[unable to retrieve full-text content]
mardi 31 mars 2015
Billing for 36415
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 04:02 PM.
Billing for 36415
lundi 30 mars 2015
OB GYN coding help
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 12:43 AM.
OB GYN coding help
Looking for externship Asheville, NC
Hi,
Looking for externship Asheville, NC
I am a recently certified CPC-A and I am trying to find an externship or entry level position that will allow me to gain valuable on the job experience. I cannot find anyone in our area participating in project Xtern and most coding jobs posted require a minimum of one year of experience. Therefore, I am looking for a temporary unpaid position to gain some "hands on" experience and demonstrate my knowledge, skills, and work ethic to potential employers. If you are willing to provide me with this opportunity or have a suggestion of someone who is, please email me at karlynmlewis@hotmail.com. I can provide a resume, cover letter, and references upon request. Thank you in advance for your help!
-Karlyn Lewis
Looking for externship Asheville, NC
modifier 26
We split bill Medicare and Medicaid. When billing procedures 92585, 92540,
92543 and 70220 we have been told to use modifier 26 on the professional
component, however, we own the equipment, the doctor interprets and
reads the report, so why should we use the modifier on the professional??
We want to get paid for the professional and the facility portion.
modifier 26
COC - Examination fee
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 02:15 AM.
COC - Examination fee
about certificate
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 01:07 AM.
about certificate
dimanche 29 mars 2015
seizure in epilepsy patient
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 08:13 PM.
seizure in epilepsy patient
my resume -- toms river nj coder
Adrienne Gergich
my resume -- toms river nj coder
(732) 814-2859
amg102570@hotmail.com
SUMMARY
Support Professional with experience working as a Data Processing Specialist. Certified in Medical Coding. Expertise in maintaining files, inputting detailed client information, and verifying data in client accounts. Able to input high volume of data; completing assignments accurately and on time. Independent contributor able to take on additional responsibilities when needed to support the department.
CERTIFICATIONS
ICD-10 CERTIFICATION, JANUARY 2014
Certified Professional Coder (CPC), AAPC, 2010
PROFESSIONAL EXPERIENCE
ACT CORPORATION, Daytona Beach, Florida
2000-2008
Data Processing Specialist
Accurately processed client information for the Patient Accounts Department. Researched inquiries from case managers re: client files. Organized and maintained client records. Updated 100-200 patient accounts per day.
Page Two
Adrienne Gergich
Amg102570@hotmail.com
TEMPORARY STAFFING AGENCIES, Daytona Beach, Florida
1999-2000
Data Processing/Administrative
Data input, Filing system maintenance, and Mailroom coordination.
AUTO ADVANTAGE PLUS, Daytona Beach, Florida
1997-1999
Data Entry Clerk
Produced accurate and timely records for the Survey Department. Coordinated and produced mailing assignments. Organized and maintained filing systems.
A.M. CUPOLA & CO., P.A., Daytona Beach, Florida
1996-1997
Administrative Assistant
Composed correspondence and business documents. Organized and maintained filing systems. Prepared tax forms.
PROFESSIONAL DEVELOPMENT & TRAINING
Ocean County College, Toms River, New Jersey, 2010
Medical Office Specialist Certificate
Course work for all the above included:
Medisoft Billing & Scheduling Medical Transcription
Anatomy & Physiology Electronic Health Records
Medical Terminology ICD-9/CPT Coding
Medical Insurance Systems HIPAA Training
Page Three
Adrienne Gergich
Amg102570@hotmail.com
PROFESSIONAL MEMBERSHIPS
Member of the American Academy of Professional Coders
TECHNICAL SKILLS
Microsoft Office: Excel and Word
EDUCATION
Office Technology Diploma
West Virginia Career College, Daytona Beach, Florida
Bachelor of Arts in Psychology/Business
Wagner College, Staten Island, New York
my resume -- toms river nj coder
Laparoscopic Roux-en-Y gastric bypass reversal
Hello Fellow surgical Coders,
Laparoscopic Roux-en-Y gastric bypass reversal
I need your help!! I am looking for a cpt code for a gastric bypass reversal:
OPERATION:
Laparoscopic gastro-gastrostomy, partial gastrectomy and gastro-jejunal anastomosis resection; small bowel (Roux limb) resection and intra-operative gastroscopy.
Thank you..
Laparoscopic Roux-en-Y gastric bypass reversal
OB global coding/3 clinics
I have a very unique situation and need some help. I just started employment with a hospital as a practice based coder. Here are some of my challenges: There are 3 OB clinics owned by the hospital - providers rotated through these clinics as well as patients during their OB care. 1 tax ID number but three separate NPI numbers. One is a critical access practice - one is a rural health practice and one is just a regular OB office.
OB global coding/3 clinics
How do I bill global care if a patient is seen at all three clinics during her pregnancy Does it matter since it is global? I would think so because of critical access and rural health..
