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We decided to pull the tube out and put the paper patch there to see if it helps. She felt little better and felt more full as expected, but no crackling sound.
I want to know if there are ICD10 codes that only acceptable as Principal diagnosis, if yes please send me the ranges and the guidelines.
Thank you
A patient who has been on our hospice service came in with this code as their primary dx in April. Claims through Kaiser have always been accepted. When trying to get their October claim filed, however, it was suddenly kicked back to us as an unacceptable primary code.
I have not found anything that would support it’s sudden exemption as it is an HCC and rare so it would not make logical sense that it was suddenly removed from the acceptable list.
Any help would be most appreciated!
Lynn McDougal, CRC
I am auditing the fees at my Urgent Care and I am noticing that we are being paid below Medicare Rates for our PPO policies for almost every service. To me this seems abnormal. Highly abnormal. I am gathering data but was wondering if anyone had some advice regarding this. I am new to In Network Contracts and would like to know the best way to proceed, as I feel that we are being underpaid by our PPO policies. Thank you.
Lindsey Gallo, CPC
Based on the guidelines for HCC Risk Adjustment Coding / Auditing, can anyone tell me if a CRNP (Certified Registered Nurse Practitioner) is an acceptable provider type?
Thank you so much for the guidance!