Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

CMS Forecasts Increase in Dialysis Payment, Health Equity Gap Reduction

Proposed rule improves payment rates, incentives, and ESRD treatment choices. Disadvantaged Medicare patients suffer from end-stage renal disease (ESRD) at higher rates and are also more likely to be readmitted to hospitals, experience higher costs, and receive in-center hemodialysis when their kidneys are no longer able to function properly. Furthermore, non-white patients with ESRD are […]

The post CMS Forecasts Increase in Dialysis Payment, Health Equity Gap Reduction appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Final Rule Encourages Home Dialysis and Living Donor Kidney Transplants

Mandatory model aims to reduce Medicare expenditures for ESRD patients while improving their quality of care.

The post Final Rule Encourages Home Dialysis and Living Donor Kidney Transplants appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Laparoscopic removal of peritoneal dialysis cath

Can’t find a code for Laparascopic removal of cath … can someone direct me … so far I have codes 49421, 49084, please correct me if incorrect :confused:

PREOPERATIVE DIAGNOSES:
Fungal peritonitis with peritoneal dialysis catheter and chronic kidney disease.

POSTOPERATIVE DIAGNOSES:
Fungal peritonitis with peritoneal dialysis catheter and chronic kidney disease.

PROCEDURES:
Laparoscopic removal of peritoneal dialysis catheter and abdominal washout with
placement of hemodialysis catheter tunneled.

ASSISTANT:
None.

ANESTHESIA:
General.

PROCEDURE IN DETAIL:
The patient was placed on operating table in supine position. After
administration of general anesthesia, the patient’s abdomen and chest were
prepped and draped in usual fashion. Attention was turned to the left
subclavian approach utilizing an infraclavicular approach subclavian vein was
easily cannulated. J-wire introduced. Peel-away dilator catheter was placed
over the J-wire into the vessel and the previously heparinized catheter was
placed in position through the peel-away catheter and anchored. There was good
blood return in both ports. A 7500 units in 2 mL of heparinized saline was
instilled in each port. Biopatch and sterile dressings were applied. Then,
attention was turned to the abdominal area where a supraumbilical midline
incision made and carried down the fascia. 0 Vicryl two stay sutures were
placed. The Hasson was placed. Laparoscope was then placed and a 5 mm trocar
was placed in the right lower quadrant without injury to intraabdominal
contents. The catheter was identified and easily removed early just by pulling
the catheter out and the entire catheter came out. The abdominal cavity was
then copiously irrigated with 6 L of fluid and then suctioned as well.

Cultures had been obtained from this fluid prior to the surgery. The area was
thoroughly irrigated, all fluid removed and then the fascia was closed with 0
Vicryl and staples for skin. Final sponge, needle, and instrument count
correct. Sterile dressings placed. The patient was transferred to recovery
room in satisfactory condition.

Medical Billing and Coding Forum

Examine your dialysis space to ensure room to separate infectious patients

Hemodialysis is one of four areas The Joint Commission (TJC) says it’s increasing focus on during surveys. With this in mind, ensure that your hospital’s hemodialysis patients remain in clear view of staff while undergoing the procedure. In addition, make sure there’s enough space to separate patients with respiratory illnesses, fevers, fecal incontinence, or other infectious conditions.

HCPro.com – Briefings on Accreditation and Quality

Dialysis 90970

Hello,

I’m auditing a provider whom sees/manages dialysis for a patient at a free standing dialysis clinic. The physician is billing 90970 daily because there was no comprehensive visit done for the month and it’s less than a full month however, there are charges for days that the patient isn’t in the clinic? For example, I was looking at one date of service where he billed a 90970 and Medicare paid however when I requested to review the note for this dos I was told there was no note because the patient wasn’t seen in the clinic that day. When I reviewed the billing and compared to the notes I had, there were several dates billed with this code in April, but I only had 3 notes. What am I missing here? My interpretation of 90970 is that the provider would need to see the patient face to face and document the days he/she’s seen the patient in order to bill??

So my bottom line question is, can 90970 be billed daily by the provider whom is managing the dialysis plan for the patient for less than a full month, regardless of seeing the patient face to face?

I haven’t audited nephrology before and I’m not familiar with dialysis so any information or insight would be greatly appreciated!

Thank you,
Melanie S

Medical Billing and Coding Forum