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New technology calls for an abundance of inpatient code changes. The ICD-10-PCS code set update for fiscal year (FY) 2024 brings us 78 new codes for inpatient medical coders to learn and health plans to implement by Oct. 1. In addition to the new codes, the FY 2024 update to ICD-10-PCS includes 14 revised codes. […]
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Remind chapter members when joining your virtual meetings that each must sign in with her/his first and last name and ID number so you will know who was in attendance. Signing in accurately will help guarantee that they will receive their CEUs when you, as officers, mark attendance in the usual manner. (Remember, you will […]
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I appreciate any assistance ..
EXAMPLE:
Chief Complaint
Nasal congestion
History of Present Illness
Nasal congestion: 11 days old male baby comes in with nasal congestion, chest congestion and wheezing for 3 days, no fever, feeding well. Urinating and stooling normally. Denies sick contacts. no cough or eye discharge.
Birth History: 41 weeks born by c-section for failure to progress, ROM 7-8 hrs, received antibiotics in labor.
Breast fed with formula supplement(similac advance).
Since our physicians are so busy they suggested that we assign delegates to sign off their charts notes. The CMS guidelines for signature requirements does not really mentioned delegates, is this even legal to assign someone to sign off their chart notes? I do not really agree with their suggestions but if there are guidelines out there that I do not know please share them with me.
Thank you in advance
Josephine
I have a quick question, my provider constantly documents either negative or positive Homan’s sign on his patients and he often bills 99203. On every exam he assesses range of motion (musculoskeletal), tenderness (skin), he documents that the patient is neurovascular intact (neuro) and there are vitals (constitutional); that’s 4 elements which corresponds to an Expanded Problem Focused Exam (99202). He also documents Homan’s sign which according to google it detects DVT and leads me to believe that I should be giving credit towards Cardio under the exam, which is what the provider needs to bill 99203 (detailed exam – 5 exam elements).
Can anyone tell me if I can give credit under Cardiovascular for the Homan’s sign?
Thank you.
The patient saw the doctor already and refuses to sign the financial form after.
The purpose of the financial form is mostly educational about what deductibles, copays, co-insurances are and that if they do not pay what they owe they’ll be forwarded to collections.
Can I still bill the patient for their deductibles, co-insurances, copays regardless if they signed our financial form since it’s what we have to do per our contract with their insurance?
Thank you for any guidance you may provide!
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