Take the challenge. No, this claim is lacking proper documentation to be billed out correctly and requires querying the provider before submitting to the payer. First, a query is a written or verbal question concerning the documentation of what is being billed out and should be visible in the patient’s chart. If a query is…
Rheumatology Coding Corner Question: Querying Documentation for Correct Billing
An established, 66-year-old male patient with rheumatoid arthritis who was last seen in the office three weeks before returns to the office for an infliximab infusion. The patient reports mild pain in his right knee, right and left elbows. He rates the pain severity at a 3 on a 10-point scale. He denies any weight…
Electronic Health Record Documentation Guidelines
The operations management team in healthcare practices is expected to have an effective coding compliance program in place that is continually evaluated and reevaluated. To accurately assess the program’s effectiveness, several outcome indicators must be measured, including error rates in the provider’s documentation and the electronic health record (EHR). Due to increased scrutiny by the…
Use of Unspecified Codes in ICD-10: What You Need to Know
The ACR Practice Management and Coding department will periodically update the membership on the new ICD-10 coding guidelines and conventions to assist practices with accurate billing. Our top question during the first week of ICD-10 implementation was on the use of unspecified codes…
CMS Acts on the ACR’s Requests & Announces ICD-10 Grace Period
In a win for the ACR and rheumatologists, for one year after the mandatory ICD-10 implementation on Oct. 1, 2015, CMS will not deny claims on the basis of incorrect ICD-10 sub-codes.
Coding Corner Answer: May Coding Challenge
Coding for a patient who gets five trigger-point injections
Coding Corner Question: May
Coding Trigger-Point Injection with 99213
Coding Corner Question: April
Test your coding knowledge for a patient with sacrolitis and ankylosing spondylitis who gets a sacroiliac joint injection during an office visit
Coding Corner Answer: April Coding Challenge
Coding for a patient with sacrolitis and ankylosing spondylitis who gets a sacroiliac joint injection during an office visit
Practice Page: Deadline Approaching to Implement ICD-10 Coding Changes
Unless Congress enacts a delay, healthcare providers will need to implement the new ICD-10 code set changes by October 1, 2014, a mere 18 months away