2009-12-03 06:28
QUESTION: Please clarify how the various assessment and facilitation services required by the Cancer Prevention and Treatment Demonstration for Ethnic and Racial Minorities will be reimburse… Read More
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the medical coding blog dedicated to providing informayion relevamt to medical coding classes and the ,medical billing and coding education
2009-12-03 06:27
QUESTION:Are there any reporting requirements for the 1115 Demonstration for coverage of Evacuees?ANSWER: A final report is due to CMS no later than December 31, 2006 describing the impact o… Read More
2009-12-03 06:24
QUESTION: What is the labor-related share, effective for discharges on July 1, 2009 through June 30, 2010? For the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) rate… Read More
2009-12-03 06:23
QUESTION: What is the non-labor related share, effective for discharges on July 1, 2009 through June 30, 2010?For the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) ra… Read More
2009-12-03 06:22
QUESTION: What is the electroconvulsive therapy (ECT) rate, effective for discharges on July 1, 2009 through June 30, 2010?For the Inpatient Psychiatric Facilities Prospective Payment System… Read More
2009-07-01 10:34
QUESTION: Where can I find information on Home Health Billing? ANSWER: Comprehensive information on Home Health billing can be found in Chapter 10 of Medicare’s Claims Processing Manu… Read More
2009-07-01 09:52
QUESTION: If the same procedure was done on the great toe of the right foot and on the great toe of the left foot, how is it coded?ANSWER: Report the procedure code once and append modifie… Read More
2009-07-01 09:48
QUESTION: How should modifier -91 be reported under CCI?ANSWER: Modifier -91 should be appended to laboratory procedure(s) or service(s) to indicate a repeat test or procedure on the same d… Read More
2009-07-01 09:42
QUESTION: What services are included in CPT code 99291 (critical care, first 30-74 minutes) and should therefore not be billed separately?ANSWER: Hospitals must follow the CPT instructions… Read More
2009-07-01 09:37
QUESTION: Is there an appeal process for claim lines denied based on Medically Unlikely Edits (MUEs)? ANSWER: Since claim lines are denied at Carriers and Part A/Part B Medicare Administra… Read More
2009-07-01 09:35
QUESTION: Who is authorized by Medicare to bill for CPT code 96125 (that was added under CPT effective January 1, 2008)?ANSWER: CPT code 96125 ( standardized cognitive performance testing (… Read More
2009-07-01 09:32
QUESTION: Can hospitals use modifier –51?ANSWER: Modifier –51 is not used by hospitals.For more information : Join our exclusive FREE Email Coding News Alert Mailing List http://… Read More
2009-06-23 07:40
QUESTION: How should modifier -59 be reported under the CCI?ANSWER: Modifier -59 is used to indicate a distinct procedural service. To appropriately report this modifier, append modifier -59… Read More
2009-06-23 07:29
QUESTION: Will a health care provider’s National Provider Identifier (NPI) ever change? ANSWER: The National Provider Identifier (NPI) is meant to be a lasting identifier, and is expec… Read More
2009-06-23 07:26
QUESTION: If a provider submits claims electronically, must he or she also comply with HIPAA if the practice reverts to submitting claims on paper? ANSWER: The HIPAA transactions commonly u… Read More
2009-06-23 07:18
QUESTION: Under what circumstances will a claim be rejected when using the National Provider Identifier (NPI)?ANSWER: Claims will be rejected if: • The NPI included in a claim or claim… Read More
2009-06-23 07:14
QUESTION: What is the purpose of the HIPAA Security Standards rule and why were security standards needed as published in the Federal Register on February 20, 2003?ANSWER: The purpose of th… Read More
2009-06-23 07:11
QUESTION: Can ICD-9-CM procedure codes be reported on hospital outpatient claims? If I use HCPCS codes to report hospital outpatient services at the “required” service line level… Read More
2009-06-23 07:08
QUESTION: Where can I find information about the Correct Coding Initiative (CCI) in the Medicare manuals? ANSWER: Information about CCI can be found in Section 20.9 of Chapter 23 of the Med… Read More
2009-06-23 07:05
QUESTION: Is the primary diagnosis the only diagnosis that is applicable to the quality measure being reported or will Physician Quality Reporting Initiative (PQRI) consider all diagnoses re… Read More
2009-06-23 07:02
QUESTION: Will the timing for appeals by the Medicare contractors be the same for the Recovery Audit Contractors (RAC)s?ANSWER: Yes. The timeframe for filing an appeal remains the same.For m… Read More
2009-06-22 09:48
Does your E/M coding make the grade? Get help from the experts at The Coding Institute!Now you can stay on top of your coding game with 2009 E/M Coder: Professional Edition, published by The… Read More
2009-06-22 09:42
Everything you need to maximize your practice's reimbursement at your fingertips. The Naples based Coding Institute has published the following Coding manuals. These how-to manuals are easy… Read More
2009-06-22 09:35
The Naples based Coding Institute has published the following Coding manuals. These how-to manuals are easy to read, and specifically tailored for selecting the appropriate codes each time… Read More
2009-06-22 09:27
QUESTION: How did the ARRA affect the moratorium that the MMSEA placed on new LTCH or new LTCH satellites and expansions in the number of beds in existing LTCHs, effective December 29, 2007?… Read More
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