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If you didn’t use the AAPC Conferences app for HEALTHCON, you’ll want it for regional conferences. Navigating four days of AAPC conference educational sessions, events, networking, vendors, food, and entertainment at a large location has become a snap with the AAPC Conferences app. It was a lifesaver at HEALTHCON in Las Vegas this spring, so […]
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To help drive drug prices down, the Centers for Medicare & Medicaid Services (CMS) will require direct-to-consumer television advertisements for prescription drugs covered by Medicare or Medicaid to include the list price – the Wholesale Acquisition Cost – if that price is equal to or greater than $ 35 for a month’s supply or the usual […]
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We are currently experiencing a situation in which an auditor is stating that all IV drugs ordered by the physician with an expected duration of 1-2 minutes must have a documented stop time in order to charge the 96374, 96375 or 96376.
I have never encountered a situation like this in over 5 years. Perhaps I’ve missed verbiage in the CPT coding book that states it must be present?
Any help would be appreciated.
Each time you meet with a patient, you should document a chief complaint (CC). CPT defines the CC as “A concise statement describing the symptom, problem, condition, diagnosis, or other factor that is the reason for the encounter, usually stated in the patient’s words.” Simply stated, the chief complaint is a description of why the […]
AAPC Knowledge Center
In the inpatient setting (but not the outpatient setting), you typically may report a diagnosis documented by the provider as “suspected,” “rule out,” “probable,” “possible,” etc. Exceptions to this rule include HIV and Zika. The ICD-10-CM Official Guidelines for Coding and Reporting (18.C.1.f) instruct: Code only a confirmed diagnosis of Zika virus (A92.5, Zika virus […]
AAPC Knowledge Center
All healthcare providers must present to all patients, with whom there is a direct treatment relationship, a notice of privacy practices. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy rule indicates the notice must be provided: Not later than the first service encounter by personal delivery of patient services, electronically or through […]
AAPC Knowledge Center
You’re working at a hospital during an emergency (e.g., a hurricane). But the person who’s supposed to take the lead is out sick or on vacation, or is distracted from duty because a family member is in danger. Do you know who’s supposed to take that person’s place?