Diagnosis notes for dermatology Be sure to match the diagnosis to the procedure. For example, For skin tag removal, use skin tag For … [Read more...]
Screening for skin cancer
Dermatologists frequently see patients for skin checks, to examine their skin for signs of pre-malignant or malignant lesions. Some of these patients … [Read more...]
Diagnosis coding for biopsy sent for pathology
Question: What diagnosis code should you use when sending a biopsy to pathology? a) D49.5 Neoplasm of uncertain behavior of skin, or b) D49.2 … [Read more...]
Five urban legends about risk-adjusted diagnosis coding
Originally published on kevinmd.com Betsy Nicoletti, M.S., CPC When I talk to medical practices about Hierarchical Condition Category (HCCs) … [Read more...]
Diagnosis coding for screening colonoscopy
Some of you have read my blog post on coding for screening colonscopy. The questions I get about that article are all related to diagnosis … [Read more...]
HCC’s in brief | The difference between CMS-HCC and HHS-HCC
Demographics and diagnoses Risk adjusted diagnosis coding is a model used to predict future health care costs based on demographics and … [Read more...]
Changes in HCC diagnosis coding from V22 to V23: what you need to know
CMS pays Medicare Advantage plans differentially based on Hierarchical Condition Category (HCCs). This coding model uses demographics and diagnoses … [Read more...]
How to improve the accuracy of your diagnosis risk scores | Dr. Edwin Knights
This reference is the companion resource for the webinar I presented in June with Edwin Knights, M.D., Improving the accuracy of your diagnosis risk … [Read more...]
Diagnosis Coding | Not just for claims anymore
Physician claims paid based on CPT®, are often denied based on diagnosis codes Physicians use CPT® or HCPCS codes to tell the payer WHAT … [Read more...]
ICD-10 coding for suspected cancer
Diagnosis coding for possible malignance How would you feel if your primary care physician and your general surgeon told you—and your insurance … [Read more...]
Improving the accuracy of your diagnosis risk scores | Webinar
Recorded June 6, 2018 Presented by Betsy Nicoletti with guest speaker Edwin Knights, MD Edwin Knights, M.D. was the physician leader in his … [Read more...]
Diabetes coding in Hierarchical Condition Coding (HCC)
Introduction | Diabetes coding in HCC In fee-for-service medicine: Diagnosis coding establishes medical necessity, and may be the reason for a … [Read more...]
Depression coding in Hierarchical Condition Coding (HCC)
Introduction | Depression coding in HCC In fee-for-service medicine: Diagnosis coding establishes medical necessity, and may be the reason for a … [Read more...]
Dear Resident, Do you Understand Relative Value Units (RVUs)?
Measuring physician productivity with work RVUs: News flash! Physicians are more interested in medicine than coding. No doctor undertook the … [Read more...]
Can you screen for an existing condition? | Diagnosis Coding for Lab Services
Can you screen for an existing condition, “In the absence of any signs, symptoms or associated diagnosis” Sometimes, the hardest thing about coding … [Read more...]
Compliance issues in ICD-10 coding for risk based contracts and HCCs
Everyone loves to read the general guidelines at the front of the ICD-10 book, right? No? Well, here’s an excerpt. “Code all documented conditions, … [Read more...]
HCC diagnosis coding: what medical practices need to know about risk adjusted diagnosis coding
Webinar - Recorded December 14, 2017 Risk coding is all the rage! Are you up-to-date? In fee-for-service medicine, physician services are paid … [Read more...]
HCC diagnosis coding: Can you add a code from the past medical history?
Recently a fellow coder wrote to me about risk adjusted diagnosis coding. She was responding to an article that I wrote in which I stated the … [Read more...]
What’s the difference between B20 and Z21? Which is right for positive HIV status?
ICD-10-CM diagnosis coding for positive HIV status Question: For an HIV positive patient without symptoms, is the correct diagnosis code Z21 or … [Read more...]
Overview of HCCs | Risk-adjusted diagnosis coding
Lunch and Learn How do we get paid for physician services in medical practices? Watch this 10 minute video and download the handouts below for an … [Read more...]