Three Steps Shape Up Your Diabetes Coding Claims

Posted on 25. Apr, 2012 by dchandhok.

If you want your diabetes claims to be picture perfect in 2012, then follow these three steps to avoid future denials and keep your physician’s claim on the fast track to success.

1. Select the Fourth Digit First

Begin your code selection with diagnosis family 250.xx (Diabetes mellitus). Determine the fourth digit according to the type of diabetic complication the patient has, if any.

Case: A patient presents with diabetic hypoglycemia. You should report 250.8 (Diabetes with other specified manifestations) as your first four digits. If, however, the patient presents with diabetes without any complications, your first four digits will be 250.0 (Diabetes mellitus without mention of complication)

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Accurate Diabetes ICD-9 Coding = PQRI Bonus

Posted on 15. Jan, 2009 by .

Internal medicine providers interested in a year-end bonus from Medicare can choose to report in the Physician Quality Reporting Initiative (PQRI) again in 2009 — this time at a higher rate of return.

The first step in PQRI participation is focusing your reporting on measures your practice will often meet. According to CMS, the 2009 PQRI includes 153 reporting measures. There is an “endless” amount of PQRI measures that might apply to your practice, according to Eileen Lane, CPC, PCS, senior compliance auditor with Harvard Medical Faculty Group at Beth Israel Deaconess Medical Center. It all depends on your internist’s area of expertise. More …

Extra: A 3% reimbursement boost for level-3 OVs? Annette Grady explains …

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