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Latest articles

Medicare Updates -- SNF, Neurostimulators, Ambulance Fee Schedule and more (2022-10-20)
October 27th, 2022 - CMS - MLNConnects
Skilled Nursing Facility Provider Preview Reports: Review by November 14 - Help Your Patients Make Informed Health Care Decisions - Ambulance Fee Schedule: CY 2023 Ambulance Inflation Factor & Productivity Adjustment - Compliance - Implanted Spinal Neurostimulators: Document Medical Records - Claims, Pricers, & Codes...
2023 Evaluation & Management Updates Free Webinar
October 24th, 2022 - Aimee Wilcox
Congratulations on a successful 2021 implementation of the Evaluation and Management (E/M) changes! That was a big change, but now an even bigger change is headed your way for inpatient and all other E/M categories. How great is it that almost all of the E/M categories will now be scored based on medical decision making (MDM) or total provider time? Standardized scoring and one set of E/M guidelines has the potential of bringing about a change or improvement of provider fatigue due to over regulation and documentation burden.
Are Leading Queries Prohibited by Law or Lore?
October 13th, 2022 - Erica E. Remer
AHIMA released its CDI Practice Brief Monday. At Yom Kippur services, I found myself thinking about the question Dr. Ronald Hirsch posed to me the day before. My rabbi was talking in her sermon about the difference between halacha and minhag. Halacha is law; it is the prescriptions...
2023 ICD-10-CM Guideline Changes
October 13th, 2022 - Chris Woolstenhulme
View the ICD-10-CM Guideline Changes for 2023 Chapter 19 (Injury, poisoning, and certain other consequences of external causes [S00-T88])The guidelines clarify that coders do not need to see a change in the patient’s condition to assign an underdosing code. According to the updated guidelines, “Documentation that the patient is taking less ...
Z Codes: Understanding Palliative Care and Related Z Codes
October 11th, 2022 - Gloryanne Bryant
Palliative care is often considered to be hospice and comfort care. Palliative care is sometimes used interchangeably with “comfort care” and then again sometimes with “hospice care.”  But these terms do have slightly different meanings and sometimes the meaning varies depending on who is stating it. The National...

Editors choice articles

PCS Coding for Ankle Fracture - Look Deeper Into the Codes!
May 25th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Coding Lesions and Soft Tissue Excisions
April 29th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
COVID-19 Vaccines
March 10th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Not Following the Rules Costs Chiropractor $5 Million
September 1st, 2020 - Wyn Staheli, Director of Research
Is COVID-19 Causing Risk Adjustment “Gotcha’s”?
August 27th, 2020 - Wyn Staheli, Director of Research

Latest questions/posts

61154 - burr hole with 61210 Drain - billing issue
1st    Nov 28th, 2022 - enb414

Billing specific codes only to specific insurance companies
1st    Nov 9th, 2022 - Goose 1 

Billing codes 45381, 45382,45385, and 45390
   Oct 28th, 2022 - Endocenter 4 

CCM BILLING for hospice Pt.
   Oct 21st, 2022 - nia 4 

Billing using the provider who rendered the service
1st    Oct 8th, 2022 - Aleecorso

Breast reconstruction CPT codes
1st    Sep 16th, 2022 - Ellie

Esophagectomy with prophy Thoracic Duct Ligation
1st    Sep 1st, 2022 - aolsen7777

EGD with biopsy and botox injection
   Aug 27th, 2022 - Mabel

Adjacent Tissue Transfer with 2 surgeons
1st    Aug 25th, 2022 - Fancy94 1 

1st    Aug 24th, 2022 - nurseliz

Penile Adhesions
1st    Aug 2nd, 2022 - Aimie

Icd 10 code
   Jul 26th, 2022 - Endocenter 4 

2008 Diagnosis Code?
1st    Jun 27th, 2022 - ArtMonk1981

43264 and 43275
   Jun 27th, 2022 - Endocenter 4 

Claims issues
   Jun 16th, 2022 - billing81 1 

Cerner/Soarian User Manual?
1st    Jun 14th, 2022 - GinaV

Medicare Colonoscopy
   May 31st, 2022 - Endocenter 4 

Medial Nerve Block L3,L4 and L5
   May 27th, 2022 - sharris

billing amounts
   May 22nd, 2022 - nia 4 

Ccm billing
   May 22nd, 2022 - nia 4 

TCM billing
   May 15th, 2022 - nia 4 

Ccm billing
   May 12th, 2022 - nia 4 

Ccm billing
   Apr 26th, 2022 - nia 4 

Ccm billing
   Apr 25th, 2022 - nia 4 

TCM readmissions
1st    Apr 23rd, 2022 - Ellen M 1 

Ccm billing
   Apr 17th, 2022 - nia 4 

Billing/Claims for 4 providers
1st    Apr 14th, 2022 - billing81 1 

Claim Billing question
1st    Apr 6th, 2022 - Nettie1113

Ercp codes
   Mar 16th, 2022 - Endocenter 4 

maximum limit on units claimed
1st    Mar 8th, 2022 - nia 4 


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