Search found 3 matches

by djfreedman
Mon Apr 03, 2017 1:34 pm
Forum: Medical Auditing Forum
Topic: NGS Medicare Exam Changes
Replies: 6
Views: 3683

Re: NGS Medicare Exam Changes

To me this is crazy that a Medicare Contractor can make up their own E&M rules when CMS and AMA came up with E&M 1195 and 1997 guidelines. This requirement should be appealed to the CMS administrator or who over sees NGS and get this requirement stayed. This will cause many issues with E&M billing t...
by djfreedman
Fri Mar 20, 2015 11:47 am
Forum: Weekly Tip Comments & Discussions
Topic: ICD-10 Challenge - Critical Care
Replies: 5
Views: 4156

Re: ICD-10 Challenge - Critical Care

I agree looking at the two codes - Dx T63.452A, Toxic effect of venom of hornets, intentional self-harm, better supports Critical Care services. R68.89, other general symptoms is pretty vague and would not most likely cover critical care.
by djfreedman
Fri Mar 13, 2015 9:55 am
Forum: Weekly Tip Comments & Discussions
Topic: Z83.511
Replies: 1
Views: 2494


Family history of glaucoma, most likely the problem is a visual issue. The Z code would not be a primary diagnosis code if so this should be a non-covered service as a screening.