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Tag Archives: General
Does anyone know where to find general updated CDPS (Medicaid) risk adjustment info?
I am studying and starting to work with the CDPS Medicaid risk adjustment model and just cannot find much information explaining the model and the ICD-10-CM codes that are included. Nothing in cms.gov. I found two papers but the most recent is from 2002!!
Can anyone point me in the right direction?
Thanks!
97110 by General Practitioner or Family medicine in office Visit
Hello,
Request to guide that, can we report 97110 (Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility) for below scenario ?
In the office visit of Worker’s Compensation of California by general practitioner or family medicine, provider documents below paragraph with the heading of therapeutic exercises.
THERAPEUTIC EXERCISES
The patient was personally trained in appropriate warm up, strengthening and stretching exercises. These rehabilitative exercises were reiterated, demonstrated and reinforced; while the patient actively participated. This is also intended to be performed at home on a daily basis. The rehabilitation routine decreases inflammation, increases flexibility and strength of the specific structures in the injury adjacent locale to include both agonist and antagonist muscle groups, intrinsic flexor, extensor and rotary muscles as well as supporting structures. The exercises were intended to increase strength and range of motion and decrease pain. The minimum time required for CPT 97110 was exceeded for this patient.
General labs for visit to establish care
Scenario: New patient comes in to establish care. She has not been seen by a dr in years nor had lab. Provider orders routine lab with no complaints and no previous dx. Is Z00.00 the correct ICD-10 code for this type of visit? A coworker (not a coder) says it is not a valid code and lab will be denied by insurance (Humana). Thank you!
Lawyer General Ford Announces Sentencing of Fraudulent Medicaid Provider Business
Nevada Attorney General Aaron D. Passage declared that Moving Forward Counseling Solutions, LLC (Moving Forward), a Medicaid supplier business based out of Las Vegas, was condemned for Medicaid extortion. The misrepresentation was submitted between January 2016 and December 2016.
The post Lawyer General Ford Announces Sentencing of Fraudulent Medicaid Provider Business appeared first on The Coding Network.
General DX – Expectant Mothers
Hello
My apologies for posting this if this is in the wrong forum:
Recently where I work at, the providers are wishing to use the following Diagnosis Code: O00.01 Abdominal pregnancy with intrauterine pregnancy to cover any and all expectant mothers who report for L&D purposes with O82 or O80 as a secondary diagnosis to reflect either C-Section or Vaginal Delivery.
This is triggering a warning flag but I can’t quite place why
Is there supporting documents to either support the provider’s request or point out where this is considered a proverbial -no-no-?
CRNA Venipuncture w/ General Anes
Our CRNA was called in to do a venipuncture on a child that has bad veins. They tried versed, but the child still could not be controlled. They ended up doing the venipuncture under general anesthesia. Can we charge for that anesthesia or is it going to be part of the VP? Thank you!
General Surgery Rounds
Chief complaint: GS
HPI:0
ROS: 0
Subjective: Urine input/output, o2 sats, BP
Exam: Const, Lymph, Resp, MSK, Skin, cardio, Neuro
HPI:0
ROS: 0
Subjective: Urine input/output, o2 sats, BP
Exam: Const, Lymph, Resp, MSK, Skin, cardio, Neuro
Assessment plan: sepsis, diabetes, ARF, AKI, intestinal obstruction, dehydration, hypokalemia
Surgeon performing rounds on a patient, is this acceptable as 99233?
Is it always necessary to have a chief complaint and an HPI for the inpatient E/Ms ?
General Discussion
Why is it so hard to get a job for a CPC-A who has been certified since 2016?
General Health Panel 80050
I am working on ER account and have been getting a couple of denials on some accounts where they do provide 80053, 84443 and 85025 and the insurance wants to delete those codes and change it to a general health panel.
Someone did tell me that since it is an ER visit this doesn’t apply. I have been looking up online to see if there is a rule on this (the biller needs this for documentation) but I am unable to find anything online. I did look at the CPT book and it does say look like they can replace the codes provided with 80050. When I think of general health panel I don’t think of an er visit. The Insurance is CHAMPVA..I see over 600 (ER) accounts a day and I never seen this code before. Please help.