I have never dealt with this type scenario and would like some suggestions to reference materials.
Thank you!
Lana
OB global coding/3 clinics
76856 and 76830
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 10:42 AM.
76856 and 76830
Physician asst new patient
two questions
First- if we bill a follow-up with a PA where the physician did the initial visit, incident to,what qualifying code go I use in block 17 with the physician NPI?
Physician asst new patient
First- if we bill a follow-up with a PA where the physician did the initial visit, incident to,what qualifying code go I use in block 17 with the physician NPI?
Second- if a Medicare NEW patient is seen by a physician assistant, what do I put in block 17 and what qualifying code do I use? Do I use the supervising dr or the physician that referred the patient to our specialist ?
Physician asst new patient
CIRCC certification
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 08:36 AM.
CIRCC certification
overcharging patients
I work for a multi-physician practice that insists on charging patients who have co-insurance a percentage of the anticipated charges before they see the doctor, knowing full well that the actual patient responsibility will be less than half of what they have collected. They justify this with the rational that it is better for their A/R to collect extra and refund it later (which takes 3-4 months) than to have patients owing them money. I feel this is unethical at the least but they are not open to discussion. How do others feel about this and does anyone know of any documentation on this topic that I might present to change their minds?
overcharging patients
samedi 28 mars 2015
Additional diagnoses
I remember an instructor stating that it is proper to code "additional diagnoses" that the doctor states the patient has if they are being treated for that condition while hospitalized. I asked if I should code for diagnoses that the patient was not admitted for-- but had when admitted, and was receiving prescription medication for while in the hospital. She said yes. It has been a few years since I had to do inpatient coding and am double checking to make sure this is correct.
Additional diagnoses
So, if an inpatient is admitted for one thing, but is simply getting medication for other diagnoses the doctor states the patient has, is it proper to code them?
Additional diagnoses
removal of pericardial drain
Is the removal of the pericardial drain inclusive with pericardiocentesis?
removal of pericardial drain
DATE OF PROCEDURE:
PROCEDURE: Removal of pericardial drain.
INDICATION: A female with tamponade status post pericardial
drain, now echocardiogram showed no evidence of pericardial effusion.
DESCRIPTION OF PROCEDURE: Informed consent was obtained earlier on an
emergent basis. The area was cleansed with chloroform. Sutures were cut.
The drain was pulled very slowly with back pressure on the syringe. An
additional 7 mL fluids were taken. No evidence of complication.
SUMMARY: Successful removal of pericardial drain
removal of pericardial drain
VA Occlusion w/ Stroke...
Hello! I am hoping someone can help clarify the coding rules for me for this scenario.
VA Occlusion w/ Stroke...
Cerebral angiogram impresssion states "complete occlusion at the origin of the left vertebral artery with nonvisualization of the vessel extending to the C4 level." The patient does have an acute cerebellar infarct per MRI report. For this DX, I know to code 433.21, vertebral artery occlusion with stroke.
However, the angiogram also finds "moderate stenosis at the origin of the right vertebral artery, which is suggestive of underlying atherosclerotic disease. This is not flow limiting, and there is adequate supply to the posterior circulation." Is it acceptable to also code 433.20, vertebral artery stenosis without evidence of stroke (since this is not flow limiting and not a contributor to the acute stroke) on the same claim as 433.21?
433.30/1 is for multiple and bilateral, but I'm not sure if this code is appropriate since only one side (L) is contributing to the stroke.
TIA!
VA Occlusion w/ Stroke...
Server Error in '/' Application.
Description: An exception occurred while processing your request. Additionally, another exception occurred while executing the custom error page for the first exception. The request has been terminated.
Server Error in '/' Application.
vendredi 27 mars 2015
Outpatient Coders needed at Fort Carson, CO
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 06:16 PM.
Outpatient Coders needed at Fort Carson, CO
Help Coding this...Op included
Can someone help me with this?
Help Coding this...Op included
PREOPERATIVE DIAGNOSIS: Symptomatic pelvic organ prolapse.
PROCEDURE: Vaginal hysterectomy, bilateral salpingo-oophorectomy, McCall's culdoplasty, anterior colporrhaphy, mid urethral suspension using transobturator tape, cystoscopy, posterior colpoperineorrhaphy.
POSTOPERATIVE DIAGNOSES: Pelvic organ prolapse.
DESCRIPTION OF THE OPERATION AND FINDINGS: Under anesthesia, the cervix protruded 4 cm beyond the introit. There was a cystocele to the introit, a rectocele at -2 cm from the introit. There is gaping of the vagina, loss of the genital hiatus, the vagina permitted 3+ fingers. The uterus was involved with multiple fibroids; some were quite degenerated on the serosal surface. The tubes and ovaries appeared normal.
