Question: Our providers are now performing a qualitative drug screen in our office on all OB Patients. I have heard that we should use V71.09 (Other suspected mental condition) as the diagnosis on this as drug dependance is considered a [...]
Draw on an impeccable strategy for reimbursement with the 4 A’s. Are you aware of the specific documentation requirements for opioid pain management? Read on to find out how making precise notes of certain aspects can help you maintain high-quality [...]
Hint: Don’t use this code for isolated tic of hair pulling. When “trichotillomania” or “hair pulling” is the diagnosis provided by your psychiatrist, you will be pleased to know that you have a specific code that you can report for [...]
Question: A mother brought in an infant saying that the baby had been pulling at his ears. On exam, the child had no fever and the ears looked fine. The child was well, but our pediatrician had to spend a [...]
Starting with the basics should be your foundation for each visit. Thorough documentation is your key to getting any reimbursement for your provider, but certain services have specific documentation requirements you don’t want to miss. Such is the case with [...]
Tip: Start with the 4 “A’s” at each visit. Thorough documentation is your key to getting any reimbursement for your provider, but certain services have specific documentation requirements you don’t want to miss. Such is the case with chronic opioid [...]
Do not ignore cases with suspected exposure; list every possible symptom. Ebola infections are a constant scare to any practice. “Cancer patients often are immunocompromised making them prone to illness and infections,” says Kelly C. Loya, CPC-I, CHC, CPhT, CRMA, [...]
Contact with and suspected exposure codes are also relevant in Ebola outbreaks Ebola Virus cases have been everywhere in the news recently and focusing a lot of attention of emergency departments. The medical team has to get the diagnosis right [...]
Order of codes presented in the claims makes a significant difference. Although Medicare covers a screening flexible sigmoidoscopy, it does not cover any other service provided during the procedure, whereas most non-Medicare payers are the exact opposite. Therein lies a [...]
Question: A patient presented to our office for a scoliosis screening. We were searching for a diagnosis code to use if the exam was normal but came up short. Can you advise? Answer: The answer depends on whether your [...]
