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JustCoding.com provides coders, coding supervisors, and health information management (HIM) directors with educational resources to test their coding knowledge, employ correct coding guidelines, and stay abreast of CMS transmittals. To learn about the different levels of access to this site, click here.
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Know when to append modifier -JW
Providers who participate in the Competitive Acquisition Program—the program that allows CMS to select vendors who fill physician orders for drugs and other pharmaceuticals—can no longer report modifier -JW to receive reimbursement for unused vials, according to Transmittal R1478CP, effective April 14. Susan Garrison, CPC, CPC-H, CCS-P, CPAR, explains the modifier.
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Robert S. Gold, MD, discusses how to correctly code a percutaneous endoscopic gastrojejunostomy.
Coders rely on two factors in the medical record when coding for prolonged services. These factors, which need to be documented in the medical record, determine the level of billing in the course of a patient encounter. Jessica A. Little CPC-FP, CPC-INTMED, discusses strategies for correctly assigning these evaluation and management codes.
The POA indicator differentiates between preexisting conditions that a patient has before his or her hospital admission and conditions or complications that develop over the course of the hospital stay. DeAnne Bloomquist RHIT, CCS, and Shannon McCall RHIA, CCS, CPC, offer tips to help coders assign the indicator correctly.
James S. Kennedy, MD, CCS, and DeAnne W. Bloomquist, RHIT, CCS, discuss the details of the proposed rule, and explain how the rule may affect your facility.
With the permanent Recovery Audit Contractor (RAC) program right around the corner, facilities should review a few internal progress notes to see whether their coding complies with the split/shared visit policy rule. Elin Baklid-Kunz, MBA, CPC, CCS, discusses increased latitude in hospital and office billing for evaluation and management (E/M) services.
Cristina Bentin, CCS-P, CPC-H, CMA, and Joanne Schade-Boyce, RDH, MS, CPC, ACS, PCS, offer tips to avoid ambulatory surgery center coding mistakes for gastrointestinal, orthopedic, and as ear/nose/throat procedures.
Inpatient blood deductible provision applies to whole blood cells, red blood cells
May 14, 2008
On May 2, CMS released Transmittal 1495, which updated billing instructions for blood and blood products.
CMS to make modifier -GD available soon
May 7, 2008
Providers may soon be able to use modifier -GD to override medically unlikely edits (MUE), according to a CMS official who addressed the issue during the April 24 CMS Open Door Forum call. Read more about modifier -GD in Healthcare Happenings.
Deleted and payable HCPCS codes
April 30, 2008
CMS recently issued their quarterly update for Level II HCPCS codes, in Transmittal R1492, which are effective immediately. Learn about the four deleted codes, and the eight new ones.
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Check out what you're missing on JustCoding Platinum!
Three new terms in the Clinical Conditions Dictionary
- Coronary pulmonary fistula
- Diffuse or disseminated intravascular coagulation syndrome
- Monoclonal gammopathy
Have a coding form that you’d like to share? Email it to editor@justcoding.com, and we may feature it in an upcoming issue!
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May 28, 2008
Integumentary CPT Coding: Correct Common Errors for Closures, Transfers, Flaps, and Grafts
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