PROCEDURE: Under satisfactory general anesthesia, the patient was prepped and draped in the dorsal lithotomy position. A circumferential incision was made at the cervicovaginal junction. The bladder is dissected off the lower segment. The ureters were lateralized with dissecting the vaginal mucosa off the cervix. The posterior peritoneum was entered. The uterosacral ligaments are clamped, cut and tied using 0 Vicryl. The cardinal ligaments then are coagulated and cut using Thunderbeat device. The anterior peritoneum was entered. The broad ligaments are separated using Thunderbeat device. Morcellation of the uterus was carried out removing fibroids, enabling cautery of the uteroovarian ligaments, round ligaments, and the tubes. The uterus was brought through. There were adhesions encountered between the fibroid and bowel. These were carefully dissected and removed. Using Thunderbeat device then, the tubes are freed off the pelvic sidewall, the infundibulopelvic ligaments are coagulated and cut. The ovaries were removed bilaterally. A McCall's culdoplasty stitch was used incorporating the uterosacral ligament into the vaginal cuff with closure of the posterior cul-de-sac. The vaginal mucosa was closed in a double layer, first a submucosal stitch, then and a running vaginal mucosa stitch. Anterior colporrhaphy was carried out with dissection of the vaginal mucosa off the bladder. The endopelvic fascia was identified and closed with interrupted 0 Vicryl. The excess vaginal mucosa was excised and the vaginal mucosa is closed. A linear incision is made under the urethra with dissection carried back to the pubic rami using _____ needle. This was passed from the superior medial borders of the obturator foramen into the vaginal incision. Cystoscopic examination is carried out. There is bilateral ejection of indigo carmine, and no bladder injury identified. The tape is brought into position in a tension-free manner. Arms are removed, leaving the tape in position. The vaginal mucosa is then closed with 2-0 Vicryl. Posteriorly, a diamond section of skin is removed from the perineal body and vaginal mucosa. There were scarring at the posterior vaginal mucosa. Dissection is carried out. Interrupted 0 Vicryl was used to close the rectocele. Excess vaginal mucosa is excised. The vaginal mucosa was closed with a running 2-0 Vicryl. The bulbocavernosus muscles are brought to the central tendon of the peritoneum and attached to the superficial transverse peritoneal muscle. The remainder of the repair is done in the usual episiotomy fashion in layers with 2-0 Vicryl. There are no complications of the procedure. Sponge and needle counts correct.
Any help would be appreciated
Help Coding this...Op included
Pulsatile tinnitus
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 04:12 PM.
Pulsatile tinnitus
Balance Billing for Commercial/Auto
Hello all,
If a patient signs the waiver to have her regular commercial insurance pay for procedures that resulted an injury due to an auto accident, and the commercial payer pays but there is a balance (coinsurance/deductible), can we bill the patient for that or can we bill the auto carrier, OR, is it a writeoff? I have a feeling the auto will reject it because the services weren't pre-authorized due to the waiver.
Please advise.
Thanks!
Kellie
__________________
K. Pieczynski, CPC
Surgical Biller/Coder
Balance Billing for Commercial/Auto
hyperbarics and debridement same day
How would you code for a physician who performed supervision of hyperbarics for a diabetic foot ulcer with osteomyelitis, and also debrided the wound to subcutaneous level (
hyperbarics and debridement same day
99183, 11042-59 modifier?
What are your thoughts on the coder not submitting the 11042 because "insurance will not pay for hyperbarics and debridement?"
Thanks
hyperbarics and debridement same day
rev code 918
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 06:11 AM.
rev code 918
jeudi 26 mars 2015
Established, ROS: NONE...99212?
Ok, so alot of my providers will have established visits and put them in as 99213, 99214 but they will not preform an ROS. the ROS will read "none". I have been down coding these visit to 99212 due to them not having included a required component of the history documentation and 99212 is the only level for which its not required. I have an audit book that states that with out a ROS the note will only qualify for a 99212 as well, but then I started thinking for established its only 2/3 so if the exam and mdm support maybe I should let it go as a 99214...but deep down this still doesnt make sense because how could a high level decision be made with out a decent history?
Established, ROS: NONE...99212?
Any help or reference would be greatly appreciated!
Established, ROS: NONE...99212?
Need to Network with Experienced OB Dx Coder
I am interested in networking with an experienced OB dx coder. I have recently started coding OB U/S for high risk patients and I am stumped on a few different scenarios. I've coded ultrasound for years, but never in a high risk category. I'm hoping for a cheat list of dx codes.
Need to Network with Experienced OB Dx Coder
Please contact me directly. Thanks so much!
Renee Lien, RCC
Need to Network with Experienced OB Dx Coder
Medical Nutritional Counseling
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 04:38 PM.
Medical Nutritional Counseling
VATS with evacuation of pleural fluid
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 03:53 PM.
VATS with evacuation of pleural fluid
Collagen Puracol dressings
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 02:39 PM.
