Tag: Medical Coding Outsourcing

use-0074a-for-covid-19-pediatric-booster

Use 0074A for COVID-19 Pediatric Booster

Limit this code to administration of the Pfizer-BioNTech vaccine. On May 17, 2022, the U.S. Food and Drug Administration (FDA) amended the emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 vaccine to authorize the use of a booster dose for patients 5 through 11 years of age. The CPT® code to report administration of this […]
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How to Build ICD-10-PCS Codes From Op Reports

Arrive at the correct procedure code by breaking down the operative report. Even seasoned coding professionals occasionally find it challenging to assign the appropriate ICD-10-PCS codes from the operative report. Mastering the procedural coding system used in the inpatient hospital setting takes practice. Medical coders reporting inpatient services should start by reading the operative report, […]
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Barostim Heart Failure Treatment: Proper Procedural and Coding Training Ensure Accurate Reimbursement

  The Centers for Medicare & Medicaid Services (CMS) has begun covering a portion of the device cost for Barostim Neo, a neuromodulation device for treating chronic heart failure. In late 2020, the Centers for Medicare & Medicaid Services (CMS) announced that it would begin covering a substantial portion of the cost of implantable heart […]
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Confirm Dosage for New COVID-19 Booster

NDCs will help you determine when to use 0094A and 91309. If you’ve been waiting for news on Moderna’s booster dose-specific COVID-19 vaccine for adults, check this out: The Food and Drug Association (FDA) revised the emergency use authorization (EUA) to include this booster as of March 29, 2022. Assign 0094A, 91309 for Booster Dose […]
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payer-strategies-and-the-long-road-to-payment

Payer Strategies and the Long Road to Payment

The average cost of debunking a denial is $25 per claim, not to mention the continuous challenges associated with attaining timely payment. Reviewing denial management strategies on a regular basis may prove a more efficient payment journey. Claim denials are a continuous challenge for the healthcare industry, as providers struggle with write-offs and the resources […]
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cms-issues-2023-ipf-pps-proposed-rule

CMS Issues 2023 IPF PPS Proposed Rule

  Provisions include topsy-turvy payment adjustments across the country. A proposed rule outlines payments, wages, and policies in fiscal year (FY) 2023 for inpatient psychiatric facilities paid under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS). The Centers for Medicare & Medicaid Services (CMS) issued the proposed rule March 31 and is accepting public […]
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Get to the Heart of Coding TAVR

Solidify your understanding of aortic valve disease and how to report this life-changing treatment. Transcatheter aortic valve replacement (TAVR) is a minimally invasive cardiac procedure to replace a diseased aortic valve in a person’s heart. The most common reason to undergo TAVR is aortic stenosis, which is an abnormal narrowing of the aortic valve opening […]
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