Q: How are outpatient consultations reported? And what qualifies as a consultation?
A: Outpatient consultations are reported with CPT codes 99242-99245. Each has a time and a level of medical decision-making (MDM). You report either the time or MDM. Here's an overview:...Read More »
Q: What is the correct ICD-10-CM coding approach for poisoning cases that include documented manifestations, and how are these cases reflected in code selections and sequencing?
A: Let’s look at two examples of poisoning, one accidental and the other intentional...Read More »
ACDIS polls allow both the national team and our members a chance to obtain a specific piece of data that speaks to industry trends and professional consensus. Sometimes, a poll gathers information for one CDI department with a specific question or helps shape content for ACDIS’ publications. In...Read More »
Medicare would’ve saved over $300 million if CMS’ bundled payment rates for opioid use disorder (OUD) treatment services had reflected the types and frequency of services actually provided to enrollees, according to a recent Office of Inspector General (OIG) ...Read More »
Q: What considerations should coders keep in mind when referring to problem lists for determining the principal diagnosis and proper sequencing of all documented conditions in the inpatient setting?Read More »
Primary care physicians (PCP) in the United States are far more likely to experience burnout than physicians located in other countries, a new survey suggests...Read More »