Collagen Puracol dressings
Family Practice and OBGYN both seeing OB patient
Family practice doc following a pregrancy and then an OBGYN doc delivers that patient. Can the family practice doc bill subsequent hospital visits and discharge for that same patient or is it included in the total ob package?
Family Practice and OBGYN both seeing OB patient
example - OBGYN bills 59400 on 1/1/2014
Family Practice bills 99222 on 1/1/14 for admit, 99232 on 1/2/14 and 1/3/14 and then 99238 on 1/4/14. The family practice was following the patient during the entire antepartum period. The OBGYN delivered. Both of these docs are withing the same group practice, but of different specialties.
Any insight would be appreciated.
Family Practice and OBGYN both seeing OB patient
help please
Patient to surgery to remove and then replace gastrostomy tube. Surgeon had to repair the hole made by prior tube and then place new one. Not sure how to bill for closure of the removal. She says for placement use 43653.
help please
PREOPERATIVE DIAGNOSIS: Dislodged peg feeding tube.
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE: Diagnostic laparoscopy with removal of old PEG tube and placement of new gastrostomy tube.
INDICATIONS FOR PROCEDURE: The patient is a 56-year-old male who has ALS> He had a PEG placed about 9 days ago and unfortunately he had significant abdominal pain. Along that he had a CT that shows it is lodged in the rectus muscle. He now is to undergo removal of that and placement of a new G-tube.
DESCRIPTION OF PROCEDURE: In the supine position, the abdomen was prepped and draped in the usual fashion. After anesthetizing with 0.25% Marcaine, a left periumbilical incision was made. Under direct visualization, a 5 mm Optiview port was placed. The abdomen was insufflated with 15 cm of pressure. A 10 mm port was placed in the right upper quadrant, 5 mm more medial and inferiorly. You could see the omentum and stomach was sort of stuck up to the abdominal wall with freeing this down. There was actually a fairly good sized hole in the stomach that had no spillage. The opening was probably 2 cm. I therefore pulled this up and closed this with an Echelon blue load. That closed it very nicely. I removed a very small segment of the stomach to close it. The PEG tube was removed out of the remainder of the way. I therefore went more distal on the stomach and placed a pursestring of 2-0 Vicryl and inner one and an outer one. I then made an incision in the left upper quadrant away from the infection site and brought in a new 18 French gastrostomy tube. An opening was made in the pursestring and the feeding tube was placed inside this up to the stomach. It was insufflated with 7 mL of fluid. The 2 pursestrings were tied down. I then placed an additional 2-0 silk and then pulled the stomach up to the abdominal wall with the suture passer in 2 locations. On exam they had no other abnormalities were seen. It was irrigated and irrigation was removed. I did take cultures from the abdominal wall itself. The instruments and ports were removed. I then debrided that where the old PEG tube site was. The fascia was actually sort of broken down. I placed a figure-of-eight 0-silk to close that up and the skin edges of the incisions were closed with interrupted 4-0 Monocryl subcuticular stitch. The feeding tube was sutured in place with 3-0 nylon. The old PEG site was packed with a dry new gauze. Estimated blood loss was minimal. Sponge and needle counts were correct. He tolerated the procedure and was taken to the recovery room in satisfactory condition.
Any help is appreciated - thanks
help please
cbc and cmp
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 11:36 AM.
cbc and cmp
Hpi requirement for modifying factors
Hello,
Hpi requirement for modifying factors
Does anyone know if a provider states "no otc meds taken" whether or not this can be counted as a modifying factor with in the history? I know stating taking otc meds counts, just not sure if stating not taking any is worth the same.?? Any help would be greatly appreciated!
Hpi requirement for modifying factors
Intractable epilepsy due to alcohol
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 09:36 AM.
Intractable epilepsy due to alcohol
Medical Coder graduate
I am currently working in a 6 physician urology practice and find myself having responsibilities in various areas of the billing cycle. With that said, although I have a broad spectrum of questions, a denial pattern arose with Novartis for service frequency. The patients involved all had multiple in-house care dates, as well as two or more procedures for cystoscopy with clot evacuation (CPT 52001).
Any advice with this area of billing would be appreciated.
I just joined the association and I am excited to use the many resources available both nationally and with my local chapter.
Any direction that you believe would be most beneficial for me as I prepare for my CPC exam would be great.
Medical Coder graduate
Cardiovascular Practice Manager needed in NH
Wentworth Health Partners is seeking a full time experienced practice manager for their established cardiovascular practice. Relocation expenses are available. Salary is between 56-89K. This is a high-profile practice and position located in Dover, New Hampshire. FMI or to apply visit www.wdhospital.com
Cardiovascular Practice Manager needed in NH
Job duties: Manages office bookkeeping which includes the timely processing of accounts payable and the ongoing maintenance of packing slips and invoice records per WDH policy
Acts as a liaison between staff and providers to include representing staff needs to the providers, as well as provider needs to the staff, in order to ensure successful office operation
Maintain office supplies and equipment to include ordering of administrative supplies and overseeing clinical staff member responsible for ordering of medical supplies
Coordinates provider schedules and patient appointments, which includes training staff on the use of the practice management software and maintaining staff knowledge of scheduling guidelines as dictated by the providers in each practice
Assists providers, office and clinical staff, as necessary, to include filling in as front desk representative, assisting with clinical issues, coordinating patient tests, referrals, etc.
