The CERT Program

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...

Chronicity of the Condition

Question: One point of clarification I’ve wondered about. What defines the chronicity of the condition? Is it if it’s lasted more than one year already for the patient or is it if we know that it’s going to last more than a year even if it’s...

Shave Biopsy

Question: When I am performing a shave biopsy, I append diagnosis code D48.5 to the service.  My coder is telling me that it is incorrect, and I should use D49.2 instead.  Who is correct?  Answer: The coder is correct on this one.  D48.5 is Neoplasm of Uncertain...

Principal Care Management Coding

In CPT this year, there are new Category I codes for Principal Care Management (PCM). CPT CODE DESCRIPTION #•99424 Principal care management services, for a single high-risk disease…; first 30 minutes provided personally by a physician or OQHCP, per calendar month...

ICD-10-CM Comprehensive Instruction Manual

Written by RHONDA BUCKHOLTZ, BETTY HOVEY, JACKIE STACK, and PEGGY STILLEY | Edited by BRAD ERICSON This comprehensive instructional manual helps you have a greater understanding of coding in ICD-10-CM. Combine it with the ICD-10-CM Proficiency workbook and you will be...
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