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.
The hospital would bill on a UB for the clinic charges, and the physician would bill on the 1500 for the provider's professional fee. That part is correct.
However, you wouldn't use the TC and 26 mo... [ Read More ]
I am a facility coder for a hospital system that is primarily Medicare and Medicaid patients. I also work denials, NCCI edits, payer specific edits etc for OPPS billing. Our pain management and wound ... [ Read More ]
Just started billing for loop recorder insertion
UB04 form CPT 33285 TC and C1764
I'm trying to figure out what the correct revenue code is for CPT 33285 TC I used 510 but claim denied
I used reve... [ Read More ]
Hi everyone, looking for some feedback on how your facility bills for outpatient wound care services (codes in the 11XXX range) as it relates to the revenue code being assigned? Specifically asking ab... [ Read More ]
Hello,
We are a CAH and we have outpatient specialty clinics who we bill both the professional fee and the facility fee as they are our employed providers. How do you determine the facility fee? Fo... [ Read More ]
If the NP is billing an E&M code, the facility would bill the facility component (e.g. G0463) under revenue code 510 as it would for any other E&M visit.
In the event that the RD or nutritionist pro... [ Read More ]
My Dr. removed a tibia benign bone cyst and he wants to bill 27638.( 27638 Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft ) He used Osteocrete to fill in the defe... [ Read More ]
Yes, the physician will bill 99213 with a place of service 22 or 19, which will pay a reduced rate since the fee will only include physician work and not include reimbursement for the space and staff.... [ Read More ]
I recently passed the CPC certification test and looking for medical coding/billing job options in the San Francisco Bay Area. I have an medical background (MD) and a great work ethic. If anyone knows... [ Read More ]
I have a medical background (MD) and recently passed the CPC certification test to get into medical coding. I am looking for medical coding or billing jobs in the San Francisco Bay Area. I am attachin... [ Read More ]