Complies with and enforces all established WDH policies, procedures and protocols as well as any department-specific policies and procedures as they relate to the job funtions
Interviews and selects candidates for employment
Attends and actively participates in office manager/office coordinator meetings
Reviews all employee and provider time sheets for accuracy
Reviews Press-Ganey Patient Satisfaction Survey results on at least a quarterly basis
Requirements Experience: Five years of medical office experience
Education: BA or BS in Business Administration or Accounting and/or 2 years experience in a supervisory position
Special Skills: Working knowledge of word processing programs, computers, and office machinery, knowledgable of office procedures and protocols, ability to make effective judgments and decisions based on objective criteria, ability to effectively communicate both written and verbally, ability to give and receive information over the telephone, ability to maintain order in a busy environment, ability to operate independently with minimal supervision, ability to set priorities and meet deadlines, ability to tactfully interact with diverse personalities
Cardiovascular Practice Manager needed in NH
Popliteal Fossa
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 06:34 AM.
Popliteal Fossa
CPC Exam 21/3/15
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 05:26 AM.
CPC Exam 21/3/15
ICD-10 Neoplasm guidelines
As per ICD-10 general guidelines of chapter 2 for Neoplasm,
Anemia associated with malignancy states - when admission/encounter is for management of an anemia associated with the malignancy, and the treatment is only for anemia, appropriate code for malignancy is sequenced as principal or first listed Dx followed by appropriate code for the anemia.
ICD-10 Neoplasm guidelines
Anemia associated with malignancy states - when admission/encounter is for management of an anemia associated with the malignancy, and the treatment is only for anemia, appropriate code for malignancy is sequenced as principal or first listed Dx followed by appropriate code for the anemia.
But if we look at ICD-9 guidelines, it is vice versa. Which states Anemia code should be sequenced first followed by appropriate code for malignancy.
Why is this difference in the guidelines? As per my understanding, Anemia should be sequenced first because treatment is directed towards anemia and not neoplasm.
Thoughts please.
Regards,
Shruthi
ICD-10 Neoplasm guidelines
mercredi 25 mars 2015
Arthroscopy wrist
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 10:16 PM.
Arthroscopy wrist
testosterone injection
My doctor injected 100mg for the patient, in HCPCS code book shows description J1071 is injection, testosterone cypionate 1mg, so do I need to time 100 units when I bill this code and go along with CPT code 96372 for injection fee? and if patient see for other problem on the same date, can I bill E/M service with modifier 25? Please help
99212-25
J1071 (x100 units)
96372
testosterone injection
Help with ICD-10 PCS
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 05:59 PM.
Help with ICD-10 PCS
Welcome to Medicare Colonoscopy Screenings
Hi All,
Welcome to Medicare Colonoscopy Screenings
I work for a Rural Health multi-specialty practice group. I have a Medicare claim that has been denied for not medically necessary. This is a surgeon who was consulted to see this patient strictly for a screening colonoscopy.
The patient had never had a colonoscopy before & no presenting symptoms either. Medicare effective date & DOS only 51 days apart. The dictation does not state this is a Welcome to Medicare colonoscopy visit.
The charges were a level 3 office visit & V76.51.
Medicare denying for medical necessity for Dx V76.51 but as stated there isn't any symptoms to code. Is there a different CPT code for a Welcome to Medicare visit that I am missing?
Thank you all for any insight on how to code this Welcome to Medicare Colonoscopy screening OV.
LImparato, CPC, AAS
Welcome to Medicare Colonoscopy Screenings
Percutaneous implantation of neurostimulator - Help
Please help!!
Percutaneous implantation of neurostimulator - Help
I'm new to pain management billing. We are currently billing for Neurostimulators and there is a drastic decrease in reimbursement in the professional component.
1.63650 IMPLANT NEUROELECTRODES.
2.63650 - 59 IMPLANT NEUROELECTRODES.
3.95972 ANALYZE NEUROSTIM, COMPLEX ELECTRONIC ANALYSIS, IMPLANT NEUROSTIMULATOR; COMPLEX PULSE
GENERAT/TRANSMIT W/INTRAOP/SUBSEQ,1ST HR.
My first question is;
Is this being billed properly? Are my codes correct?
Is there a reduction in reimbursement when billing 63650 - 59 for 2+ leads?
Thanks in advance!!
beabee
Percutaneous implantation of neurostimulator - Help
Seeking Remote Coding Part Time
Hello Employers,
Seeking a remote coding, or auditing position.
