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    Wiki DRG 177 denial

    Hello, I have an adjusted DRG payment from Medicare on DRG-177. they applied denial code CO-167 for Diagnosis not covered and made a partial payment. The ICD 10 PCS code XW033E5 and the diagnosis codes on the claim were U071, J1282, J9601, E871, I4820, K219, M1990, I2721, R931, R778, E782, E119...
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    Wiki DRG 177 diagnosis denial HELP

    Hello, I have an adjusted DRG payment from Medicare on DRG-177. they applied denial code CO-167 for Diagnosis not covered and made a partial payment. The ICD 10 PCS code XW033E5 and the diagnosis codes on the claim were U071, J1282, J9601, E871, I4820, K219, M1990, I2721, R931, R778, E782...
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    Wiki Need Help with Renal Artery Stent coding

    Hello, I am new to facility cardiology coding and need some help undertanding their coding denials. We have a hospital out patient claim where they paid 93455 and other related line items, but denied 37236 with denial codes N34- Incorrect claim format for this service and N95 provider type may...
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    Wiki ER visit with Type of Admission 2

    Hello, I am working a facility claim denial where they have denied all of the charges for denial codes A1 and N464 incomplete invalid support data, the codes are 99285 and G0463 and a variety of lab codes. I am wondering if the admission type of 2 ( Urgent Care ) in form locator 14 would...
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    Wiki Telehealth visit during ER visit

    Hello, I am reviewing a chart where they coded 99285 and G0463 on the same claim which denied. I have two questions: 1.) if these were documented appropriately and coded together, wouldn't we need to have a 27 modifier on the G-code for Medicare claims? 2.) I really don't think the G0463...
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    Question Modifier 58, 78 or 79 ?

    hello, I have an outpatient facilitysurgery to code. The patient is 60 days post op from a Charcot reconstruction. after hardware removal had a post operative fall with tibia fx that was treated conservatively with immobilization and non weight bearing. upon follow up, skin is not healing well...
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    Wiki In-Patient outlier claims

    Hello, I am new to in-patient facility coding and would like some insight on understanding why our facility is not getting outlier payments above the DRG amount. I have studied the multitude of information on this but still am not clear. Example: If covered charges exceed the outlier threshold...
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    Wiki Laboratory Coders - Salary Range

    Good Morning, Can anyone share with me the average salary range for Laboratory Coders in Ky? Coding both facility and professional reports/ thank you
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