Q: According to one of our private carriers, we should report bilateral services with modifier -50 (bilateral procedure) for physician claims in one of the following ways:
Report modifier -50 on two service lines with 1 unit each
Q: We’re attempting to make provider queries part of our medical record which coding can use to pick up codes. Does anyone have experience with this they could share? We are interested in: Components of a query (complaint query), who to send the query to, who is responsible for...Read More »
Q: Are coders required to report a social determinants of health (SDOH) ICD-10-CM code when a CPT code for an evaluation and management (E/M) service level is based on medical decision-making (MDM)?Read More »
Q: What terms need to be included in physician documentation to code in ICD-10-CM whether the patient’s migraine is chronic, intractable, or with status migrainosus?
A: “The patient has a migraine,” is insufficient documentation. Let’s...Read More »
Q: I have a couple of questions regarding CDI metric expectations, reporting, and education for your CDI teams. I have been working on a CDI metrics report of the expected systemwide versus individual query rate, review rate, physician response rate, agreement rate, and expected...Read More »
Q: Are you using contingency staffing in your inpatient programs? If so, do you require any pre-testing to evaluate competency? What has you experience been with using these temporary workers?
Response #1: We currently have more than 10...Read More »