I am a Certified Professional Medical Auditor with the AAPC, and a Certified Medical Coder with Practice Management Institute. I possess over 10 years experience in all aspects of medical coding, billing, and auditing. I currently work as an Auditor reviewing medical claims and documentation for correct coding of claims received full time. My specialty is E/M coding and auditing, along with General Surgery, Trauma, Burns, Critical Care, and several types of specialties.
Seeking Remote Coding Part Time
Seeking a remote coding, or auditing position.
I am a Certified Professional Medical Auditor with the AAPC, and a Certified Medical Coder with Practice Management Institute. I possess over 10 years experience in all aspects of medical coding, billing, and auditing. I currently work as an Auditor reviewing medical claims and documentation for correct coding of claims received full time. My specialty is E/M coding and auditing, along with General Surgery, Trauma, Burns, Critical Care, and several types of specialties.
I not only have Coding and Auditing skills, I have 10 years experience with accounts receivable. In 2009, I overturned $450,000 in denials at a specialty practice within a 4 month window. I have the necessary skills and requirements to greatly reduce any and all denials that your practice sites may encounter. I am knowledgeable in LCD's, NCCI Edits, HCPCS, CPT, ICD-9, CMS guidelines.
I have excellent communication skills. I currently educate physicians and staff on correct coding and documentation to assist them in reduction to denials and reduce their chances of an audit from CMS. I would be a valuable asset to your establishment in terms of assisting your staff in denials, and appeals.
I have previous remote coding experience. My office is home based, secure, and HIPAA compliant. I have all the necessary tools and equipment to successfully and efficiently work a remote coding position. I am dependable, hard working, detailed oriented, and need no supervision. I am flexible in terms of weekends, and am available to work from 5:50 pm to ? Monday thru Friday, and all day, evenings, on Saturdays, Sundays, and all major holidays.
I have professional references you may contact who know my work ethics, values and skills the most.
You can reach me at my email address: reflection15@comcast.net
Seeking Remote Coding Part Time
CPC-A Eager to Work in Everett, WA Area
Hello! My name is Denise Macklin and I am looking forward to working full time or part-time as a medical coder after being a stay-at-home mom for several years. I graduated with distinction from an accredited medical coding program have an Associates Degree in Arts and Sciences and also have my CPC-A certification. As an employee, I will work diligently to achieve excellence for the benefit of my employer.
Thank you for taking the time to review my post!
CPC-A Eager to Work in Everett, WA Area
Humana capping 77300 - radiation oncology
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 12:53 PM.
Humana capping 77300 - radiation oncology
anyone in the Tampa Florida area
Hi all. I'm trying to connect with anyone in the Tampa Florida area who is either a certified coder or is a human resources director or is involved with coding. Could you please send me an email reflection15@comcast.net.
You can also respond to this posting.
I am trying to get honest answers as far as how much Certified Professional coders and certified professional auditors make in the Tampa area. I understand it depends on experience but I really need a true number I'm hearing so many different numbers I don't know what is true and what is not true.
I contacted one office in Tampa, and was told a way off number in comparison to what I have read on different websites.
Any information would be really appreciated!
You can also respond to this posting.
I am trying to get honest answers as far as how much Certified Professional coders and certified professional auditors make in the Tampa area. I understand it depends on experience but I really need a true number I'm hearing so many different numbers I don't know what is true and what is not true.
I contacted one office in Tampa, and was told a way off number in comparison to what I have read on different websites.
Any information would be really appreciated!
Thank you
Last edited by 1formissy; Today at 11:46 AM.
anyone in the Tampa Florida area
OON Patient responsibility
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 10:32 AM.
OON Patient responsibility
Need help with a non-selective descending aortogram please
My initial thought was to use 93567 but that's specific to the ascending aorta/aortic root. This states that he's looking at the renals non-selectively via the descending aorta. I'm thinking 75625 but of course CCI edits point me to use a modifier. Thoughts?
Need help with a non-selective descending aortogram please
HISTORY: A 61-year-old referred for cardiac catheterization and renal angiography. History of hypertension, uncontrolled, and coronary disease with stents in the left main as well as LAD. By history, she has a nonfunctioning LIMA to LAD and a nonfunctioning saphenous vein graft.
DESCRIPTION: Informed written consent was obtained. The patient was brought to the cardiac catheterization laboratory where the right groin was prepped in sterile fashion and anesthetized with local 1% Xylocaine. Using a
modified Seldinger technique, a 5-French introducer sheath was placed in the
right femoral artery. The following catheters were used: A 5-French Judkins
left 4, a 5-French Judkins right 4, a 5-French straight pigtail. A 5-French
LIMA catheter was used for the renal arteriography. Left ventriculography
was performed in the standard projection and nonselective descending
aortogram was also performed. Patient received Versed and fentanyl during
the procedure. After the procedure, hemostasis obtained with direct
pressure.
