We have trouble billing multiple units of injections and infusions—mostly CPT add-on codes 96375 (injection, each additional sequential intravenous push of a new substance/drug) and 96376 (injection, each additional sequential intravenous push of the same substance/drug provided in a facility)—that are done during observation stays and exceed the medically unlikely edits number. What is the correct way to bill these and get paid?
Accurate clinical documentation is the bedrock of the legal medical record, billing, and coding. It is also the most complex and vulnerable part of the revenue cycle.
This week's Medicare updates include OIG Work Plan updates; the annual ICD-10-CM code update; new information on how providers can to get ready for new Medicare Cards; and more!
Prioritization and time management are crucial when it comes to leading a revenue integrity department. Kimberly Yelton, RHIA, CCS, CDIP, AHIMA-approved ICD-10-CM/PCS trainer, and director of revenue integrity at WakeMed Health & Hospitals in Raleigh, North Carolina, told NAHRI about her experience with this when planning and following through with department initiatives.
I've noticed some conflicting information in CPT Assistant and NCCI edits for CPT code 29874 (knee arthroscopy with removal of loose/foreign body). Do the NCCI edits override the advice in CPT Assistant?
This week’s Medicare updates include the elimination of routine reviews including documentation compliance reviews and instituting three medical reviews; new guidance for outpatient facility claims; standardization of demand letter language; and more!
