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.
Hi mconner001,
Did you find this website? [URL]https://wa-provider.kaiserpermanente.org/provider-manual/billing-claims/claims/claims-ra[/URL]
Inside this link it states:
Our electronic 835 remitta... [ Read More ]
We are getting denials from Kaiser for our pathology services stating the diagnosis code is not appropriate. When there are no findings on the pathology report and the provider took biopsies because... [ Read More ]
Clover is retracting tons of claims for the modifier used. I bill for a ambulatory surgical center. We bill 45380 with 43239 51 modifier. Clover is denying for the procedure code is inconsistent with ... [ Read More ]
Anyone know what's up with this? I am new to coding but haven't had any issue with these two modifiers until now. The holds messages are from now all the way back to November. If I remove either SA or... [ Read More ]
Hello,
Below, please find an email regarding a (FREE) virtual opportunity to learn medical coding from an approved AAPC Educator.
It may, also, be of benefit to our local chapter members who may ... [ Read More ]
[QUOTE="trarut, post: 490178, member: 7736"]
CO-16 just means there is an error in the information submitted.
[B][I]CO-16[/I][/B][I] Claim/service lacks information or has submission/billing error(s... [ Read More ]
CO-16 just means there is an error in the information submitted.
[B][I]CO-16[/I][/B][I] Claim/service lacks information or has submission/billing error(s). Usage: Do not use this code for claims at... [ Read More ]
Hello. Is anyone else as upset about UHC's new OptumPay service as I am? We are a small CAH and cannot absorb the cost of paying for a remittance advice. I actually question if this is even legal. ... [ Read More ]
I billed Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use (90672) with administration code(90473) and got denied as follows:
The administration method and drug must be reported... [ Read More ]
90746-Hep B vax, adult dosage, 3 dose schedule, IM
90471-Vax administration, one vaccine
86580-TB skin test (including the the injectate)
I like to list the full codes in case we're dealing with typo... [ Read More ]
Post-COVID fallout continues to be a problem. If you need a reminder of why your practice may be seeing unprecedented scrutiny, look no further than the HHS Office of Inspector General’s (OIG’s) latest enforcement opus. Background: In the OIG’s Semiannual [...]
If you’re confused by the HIPAA Simplification rules and how they apply to electronic healthcare transactions, you may want to review the top problems the feds see on the daily to ensure your Medicare claims stay compliant. Details: Since 2019, [...]
Figuring out the nuances of the HIPAA Simplification rules and how they apply to your practice’s electronic healthcare transactions can be confusing. But the feds recently updated their compliance training with the top issues they’ve seen on providers’ claims. Remember: [...]
If you’re confused by the HIPAA Simplification rules and how they apply to electronic healthcare transactions, you may want to review the top problems the feds see on the daily to ensure your Medicare claims stay compliant. Details: Since 2019, [...]
The countdown has begun for full implementation by January 2020. The Centers for Medicare and Medicaid Services (CMS) began rolling out significant changes to their beneficiary cards in April 2018, but you might just be starting to see the updates [...]
Question: Our MAC just told us that patients will be bringing in new Medicare cards starting this month. What do we need to know to prepare? Codify Subscriber Answer: You're correct in noting that CMS said Medicare beneficiaries will start [...]
Question: Our MAC just told us that patients will be bringing in new Medicare cards starting this month. What do we need to know to prepare? Codify Subscriber Answer: You're correct in noting that CMS said Medicare beneficiaries will start [...]
Warning: CMS wants everyone on board by January 2020. The Centers for Medicare and Medicaid Services (CMS) is making big changes to protect residents' privacy and the security of their data. The rollout begins in early April 2018, and CMS [...]
Warning: CMS wants everyone on board by January 2020. The Centers for Medicare and Medicaid Services (CMS) is making big changes to protect patients' privacy and the security of their data. The rollout begins in early April 2018, and CMS [...]
S, L, O, I, B, and Z will never be part of the new MBI, CMS notes. As March comes to a close, Medicare Part B practices are ramping up for what CMS calls its "New Medicare Card Project." The [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.