HEMODYNAMIC DATA: Aortic pressure 122/74. LV pressure is 123/0. End-
diastolic pressure was 16 mmHg. There is no gradient on pullback across the
aortic valve.
CORONARY ANATOMY: The left main coronary originates from the left coronary cusp. There is a previous deployed stent in the left main coronary artery which is a fairly short length stent of large caliber. It is widely patent.
I do not see any evidence of in-stent restenosis.
Left anterior descending artery. This is a large caliber vessel, fairly
smooth throughout its course. There is a large stent deployed in the
proximal segment. This could be one stent or overlapping stents. It is
widely patent without evidence of in-stent restenosis. There are some very
small jailed diagonal arteries within this area. They appear 1 mm or less in
diameter and are not considered significant. The rest of the LAD has only
nonsignificant disease.
Left circumflex artery. This is essentially a large obtuse marginal artery
branch which has minor disease but no obstructive lesions.
Right coronary artery. This is a dominant vessel originating from the right
coronary cusp which appears normal throughout its course.
LEFT VENTRICULOGRAPHY: This was performed in standard projection. Ejection fraction is estimated at 65%. No wall motion abnormalities. Her left
ventricle and her heart is generally very vertical in orientation.
RENAL ANGIOGRAM: A nonselective descending aortogram was performed. It
demonstrates what appears to be no significant aneurysm. There is evidence
of a displaced right kidney with long renal artery present. This appears to
be a pelvic type renal kidney. The left renal artery has mild disease but no
obstructive lesions. The right renal artery is a long artery which has
approximately a 40% lesion near its ostium but no obstructive lesions
distally, coursing into the kidney with a somewhat inferior placement.
CONCLUSIONS:
1. Mild coronary disease with:
a.Patent stent in left main.
b. Patent stent in the left anterior descending artery.
c. Minor disease elsewhere.
2. Preserved left ventricular systolic performance.
3. Forty percent renal artery stenosis of the right renal artery with a
somewhat displaced inferiorly right kidney.
Need help with a non-selective descending aortogram please
Hyperbarics and debridement: same physician/day
How would you code for a physician who performed supervision of hyperbarics for a diabetic foot ulcer with osteomyelitis, and also debrided the wound to subcutaneous level (
Hyperbarics and debridement: same physician/day
99183, 11042-59 modifier?
What are your thoughts on the coder not submitting the 11042 because "insurance will not pay for hyperbarics and debridement?"
Thanks
Hyperbarics and debridement: same physician/day
CVVH for ARF
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 07:21 AM.
CVVH for ARF
IABP Through Axillary Artery
Our surgeons have been placing Intra Aortic Balloon Pumps through the axillary artery rather than the standard femoral artery. Does this need to be billed as an unlisted code? Would you compare it to 33967 in work complexity? Also, should the removal be billed unlisted as well?
IABP Through Axillary Artery
mardi 24 mars 2015
What do I wear?
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 10:07 PM.
What do I wear?
coding cad (confused)
our providers will give a dx of cad only (we are not a cardiology group) and I,m not sure if billing the 414.00 (unspec) is correct or is there something else in the note that could lead me to the 414.01? for instance like h/o of cabg or stents placed?, I ask because I noticed when billing for IP's on the coding abstract I always see the 414.01 being used and rarely the 414.00. I appreciate any help that I can get
coding cad (confused)
ongoing problems
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 04:50 PM.
ongoing problems
Consultation coding
--------------------------------------------------------------------------------
Consultation coding
I work in a gastroenterology office (endo suite attached). Can someone give me examples of when they bill for a consultation...and the verbiage that is used in the documentation. I understand the 3 "R's" rule but need assistance on verbiage and when it is a TRUE consult. Thanks so much for any help you can give.
Consultation coding
code question for carotid endarterectomy
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 02:52 PM.
code question for carotid endarterectomy
Biliary Anchor suture
I work at a family practice and we have a pt that came in and after review of pt complaints the physician found that the pt's biliary tube anchor suture was out (not the reason he came in for). Our physician decided to replace said anchor suture to help the pt. out. OH and this is a MC pt as well. I was wondering if I could bill for the replacement of the anchor suture as our physician was not the one to place the tube.
Biliary Anchor suture
I am thinking that it would be within the 90 day global period as this pt was seen 60 days after the original procedure.
Please help...
Thanks
Biliary Anchor suture
62264 lysis of adhesions question
I am wanting to some clarification on this code. As it states in the CPT book multiple adhesiolysis sessions for one day. So if the provider is injecting for one session, do you still use this code or another code. I have dictation samples where its only one injection done not multiple sessions. Of course the doctor states that this is the code to use. Here is an example of the dictation that he dictates:
62264 lysis of adhesions question
Pre/Post Procedure Diagnosis:
1. Lumbar Intervertebral Disc Disease
2. Lumbar Spinal Stenosis
3. Lumbar Radiculopathy
4. Chronic Low Back Pain
5. Failed Back Surgery Syndrome / Postlaminectomy Syndrome
Procedure:
1. Caudal Catheter Epidural Steroid Injection with Lysis of Adhesions
2. Fluoroscopic Needle Localization
Procedure Summary:
The risks and benefits of the procedure were discussed with the patient who agreed to proceed via written consent. The patient was escorted to the fluoroscopy suite and placed in the prone position on the procedure room table. The sacral region was cleaned with chlorhexidine x 3 then draped in the usual sterile fashion. A time out was performed to confirm this was the correct patient, procedure, and location. All pressure points were checked, padded, and verbal communication was maintained with the patient throughout the procedure.
