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.
Take a look at their handbook online- [URL]https://www2.illinois.gov/hfs/SiteCollectionDocuments/a200.pdf[/URL] :
A-220.4 Hospital Observation Care A practitioner may charge for hospital observation ... [ Read More ]
Our optical practice has recently started using package pricing - we include lens material and AR coating with our flat price for SV and PAL lenses rather than offering enhanced materials/AR as "add o... [ Read More ]
Our optical practice has recently started using package pricing - we include lens material and AR coating with our flat price for SV and PAL lenses rather than offering enhanced materials/AR as "add o... [ Read More ]
This is a pretty big question from the billing, coding, federal/state regulation and practice management standpoints. Below are some references:
[URL unfurl="true"]https://www.cms.gov/Regulations-and... [ Read More ]
[QUOTE="VelshAS, post: 485279, member: 32487"]
Hello. Can someone help me with this report? I am lining to 93656, 93657, 93655,93613, 93662 but I am not sure how to code Ethanol ablation of the vein o... [ Read More ]
For facility billing, if we have multiple dx codes on the patient chart, but the primary code for which the patient sought care is not listed first, can we change the order of the codes on the claim? ... [ Read More ]
Code for quality of care, not just reimbursement. According to the Agency for Healthcare Research and Quality (AHRQ), over 2.5 million people in the United States are affected by pressure ulcers each year, with the total annual cost for treatment [...]
Question: I am having terrible issues with referring doctors using R91.8 for 78815/A9552. In the past, I have been instructed not to accept this code. However, in just the past 3 weeks, I have had an increase of fluorodeoxyglucose (FDG) [...]
Question: A 65-year-old female Medicare patient who previously underwent a unilateral mastectomy for breast cancer presented to our radiology practice for an annual mammography. Can we assign a screening mammography for the visit? Indiana Subscriber Answer: No, you cannot assign a screening [...]
Get the scoop on in-house blood testing codes. In the world of family medicine, preventive services play a substantial role. As a coder, you need to be able to understand how to report these preventive services accurately every time. In [...]
Get the scoop on in-house blood testing codes. In the world of pediatric medicine, preventive services play a substantial role. As coders, you need to be able to understand how to report these preventive services accurately every time. In her [...]
Plus: Feds finalize new API requirements and a MIPS measure, too. After the pandemic revealed systemic issues with access to care, the feds have tried to right this problem with new policies and programs. In the latest rule, Medicare embraces [...]
Plus: Feds finalize new API requirements and a MIPS measure, too. After the pandemic revealed systemic issues with access to care, the feds have tried to right this problem with new policies and programs. In the latest rule, Medicare embraces [...]
Plus: Feds finalize new API requirements and a MIPS measure, too. After the pandemic revealed systemic issues with access to care, the feds have tried to right this problem with new policies and programs. In the latest rule, Medicare embraces [...]
Plus: Feds finalize new API requirements and a MIPS measure, too. After the pandemic revealed systemic issues with access to care, the feds have tried to right this problem with new policies and programs. In the latest rule, Medicare embraces [...]
Question: I received a Medicare claim rejection for 78816-PI, citing inconsistent modifier or required modifier is missing. The physician order reads, “72-year-old male with high-risk prostate cancer, Gleason 9, needing imaging to assess for metastases. The purpose of this scan is [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.