ICD-9 code 175 for Malignant neoplasm of male breast is a medical classification as listed by WHO under the range -MALIGNANT NEOPLASM OF BONE, CONNECTIVE TISSUE, SKIN, AND BREAST (170-176).
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[QUOTE="Lb6731@hotmail.com, post: 515155, member: 500864"]
Hello Everyone,
Does anyone know the answer or know where to find the answer regarding Ohio Medicaid's payment, as a secondary payer, to the... [ Read More ]
Hello. Our psychologist is billing 96133*1 on the last date of service when supplying feedback session w/ client. UHC is denying this stating it's an add-on code. UHC is the only carrier denying when ... [ Read More ]
[QUOTE="klnowell0809, post: 512543, member: 751746"]
HI,
I get so confused with secondary. I billed 200
Primary allowed- $169.93
Paid- $135.94
Contractional obligation- $50.07
PR- $33.99 coinsurance... [ Read More ]
[QUOTE="klnowell0809, post: 512543, member: 751746"]
HI,
I get so confused with secondary. I billed 200
Primary allowed- $169.93
Paid- $135.94
Contractional obligation- $50.07
PR- $33.99 coinsurance... [ Read More ]
CPT-93922
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsal... [ Read More ]
Hello again my IR friends, I'm having an issue with this case. I'm confused about mechanical venous thrombectomy and venous aspiration thrombectomy. As always, I appreciate your time.
So going th... [ Read More ]
[QUOTE="janice.davis@lpnt.net, post: 494528, member: 220016"]
How many sonograms do your ob's order during pregnancy and when in the pregnancy are they ordered. I have multiple providers and it seems... [ Read More ]
[QUOTE="kpeterson15, post: 492927, member: 746132"]
For the office visit, no the insurance company was billed but they decided to have this amount go towards his deductible, so we ended up having a bi... [ Read More ]
[QUOTE="podcoder70, post: 492924, member: 584850"]
Let me make sure I have got this straight...You paid in full for the visit AND the insurance company paid in full? That's double dipping. Contact t... [ Read More ]
And recognize when RSV is the culprit behind other problems. Respiratory syncytial virus (RSV) is a respiratory infection that affects the patient’s lungs and airways, and as pediatric coders, you’re probably used to seeing RSV, especially in the winter months. [...]
Will egregious fraud cases hurt the entire industry? With serious legislative consequences for home health agencies hanging in the balance this year, the OIG’s take on the industry is more important than ever. The watchdog agency offers its fraud and [...]
Know when to code infections due to RSV. Respiratory syncytial virus (RSV) is a respiratory infection that can be mild or severe, depending on the patient’s age and general medical condition. RSV is rampant in many areas this year, so [...]
Know when to code infections due to RSV. Respiratory syncytial virus (RSV) is a respiratory infection that affects the patient’s lungs and airways. Normally, RSV is a mild respiratory infection, but it can cause dire effects depending on the patient’s [...]
Plus: Unnecessary therapy garners qui tam settlement. If you thought federal enforcers might slow the pace with COVID case ratcheting up and inflation wrecking providers’ bottom lines, think again. Read on for some recent enforcement highlights targeting Medicare fraud and [...]
Oklahoma-based agency and execs settle fraud charges in 2 different suits for a whopping $30 million. Employees have over a million more reasons to head to the authorities with their complaints about your agency’s practices, in light of a recent [...]
But: Data also points out health inequities, too. New research finds that telehealth offered Medicare providers another benefit during the pandemic. It allowed them to keep in closer touch with beneficiaries struggling with substance use disorders and possibly decreased the [...]
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Tip: Ensure BAs have a handle on compliance. If you were just starting to get back into a groove at your practice, you may want to add HIPAA compliance to your staff training to-do list. The HHS Office for Civil [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.