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Latest articles

Coding with PCS When There is No Code
August 5th, 2020 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
ICD-10-PCS covers ALMOST everything! But not quite! What if a body system does not contain a body part for toes or fingers? What about an elbow? When it does not cover what you are looking for, where do you turn?  To the guidelines, of course! There are ICD-10-PCS guidelines just as ...
To Our Codapedia Friends!
July 30th, 2020 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Codapedia friends, come and join us at Find-A-Code - a core product of innoviHealth! The information found on Codapedia comes from our sister company, Find-A-Code. If you do not already have a subscription with the greatest online coding encyclopedia, call us and get signed up today. We are offering a ...
OIG Report Highlights Need to Understand Guidelines
July 28th, 2020 - Wyn Staheli, Director of Research
A new OIG report once again highlights the necessity for organizations to fully understand requirements for reporting services and having proper documentation. The types of problems addressed in this report are ongoing issues for multiple types of services and specialties and for many different payers.
Office of Inspector General Says Medicare Advantage Organizations are Denying Services Inappropriately
July 21st, 2020 - Aimee Wilcox
We attended the recent virtual RISE National Conference and had the opportunity to listen to presenters share their knowledge about risk adjustment and HCC reporting and data validation. Among the presenters were representatives from the Office of Inspector General (OIG), who presented findings from encounter data from 2012-2016. They began ...
Use the Correct Diagnosis Codes and Revenue Codes to Get Paid for PAD Rehab
July 15th, 2020 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
The initial treatment in rehabilitation for patients suffering from Intermittent Claudication (IC) is Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD).  Rehabilitation using SET involves the use of intermittent walking exercise, which alternates periods of walking to moderate-to-maximum claudication, with rest.   When reporting 93668 for peripheral arterial disease rehabilitation the following ...

Editors choice articles

To Our Codapedia Friends!
July 30th, 2020 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Office of Inspector General Says Medicare Advantage Organizations are Denying Services Inappropriately
July 21st, 2020 - Aimee Wilcox
Are NCCI Edits Just for Medicare?
July 14th, 2020 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Payment Adjustment Rules for Multiple Procedures and CCI Edits
July 9th, 2020 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
New ABN Form is Here
July 7th, 2020 - Wyn Staheli, Director of Research

Latest questions/posts

Open Thoracotomy
   Jul 13th, 2020 - rhblevins

99201, 99211 coding
1st    Jul 8th, 2020 - Coder132

cpt 77002 professional componet with cpt 20610, who charges?
   Jul 2nd, 2020 - sschwartz 4 

ICD 10 code for displacement of cholecystostomy tube
   May 15th, 2020 - Susan

ICD 10 PCS code need for repair of skin of left elbow
1st    May 15th, 2020 - Susan

Cigna R24 Omnibus Reimbursement Policy - EXCEEDS LIMIT
1st    Apr 21st, 2020 - keith

covid 19
   Apr 2nd, 2020 - anitac

Fracture treatment and xrays
   Mar 26th, 2020 - rdinaso    12  1 

Billing with an "add on" code
1st    Mar 19th, 2020 - pattioconnor

Hospital Discharge Code 99239
   Mar 13th, 2020 - abbyakinleye 10 

LV Septal Pacing
   Feb 7th, 2020 - sharris

Medicare denying claims, reason CO-45
   Jan 29th, 2020 - phil.jen

CPT 99213 w/ 98941, 97110 or 97140 for Aetna
1st    Jan 22nd, 2020 - phil.jen

Billing patients/attorney with no insurance
1st    Jan 21st, 2020 - bells221

coding question
   Jan 13th, 2020 - nate0922 7 

Cpt codes 99473 and 99474
   Jan 2nd, 2020 - Krogers

Medicare denied the claim
   Dec 13th, 2019 - NAHAR, SHAMSU

CPT code for Interosseous Bioplasty
   Dec 12th, 2019 - rdinaso    12  1 

medicaid primary claim denied due to timely fling
   Dec 12th, 2019 - NAHAR, SHAMSU

codes 27310
1st    Dec 10th, 2019 - maryN.

Gastroenterology question on codes
   Dec 9th, 2019 - trixiecane

Gastroenterology question on codes
1st    Dec 9th, 2019 - trixiecane

J1071 Code
1st    Nov 15th, 2019 - Alicia

Code for Escharotic treatment?
1st    Nov 12th, 2019 - Amanda_Marie

CPT 96405
   Nov 12th, 2019 - npott1 9 

Extirpation of matter from the Pulmonary Artery
   Nov 1st, 2019 - stomach1 3 

Blue cross Blue shield denies office visits/E& M visits.
   Oct 15th, 2019 - gowri.tina

Consultations
1st    Oct 15th, 2019 - MaureenK

HCPCS Code for a Strassburg Sock
   Oct 10th, 2019 - lhaas01 13 

CPT 82948
1st    Sep 18th, 2019 - NAHAR, SHAMSU


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