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.
Conclusion
· Wolff-Parkinson-White syndrome with multiple pathways
○ Elevated-risk features for malignant arrhythmia
○ Orthodromic AV reentry tachycardia echo beats under anesthesia
○... [ Read More ]
Any advice on how to code this procedure would be greatly appreciated. I cannot decide on the cath codes and angiography codes. 36215, 75710, 75756?
Procedures: Selective left subclavian artery an... [ Read More ]
Hey smart people, Im trying to find documentation on corrected claims and if a Plan can change a Providers billed charges so the claim will pay higher than the original billed charges ie.. a SNF bills... [ Read More ]
There's a lot going on here and some help would be appreciated. Here is what i have come up with:
[B]93458 26 Left heart cath
93567 Supravalvular aortography
37252 RT IV... [ Read More ]
[QUOTE="Cmama12, post: 490331, member: 248812"]
Yes, we do. We began to see providers using 58661 several years ago and after questioning it and a lot of back and forth, leadership decided to accept ... [ Read More ]
Another new one to me ? Any help would be appreciated. i have so far
[B][COLOR=rgb(85, 57, 130)]36200 50 (cath placements)[/COLOR][/B]
[COLOR=rgb(85, 57, 130)][B]34713 50 (perQ access with 12 French... [ Read More ]
[QUOTE="Jim Pawloski, post: 265951, member: 67434"]
To answer your questions, 36223 is part of the right carotid family, so it is bundled into the carotid stent, and bundled into any the the carotid c... [ Read More ]
Can anesthesiologists bill their professional fee on an inpatient claim separately, when they have billed for the anesthesia times already? For example, billed 26 units under rev 370 for 260 minutes,... [ Read More ]
You should expect changes ahead for the Justice Department’s Transnational Elder Fraud Strike Force as it expands. Details: The Strike Force, composed of DOJ’s Consumer Protection Branch, six U.S. Attorneys’ Offices, the FBI, U.S.Postal Inspection Service, and Homeland Security Investigations, [...]
Expect to see more activity from the Justice Department’s Transnational Elder Fraud Strike Force as it expands. The Strike Force, comprised of DOJ’s Consumer Protection Branch, six U.S. Attorneys’ Offices, the FBI, U.S. Postal Inspection Service, and Homeland Security Investigations, [...]
See which updates are coming in 2020. Stay informed on recent updates to the to National Coverage Determinations (NCDs). The Centers for Medicare & Medicaid Services (CMS) recently released MLN Matters® 11491 and Change Request (CR) 11491, which includes nine [...]
You’ll see some changes to NCD 20.9.1 “Ventricular Assist Devices.” CMS recently released MLN Matters® 11491 and Change Request (CR) 11491, which made changes to several National Coverage Determination (NCDs). You will see nine changes in all, and five of [...]
Get to know how these new CMS proposed rules might affect your practice. Fee schedule changes to most evaluation and management (E/M) services have been relatively safe from CMS intervention over the past few years. As for 2019, however, it’s [...]
Hint: Proposal causes one pulmonary practice in our sample to lose $93,000 in one year. Pulmonology practices have been able to rest easy during the past few years’ worth of fee schedule changes, but this year may have thrown a [...]
Keep long-term impact of expanded Level 1 edits in mind, experts urge. Chances are you need to shore up your cost reporting practices to avoid failing newly announced Level 1 edits. So indicates the Centers for Medicare & Medicaid Services' [...]
Line 3 Employee Benefits - missing from 13.80% of reports in 2016 (385 reports) Line 4 Administrative & General - missing from 0.29% of reports (8) Line 5 Plant Operations and Maintenance - missing from 45.16% of reports (1,260) Line [...]
You are looking for both relevance and practicality when considering which MIPS measures are appropriate to report for your specialty. We’ve outlined three easy neurosurgery-specific measures here: 1. Measure #260: Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major [...]
Question: Can you tell us what the Medicare deductible will be for next year? Kentucky Subscriber Answer: After two years of Part B deductibles that stood at $147.00, CMS has decided to have Medicare beneficiaries pay a bit more for [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.