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Brush up on modifier 24 guidelines to ensure payment for postsurgical unrelated E/M services. Standard postoperative care, including related evaluation and management (E/M), is not separately reportable, but an unrelated E/M service during the postsurgical period may be. To alert the payer that an E/M service provided during the global period is not related to […]
The post Modifier 24: Determine How Your Payer Defines “Unrelated” appeared first on AAPC Knowledge Center.
Know what payers are looking for in subsequent hospital care claims, and how to give it to them. Medical necessity is the No. 1 consideration when selecting an evaluation and management (E/M) service code. Without medical necessity to support billed services, your practice is put at a serious noncompliance risk. Consider, for example, one payer’s […]
The post Determine Medical Necessity for 99233 appeared first on AAPC Knowledge Center.
I am a coder with HCC experience who is now trying to break in to inpatient coding. I am very new to DRG assignment and am currently trying to figure out what the best software program is to help with figuring that out. (Sorry if this sounds ignorant). Any advice or recommendations would be greatly appreciated. Thank you so much!
I work for an organization that has many facilities and occasionally a patient will be transferred from one facility to another for a higher level of…
Medical Billing and Coding Forum
The Centers for Medicare & Medicaid Services (CMS) has made it even easier for clinicians to determine their eligibility in the Merit-based Incentive Payment System (MIPS): A new interactive online tool allows clinicians to determine their status by simply entering their national provider identifier. Last month, CMS also started sending Medicare-participating clinicians notices in the mail to […]
AAPC Knowledge Center
With less than three months before the start of the Merit-based Incentive Payment System (MIPS) 2017 performance period, there’s really no time to waste in readying your practice to meet the reporting requirements — assuming you are a MIPS eligible clinician. The Centers for Medicare & Medicaid Services (CMS) made one very small and easily overlooked change for determining […]
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