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.
[QUOTE="BS&SC, post: 509761, member: 614492"]
Thank you all for your replies! I appreciate the guidance as I try and figure out my "place" in this new job. I have realized that our "encoder," which is... [ Read More ]
Thank you all for your replies! I appreciate the guidance as I try and figure out my "place" in this new job. I have realized that our "encoder," which is part of the NextGen product, is where physici... [ Read More ]
Hi [USER=703933]AmBaseer[/USER], I have the same issue with EmblemHealth in NY. We are OON with them and they do pay when we file an appeal however they pay 58$ for the R0070 code. If I appeal a secon... [ Read More ]
[QUOTE="sls314, post: 506512, member: 523015"]
Nice job paying attention though!
This just happened to be a question that was impacted by code changes from one year to another. Since it sounds like ... [ Read More ]
We have a cardiologist that is new to our practice and would love any insight into whether i am capturing all the charges accurately. Thanks so much for [I]any[/I] help!
i came up with:
[B]75716 26... [ Read More ]
Provider is wanting a 99202 for this visit. I do not feel this visit has enough documentation for a qualifying visit. Does anyone see something I may be missing? Thank you
Primary Care Provider:
Acc... [ Read More ]
For data analysis (and there is room for error if previous claims were coded incorrectly), filter claims or cases with CPTs 59510, 59514,59515 and dx O34.211 or O34.219 and back into it to extract the... [ Read More ]
Moda Health is currently hiring for a RN Hospital Claims Auditor. One of our employees is a member of the Advisory Board of the AAPPC Columbia River Coders chapter and mentioned that some chapters ann... [ Read More ]
IMO, (I am still fairly new to coding) not really enough information to offer accurate icd-10s, but here are a few choices (if you are referring to smoking cigarettes that is):
If no burns (due to co... [ Read More ]
If you haven't already heard, or haven't received the flyer, the Seacoast Dover NH AAPC Chapter is hosting its annual workshop on Thursday and Friday, June 13-14 at the Hellenic Center, 219 Longhill R... [ Read More ]
Small, medium, or large? Deciding might not be so easy. When patients report to the orthopedist with joint issues of any kind, arthrocentesis is a possibility. What is it? Arthrocentesis occurs when the orthopedist uses a needle to puncture a [...]
Choose different codes for atherosclerosis of bypass grafts vs. native arteries. If you find peripheral artery disease (PAD) and peripheral vascular disease (PVD) coding confusing, you’re not alone. Read on for some helpful insight on how best to maneuver this [...]
Do you know why the surgeon would perform amygdalohippocampectomy? When a patient undergoes a craniectomy/craniotomy, the scramble is on for coders to choose the correct surgical code to represent the procedure. Some craniectomy/craniotomy procedures are performed almost exclusively for a [...]
Don’t forget to assign counseling codes. Radiologists perform low-dose computed tomography (LDCT) scans to evaluate eligible patients for possible lung cancer. While the LDCT screening is reported with 71271 (Computed tomography, thorax, low dose for lung cancer screening, without contrast [...]
Find out how to report intestinal bacteria overgrowth. Knowing which specialty-specific codes are changing can be a huge timesaver for coders who work with specialized practices. Coders who are familiar with gastroenterology should become familiar with new K codes and [...]
Check out which codes you currently report are turning into parent codes. Starting Oct. 1, 2023, 501 new ICD-10 codes go into effect, and among them are several new K codes and an expanded Z code set for family history. [...]
When a code is converted to parent, new codes are part of the deal. In ICD-10 2024, there are several new codes taking effect that stand on their own and will be listed in the code book as such. There [...]
Question: Several Medicare patients have come in for low-dose computed tomography (LDCT) lung cancer screening scans. I’m new to radiology coding, and I’m not sure what CPT® codes to report. What codes should I assign to report an LDCT scan? New [...]
Understand DED coding nuances to safeguard your practice’s reimbursement. Nearly half of all U.S. adults experience signs and symptoms of dry eye disease (DED), and roughly a third of patients in eye care clinics present with complaints related to dry [...]
Pop quiz: What’s the one scenario that allows different practitioners to complete the face-to-face encounter and the home health certification? Face-to-face encounter denials shoot down many home health claims. Make sure you’re armed with everything you need to fly high [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.