Search results

  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

    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!
  5. 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?
  6. 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...
  7. 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...
  8. 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...
  9. 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.
  10. 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...
  11. 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...
  12. 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...
  13. 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!
  14. 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...
  15. 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!
  16. 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...
  17. 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...
  18. 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...
Top