The United States HCFA, now known as CMS, supported a preliminary design effort to replace volume 3 of the ICD-9-CM in 1992. In 1995 HCFA granted 3M Health Information Systems (HIS) 3-year contract to design a process code replacement system. ICD-10-PCS was continuously amended and updated in the years between development and implementation, often behind the scenes. However, as … [Read more...] about Basics & Guidelines of ICD-10-PCS
medical billing
Some Transplant Status For HCC Codes
Proper HCC coding is critical for predicting future healthcare financial resources and claiming adequate reimbursement. The HCC model is a value-based payment model established in 2004 to give a Risk Adjustment Factor (RAF) to each Medicare patient to predict the patient's overall cost. It enables healthcare practitioners to properly communicate with patients about the … [Read more...] about Some Transplant Status For HCC Codes
What Do You Need To Know About Wound Care Coding?
Many family doctors give wound care to nursing home patients. Proper coding and billing for such wound care are critical to ensuring adequate payment and avoiding potential claims of fraud or abuse. Determining when to describe chemical cauterization of granulation tissue vs debridement is one of the issues in this area, particularly for Medicare patients. The wound care … [Read more...] about What Do You Need To Know About Wound Care Coding?
A Comprehensive Guideline To ICD-10 Codes
ICD stands for International Classification of Diseases. ICD-10 is the 10th edition of the World Health Organization's International Statistical Categorization of Diseases and Related Health Problems (ICD). It includes disease codes, signs and symptoms, aberrant findings, complaints, social situations, and external causes of harm or sickness. ICD-10 development began in 1983, … [Read more...] about A Comprehensive Guideline To ICD-10 Codes
A Comprehensive Guideline To Modifier 25
According to American Medical Association (AMA), Modifier 25 is a significant, separately identifiable evaluation and management service performed on the same day as the procedure or other service by the same qualified health care professional. Even if the documentation is not required to submit with the claim, the physician must adequately and sufficiently document the … [Read more...] about A Comprehensive Guideline To Modifier 25
