ICD-10 Diagnosis Codes

Apr 3, 2024 | Coding Quandry

Question: I am unsure what ICD-10 diagnosis codes should go on a claim for an encounter.  Here is an example: a patient is seen for a nagging cough/cold symptoms.  Since the patient has hypertension, the doctor told her there are certain over-the-counter medications...

Punch Biopsies

Mar 13, 2024 | Coding Quandry

Question: A patient came in for two punch biopsies due to dermatitis that wouldn’t clear after treatment for a few months.  The doctor thinks that he should be able to bill an E/M with the visit, but I say no.  Who is right?  Answer:  I don’t like giving this answer,...
The CERT Program

The CERT Program

Jul 19, 2023 | Article

What It Is and What a Practice Needs to Know The Comprehensive Error Rate Testing (CERT) program is a crucial component of the Medicare program that helps ensure the government is paying only for the services and care that beneficiaries actually receive. The program...
Comparative Billing Reports (CBRs)

Comparative Billing Reports (CBRs)

May 10, 2023 | Article

What Are They, and What Do We Do With Them? CMS (Centers for Medicare and Medicaid) is always implementing various programs and initiatives aimed at reducing fraud, waste, and abuse. One such initiative is Comparative Billing Reports (CBRs). In this article, an...
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