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According to CMS, some of the changes implement certain statutory provisions contained in the Affordable Care Act and other legislation. These changes are applicable to discharges occurring on or after October 1, 2014, unless otherwise specified in this final rule. There are updates to the rate of increase limits for certain hospitals excluded from the IPPS that are […]
Can you help us with a coding issue regarding spontaneous abortions? We are wondering if it is appropriate to code a delivery code is they say the fetus was delivered. The patient came into the hospital actively having a miscarriage, “She delivered the second trimester fetus, approximately 16 weeks”. Placenta was manually removed by the […]
One of the coders posed a question to me about the use of the 338 codes for our Pain Management Clinic. We are not getting documentation from the physician that pain is acute or chronic. He gives the diagnosis of the 700 codes (721.0, 722.0, 723.0, 723.1, and 723.4). The coder wants to query the […]
Some great questions were presented from the audience when Paula Digby was a guest on “Finally Friday” this Summer. Visit our eCourse Library to review the complete presentation.
A biller from the other office which Dr. A works for tells me that a physician discharge code has to be used and it has to be a face to face. Since rehab physicians are not required to see patients on the day of discharge, this makes no sense. I suggested that Dr. A just […]
The coders are telling me that they cannot use a comorbid condition that is only documented by a physician consultant and not by our rehab doctors. Specifically, a cardiologist stated in 2 of his progress notes that the patient had “acute on chronic CHF” but the rehab doctors did not mention it, therefore the coders […]
