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  1. K

    Wiki HASBLED and CHAD2DS2-VASc

    There is a provider asking about these two assessments and how to bill. Has anyone billed this and what code(s) can be used? I don't know if CPT 96160 is appropriate. For the CHA2D the code G9931 was mentioned as a quality reporting code. If you have billed this, and have a source, would you...
  2. K

    Wiki CAT - COPD Assessment Test

    There is a provider asking about the "CAT - COPD assessment" and how to bill. Has anyone billed this and what code can be used? I don't know if CPT 96160 is appropriate. If you have billed this, and have a source, would you share? Thanks!
  3. K

    Wiki Industry Standards for Amount of Providers to 1 Auditor?

    I'm looking for some information on what are the industry standards for how many providers 1 auditor should have? This would be based on a standard yearly audit for each provider, as well as fixing any errors that may come across our WQs as we call them. So far the consensus is, 1 Auditor: 50...
  4. K

    Wiki New Job as Supervisor Coding & Auditing

    Thank you! I have been in a leadership position for a little over 6 years. However, this will be my first leadership position over a coding/auditing group. I want to absorb as much information from leaders around me who seem to do what you just described. Everything you wrote is what I...
  5. K

    Wiki New Job as Supervisor Coding & Auditing

    Thank you for the feedback! I will most certainly look for this book, and thank you!!
  6. K

    Wiki New Job as Supervisor Coding & Auditing

    I will be starting a new position as Supervisor Coding & Auditing in my organization. Yay! I would like some pointers on what I could do to be a good leader. I have some ideas on what to bring up at meetings, but I would like to hear from others that are in this job field. Thank you!
  7. K

    Wiki Discharge Code

    Are doctors Y and Z within the same group? I work for a hospitalist group where we have different providers from our group seeing the same patient. If this is the case, then I would use 99232 for 2/6/18.
  8. K

    Wiki AAPC vs AHIMA

    Thanks for the info!!
  9. K

    Wiki AAPC vs AHIMA

    A lot of what I see asks for a CCS. I may do some research as to why. . .different type of training? Thanks for the input!
  10. K

    Wiki AAPC vs AHIMA

    I emailed with a recruiter for a particular company. They accept AHIMA credentials, and not AAPC. I've seen this quite a few times. Thoughts?
  11. K

    Wiki Cpma

    I'm scheduled to take mine on May 20. I went through the CPMA course, and have read through the course material MULTIPLE times. I plan to just keep reading through it until it's exam time. Good luck!!! :)
  12. K

    Wiki Survey

    I am a Clinic Administrator for an Adult Hospitalist group, along with being their medical coder. We currently have 12 doctors, and 5 midlevel providers. I also code for the Pediatric Hospitalist group, which was 2 providers (3, but he's out of the country until later this year). As of today...
  13. K

    Wiki Unspecified Codes

    I absolutely agree! I told my providers about the specificity codes, and they basically said the same thing. This helps to confirm what I had been thinking and getting "frustrated" about. Thank you!!
  14. K

    Wiki Unspecified Codes

    The provider may not know what type of anemia, so they just state anemia. . .so then I have nothing else to use other than D64.9. However the insurance companies are denying it. But, I'm getting this information from the billing office who does the appeals, so maybe it's because they don't...
  15. K

    Wiki Unspecified Codes

    I work for a Hospitalist group. I'm finding that it's hard to have more specificity with some codes. For instance, anemia, unspecified D64.9. Insurance companies are denying these claims even if it's the 5th dx on the claim. I'm curious to know how others are handling this. It also happens...
  16. K

    Wiki Physician Assistant and Medicaid

    Thank you. . .I'm going to have to find the most appropriate supervising physician for this. Since being a hospitalist group, we have more than one who may see a patient in a time frame. since no other provider is on her note, I may look back to see who the admitting physician is. I would...
  17. K

    Wiki Physician Assistant and Medicaid

    I have a PA who gave me a charge, but it's for a Medicaid patient. From what I gather, Medicaid won't accept that. They want a supervising physician, but there is no supervising physician with the note, and we're part of a hospitalist group with multiple providers. Anyone know how I go about...
  18. K

    Wiki T12 fracture

    Since it states "could be acute", I wouldn't think you would use the traumatic fx. It's probable that it was from the fall, but I wouldn't feel comfortable using a traumatic fx code unless documentation stated. Curious to know what others think. . .
  19. K

    Wiki Outpatient Discharge

    I am a coder for a hospitalist group. I have a discharge note where the patient is considered an Outpatient. I did some research, and one of the providers on the case wanted the patient as an Outpatient. Is this common? I'm trying to figure out how to code that.
  20. K

    Wiki Hospitalist Group: How many diagnosis codes would you list?

    Thank you! I have been listing as many diagnosis as possible, but when I heard it mentioned about carriers only accepting a certain number of diagnosis codes, it made me question if I was listing "too many". Thank for your the CMS reference as well!
  21. K

    Wiki Hospitalist Group: How many diagnosis codes would you list?

