD-10-CM 2023 codes going into effect later this year — we’re here to help you sort it out. Read on [...]
Payment may depend on codes that show medical necessity. With more than 1,500 new and revised ICD-10-CM 2023 codes going into effect later this year, you could use a little help sorting it all out. Read on as we highlight [...]
FBI faces new challenges when fighting telemedicine fraud. Studies continue to show how popular and effective telehealth, or telemedicine, is as a healthcare option for certain providers and practices. However, some people use it as an opportunity to defraud the [...]
Don’t take BAs at their word when their actions affect your business. “HIPAA-compliant” is a descriptor that vendors believe is worth its weight in gold, but can you really purchase HIPAA compliance? Telling authorities that the business associate (BA) you [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.