Lateral fluoroscopy was used to identify the sacral hiatus. The skin and subcutaneous tissue overlying the area was anesthetized with 1% Lidocaine. A 16-gauge RX epidural needle was then advanced percutaneously through the anesthestized skin tract under fluoroscopic guidance into the caudal epidural space. Next, a RX brevi catheter was advanced under intermittent fluoroscopy to the L5 vertebral level. After negative aspiration for blood or CSF, a volume of 2 mL of Omnipaque 180 was injected under live fluoroscopy. This revealed good epidural spread, with no evidence of loculation, vascular run-off, or intrathecal spread. Subsequently, a volume of 5 mL of hyaluronidase for adhesiolysis followed by _5 mL of 15 mg of dexamethasone_ mixed with 1 mL of bupivacaine and normal saline was injected without resistance. The catheter and needle were removed as a single unit and the catheter tip was noted to be intact. A bandage was applied over the needle entry site and the patient was escorted to recovery.
The patient tolerated the procedure well and and there were no complications. After being monitored post-procedure, the patient was discharged to home in stable condition without any new neurologic deficit.
Thank you!
62264 lysis of adhesions question
LPCC seeing patients offsite
We are an FQHC who now has mental health (LPCC). This person wants to provide services to local schools, universities, etc, and we are looking for people who provide services like this, the credentialing process (do we need to credential each site or since they are off site at multiple locations if there is a special credentialing we can do), if we can bill telehealth services in these situations, etc?
LPCC seeing patients offsite
This is brand new and with us being an FQHC we have to look at so many things, so if anyone can offer any advice we would appreciate it.
LPCC seeing patients offsite
A couple of questions
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 10:34 AM.
A couple of questions
Left ankle fracture and dislocation.Need help.
Please can somebody help me clarify which one should I code if the Dr says that the xray fracture shown:Bimalleolar fr (824.4) with posterior and lateral malleolus fr as well as dislocation but the diagnosis he documented is just Left ankle fracture and dislocation (824.8)?
I'm confused on this one.
Left ankle fracture and dislocation.Need help.
How do medical billers charge Solo physician practices?
I'm contemplating on billing and submitting claims for a family practitioner for his private practice.
How do medical billers charge Solo physician practices?
Do medical billers charge per patient? How much do they often charge a physician for billing and submitting claims per patient?
Do medical billers charge for the amount of patients that were seen in 2 weeks or do they charge for the amount of patients seen in a month?
Do medical billers often charge a particular percentage of the total patients that were seen by a physician in a month, 2 weeks etc.? If that's the case, what percentage do they usually charge?
How do medical billers charge Solo physician practices?
toledo, ohio hosting 1 day ICD 10 seminar
Announcing ICD-10-CM Seminar
Implementation 10/1/15 - Are You Ready?
toledo, ohio hosting 1 day ICD 10 seminar
Implementation 10/1/15 - Are You Ready?
Approved for 7.5 CEUs from AAPC
April 25, 2015
Greater Toledo Ohio Chapter ICD-10-CM Seminar
Location: University of Toledo Medical Campus
Health Education Building, Room 103
8:00 am Registration
8:30 am All About ICD-10-CM
10:15 am Break
10:30 am Where are You Today?
12:00 Lunch (provided)
12:30 pm Guidelines
2:15 pm Break
2:30 pm Measuring Your Gap
3:30 pm Guiding Your Provider
4:30 pm Q&A
5:00 pm Adjourn
---------------------------------------------------------------------------------------
Seminar/book/exam $200 Seminar Only $100
Seminar/book $160 Seminar/Test $155
Make checks payable to Greater Toledo Chapter AAPC. RSVP: PO Box 8786, Toledo, OH 43623; email: karen4806@msn.com; fax: 419-885-8521.
Name __________________________________________________ ___
Company __________________________________________________
Address __________________________________________________ _
City _____________________________ State ________ Zip _________
Payment must accompany registration form! Deadline to register is 3/28/15.
(Note: the exam is done on your own; the price above reflects a discount.)
toledo, ohio hosting 1 day ICD 10 seminar
Sural Neurectomy
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 06:33 AM.
Sural Neurectomy
Titers!!
|
Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.
All times are GMT -6. The time now is 04:26 AM.
Titers!!
Inscription à :
Articles (Atom)