    I work for a hospitalist group. I have learned that you list as many diagnosis codes as needed when billing. So if the hospitalist documents 1 diagnosis, I would list that. If he/she addresses 10, even though it's many, I will list all of those (unless a specialist is also using that dx code...
  22. K

    Wiki AI Modifier Applies to...?

    We have been using them on non-Medicare, non-Medicaid patients as well. Should that be a problem?
  23. K

    Wiki CPMA Worth It?

    I'm also thinking of going after this certification as well. I talked with another member who encouraged me to get it. She is a hospitalist coder like I am. I also talked with another colleague at the hospital I work at that has hers, and she said it's beneficial. It can't hurt, and it may...
  24. K

    Wiki Medicare and Observation Subsequent Status

    Thank you for your response. Wouldn't the subsequent care codes be 99224-99226?
  25. K

    Wiki Medicare and Observation Subsequent Status

    I did some more research on CMS' website, and it looks like they do recognize 99224-99226 for the admitting provider. However, for the doctor who is not the admitter, they would need to code 99221-99215.
  26. K

    Wiki Medicare and Observation Subsequent Status

    I want to make sure I understand this correctly. If I have a Medicare patient who lets say was admitted July 1 as an OBS, still in the hospital on July 2, and July 3, then discharges July 4 as an OBS. For July 2 and 3rd, since it's a Medicare patient, am I supposed to bill the subsequent...
  27. K

    Wiki CPMA Exam

    Congratulations! I'm looking at going for my CPMA, but want to make sure I have the time to study, etc. How long have you been coding?
  28. K

    Wiki CIC Course

    I work for a hospitalist group doing inpatient coding. I'm thinking of taking the CIC course and exam. Wanted some insight from others who have taken it...
  29. K

    Wiki External Cause Code Question

    We have a facility that requires us to code activity even if it is unspecified. . .so we would have to code Y93.9. Confusing since the guidelines state otherwise! :-)
  30. K

    Wiki Feel like this requires several unlisted codes

    I had a similar report the other day I coded, but my CPT code 29822 also included the decompression of the cyst. Below is part of a rationale for why I didn't need to choose another code for a decompression of the cyst. Not sure if this will help at all?? "Both the biceps tenotomy and the...
  31. K

    Wiki Medial meniscus tears

    I've been coding a lot of these lately, and have been using the derangement codes.
  32. K

    Wiki Practicode - newer coder

    I really appreciate the feedback! I did some more researching after I posted this, and it seems like there are quite a few others who feel the same as you. I was trying to find something to help better my skills, but it doesn't sound like this would be it. Thank you!!
  33. K

    Wiki Practicode - newer coder

    Did you find it helpful? I'm a newer coder and needing some more training, and have heard that this may help. Just wanted some opinions of others. Thank you!
  34. K

    Wiki New Coder...

    How long did it take you to get the hang of it? Feeling a little discouraged. I started a coding job a few weeks ago, and some things I feel like I'm catching on, but then there are some I just feel like my brain is swimming with codes and rules, etc. I enjoy coding, but wish I have already...
  35. K

    Wiki Intact Fundoplication

    I'm a newer coder. . .and had a question that may seem easy to some. For one of the "postoperative diagnoses", 'intact fundoplication' was mentioned. From what I see that looks more like a procedure than a dx. Just needed some clarification. Thank you!
  36. K

    Wiki Find-A-Code

    I had also tried reading up on the AAPC Code Lookup, and trying to figure out which is best. . .but I suppose it's just whatever your preference is? So far I think Find-A-Code looks like that would be more for me than the other. . .but I guess you don't really know until you try. Thank you for...
  37. K

    Wiki Find-A-Code

    I recently received my CPC certification (have been working with codes for 9 years), and am starting a part-time remote position starting the 1st. I've been reading about Find A Code, and wondering if it would be beneficial for me? I wondered if anyone else uses this site, and if you find it...
  38. K

    Wiki Breast Reconstruction

    Bilateral mastopexy augmentation is the procedure performed. I think I might be reading into it too much and confusing myself. I was thinking 19316 and 19325 both with a modifier 50. However, I have been looking at 19342, however the patient did not have a mastectomy...
  39. K

    Wiki I passed the ICD 10 Proficiency! Question...

    Great, thank you! I thought that was the case, but started to second guess. . .
  40. K

    Wiki I passed the ICD 10 Proficiency! Question...

    During the exam I came across two questions that I was not certain of. If we have a patient that is diagnosed with sciatica do we also diagnose low back pain pain, or is the low back pain just part of the sciatica? The same for a patient who is diagnosed with endometriosis. Do we also diagnose...
  41. K

    Wiki Cpc exam - reads grading

    My first attempt is scheduled for December 5th. Should I schedule my retake already in case I don't pass? Which I will. . .I will keep telling myself that I will!
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