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PPM Denials and Takebacks Jo-Anne:This one,this happens all the time and I’ve run into this so many times. Q: I work for a busy 3-doctor orthopedic surgery practice. We have been experiencing serious revenue issues with increased denials and money …
Q: This is more of a billing question. If the doctor performs at the hospital, as an outpatient procedure, a bone marrow which is code 38221, can he add an E/M code along with a modifier 25? This is a …
Q: I need help in understanding how to code the following: These are three diagnoses – the way I took this question. Three diagnoses on one encounter, one patient. The three are: Acute exacerbation of COPD or Chronic Obstructive Pulmonary …
Q: Anesthesia Modifier Coding — Can you go over anesthesia modifiers and when to use them? A: Yes, I can. Again, I’m going to bring in my doctored up coding manual. I used to be a real neat freak, believe it …
Alicia: Cushing syndrome, the code for that is 255.0 and the question was – Q: I encountered this question in one of the online exams that I purchased. I’m confused, because I believe that in neoplasm you need to code …
Tammy: Q: Being an Auditor — “I’m a coder, but I was wondering what is different about being an auditor, and if I decided to pursue that area, what would I need in order to be one? Do I need …
Laureen: Jo-Anne is a… Jo-Anne: Here I am. Laureen: Oh good…instructor for our PPM course and she’s a coach for a gaggle of students that we have. We’re really keeping her busy these days. I’ll let her go ahead and …
Q: [Length of Laceration] – “If the physician doesn’t give the length of a laceration in ER should you query him or can you use what the ER nurse documented in her flow sheet?” A: You chase him down the …