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.
Does anyone have a reliable source of information on this topic? I am an auditor and have run into conflicting views on this. Some want to give credit for prescription drug management under the risk... [ Read More ]
We are setting up J0741 - Injection, cabotegravir and rilpivirine, 2mg/3mg and this requires two individual gluteal injections. Would you capture 96372 for each injection?
Cabotegravir and rilpiviri... [ Read More ]
Indications
SVT (supraventricular tachycardia) (CMS-HCC) [I47.1 (ICD-10-CM)]
Conclusion
Electrophysiologic Study and RFA Procedure Report
Transseptal Access Performed Under Direct Supervision o... [ Read More ]
A patient was admitted into the hospital for induced abortion at 18 weeks due to fetus demised. The patient received 600 mg orally of misoprostol and delivered vaginally in the OR on the same day. The... [ Read More ]
Good morning Team,
We have 4 open Coding Auditor positions under HealthSun Delivery Network (WellMax & Pasteur).
These positions are located at the Medical Centers and will report to the assign loc... [ Read More ]
[QUOTE="jellis555, post: 504843, member: 775904"]
I just finished Practiced, and talk about a let down. After answering 600 questions in the modules and 60 questions in the assessment I now can not ge... [ Read More ]
I just finished Practiced, and talk about a let down. After answering 600 questions in the modules and 60 questions in the assessment I now can not get anyone to give me my last test score. Each time ... [ Read More ]
[QUOTE="hsmith67, post: 500502, member: 92069"]
So a friend had a colonoscopy, first done in 2012, 2 polyps found and removed. Second colonoscopy done 2015 1 polyp found and removed. Third colonoscopy... [ Read More ]
I'm assuming your friend has commercial insurance because $600 is kind of steep for a Medicare coinsurance for an ASC procedure. Were the previous procedures done at the end of the year? (to exclude p... [ Read More ]
Warning: You should not count fibroid weight with the weight of the uterus. Approximately 600,000 hysterectomies are performed annually in the United States, meaning that you will likely see a hysterectomy claim land on your desk. Before you feel overwhelmed [...]
Nonprofit hospices are on the move. As a large health system shuts down its hospice operations in Arizona, a publicly traded chain builds its presence in the state. The Pennant Group Inc. has acquired Southwestern Palliative Care and Hospice in [...]
Medicare has announced price hikes for beneficiaries’ premiums and deductibles. The standard monthly premium for Medicare Part B enrollees will be $174.70 for 2024, an increase of $9.80 from $164.90 in 2023, says the Centers for Medicare & Medicaid Services [...]
Caution: AKS issues remain an OIG sticking point. With the pandemic largely in the rearview mirror, you may be revising your policies and heaving a sigh of relief. But don’t get too comfortable — federal enforcers aren’t taking any breaks [...]
See when the pathologist joins the fray. Blood transfusions are a key part of treatment for cancer or other conditions, and your clinical lab and pathologists may be involved every step of the way. That’s why you need to learn [...]
Add one more item to your list of hiring headaches. Not only do you need to check the HHS Office of Inspector General’s searchable database of individuals excluded from federal healthcare programs, but you also need to do an educational [...]
The prison sentences are steep for people who buy, rather than earn, diplomas. Managing staff can be one of the hardest parts of running a practice, especially if you’re facing staff turnover and have to navigate hiring new workers. A [...]
Find out if batching requirements are too strict. On Dec. 23, 2022, the Centers for Medicare & Medicaid Services (CMS) issued an amendment to the calendar year (CY) 2023 fee guidance for the Federal independent dispute resolution (IDR) process of [...]
Not only do you need to check the HHS Office of Inspector General (OIG’s) searchable database of individuals excluded from federal healthcare programs, but you also need to do an educational background check on your clinical staff, too, a recent [...]
Give the feds your 2 cents by March 10. Your labor landscape could look very different if the FTC finalizes a new proposal to all but eliminate non-compete agreements with employees. “The Federal Trade Commission proposes preventing employers from entering [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.