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AAP Pediatric Coding Newsletter最新文献

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Coding Hotline 编码热线
AAP Pediatric Coding Newsletter Pub Date : 2023-05-01 DOI: 10.1542/pcco_book229_document007
{"title":"Coding Hotline","authors":"","doi":"10.1542/pcco_book229_document007","DOIUrl":"https://doi.org/10.1542/pcco_book229_document007","url":null,"abstract":"This month’s Coding Hotline includes questions on coding for a suspected neonatal infection, attention deficit-hyperactivity disorder, and a teaching physcian’s presence.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"181 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133544771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding Age Ranges in Current Procedural Terminology® 了解当前程序术语中的年龄范围®
AAP Pediatric Coding Newsletter Pub Date : 2023-05-01 DOI: 10.1542/pcco_book229_document005
{"title":"Understanding Age Ranges in Current Procedural Terminology®","authors":"","doi":"10.1542/pcco_book229_document005","DOIUrl":"https://doi.org/10.1542/pcco_book229_document005","url":null,"abstract":"This article reviews how age ranges are applied for critical care and other services for which code descriptors include an age range.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124698402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AMA Issues Errata and Technical Corrections for CPT 2023 AMA发布CPT 2023勘误表和技术更正
AAP Pediatric Coding Newsletter Pub Date : 2023-05-01 DOI: 10.1542/pcco_book229_document006
{"title":"AMA Issues Errata and Technical Corrections for CPT 2023","authors":"","doi":"10.1542/pcco_book229_document006","DOIUrl":"https://doi.org/10.1542/pcco_book229_document006","url":null,"abstract":"The American Medical Association has updated “Errata and Technical Corrections—CPT® 2023.”","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"43 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127443010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Did You Know? Responding to an Untimely Filing Denial 你知道吗?回应不合时宜的申请拒绝
AAP Pediatric Coding Newsletter Pub Date : 2023-05-01 DOI: 10.1542/pcco_book229_document004
{"title":"Did You Know? Responding to an Untimely Filing Denial","authors":"","doi":"10.1542/pcco_book229_document004","DOIUrl":"https://doi.org/10.1542/pcco_book229_document004","url":null,"abstract":"Most payers specify a timely filing period for submitting claims for medical services (eg, 60 or 90 days). Claims that are denied for untimely filing are those for which the original submission to the payer occurred after the timely filing period has elapsed. However, there are opportunities to seek a reconsideration of the claim when a practice can provide evidence of timely filing.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127934269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond Codes: Electronic Claims Acknowledgment Reports 超越代码:电子索赔确认报告
AAP Pediatric Coding Newsletter Pub Date : 2023-05-01 DOI: 10.1542/pcco_book229_document003
{"title":"Beyond Codes: Electronic Claims Acknowledgment Reports","authors":"","doi":"10.1542/pcco_book229_document003","DOIUrl":"https://doi.org/10.1542/pcco_book229_document003","url":null,"abstract":"While physicians and other qualified health care professionals (QHPs) typically rely on administrative staff to oversee or conduct billing activities, a general understanding of the process may prove beneficial should issues like staff turnover or a problem with outsourced billing result in unpaid claims.\u0000 This article reviews\u0000 An initial step in claims management to verify that claims submitted electronically were accepted by the clearinghouse and/or payer How acknowledgment reports can provide evidence that claims were filed within a payer’s timely filing period (eg, within 60 or 90 days of the date of service)","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128849823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interprofessional Consultations: Medicaid and Children’s Health Insurance Program Coverage 跨专业咨询:医疗补助和儿童健康保险计划的覆盖范围
AAP Pediatric Coding Newsletter Pub Date : 2023-05-01 DOI: 10.1542/pcco_book229_document002
{"title":"Interprofessional Consultations: Medicaid and Children’s Health Insurance Program Coverage","authors":"","doi":"10.1542/pcco_book229_document002","DOIUrl":"https://doi.org/10.1542/pcco_book229_document002","url":null,"abstract":"Interprofessional consultations are reported when a treating physician or other qualified health care professional (QHP) consults another physician or QHP for their recommendation on managing a patient’s specific condition or problem by telephone, internet, or other electronic communication technology.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"211 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116408620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ICD-10-CM Updates for April 1 Implementation 4月1日实施的ICD-10-CM更新
AAP Pediatric Coding Newsletter Pub Date : 2023-04-01 DOI: 10.1542/pcco_book228_document001
{"title":"ICD-10-CM Updates for April 1 Implementation","authors":"","doi":"10.1542/pcco_book228_document001","DOIUrl":"https://doi.org/10.1542/pcco_book228_document001","url":null,"abstract":"This article highlights some of the 42 new International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes (not all 42 are appropriate for pediatrics) as well as information on guidelines and instructions for reporting each of the code categories.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"52 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121484104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spring Cleaning: Time to Tidy Up Coding and Billing Processes 春季大扫除:是时候整理编码和计费流程了
AAP Pediatric Coding Newsletter Pub Date : 2023-04-01 DOI: 10.1542/pcco_book228_document002
{"title":"Spring Cleaning: Time to Tidy Up Coding and Billing Processes","authors":"","doi":"10.1542/pcco_book228_document002","DOIUrl":"https://doi.org/10.1542/pcco_book228_document002","url":null,"abstract":"This article provides tips for reviewing and “cleaning up” coding and billing practices. This includes the following topics:\u0000 Appropriate adoption of new codes and guidelines Reviewing accounts receivable processes and outcomes Updating any outdated resources and exploring new options","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131019760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prolonged Services: CPT® Guidelines and Medicare/Medicaid Policy 延长服务:CPT®指南和医疗保险/医疗补助政策
AAP Pediatric Coding Newsletter Pub Date : 2023-04-01 DOI: 10.1542/pcco_book228_document003
{"title":"Prolonged Services: CPT® Guidelines and Medicare/Medicaid Policy","authors":"","doi":"10.1542/pcco_book228_document003","DOIUrl":"https://doi.org/10.1542/pcco_book228_document003","url":null,"abstract":"This article addresses the following topics:\u0000 Current Procedural Terminology (CPT) codes for prolonged evaluation and management (E/M) service codes are reported based on the occurrence or absence of a face-to-face visit on the same date in addition to time requirements. The Centers for Medicare & Medicaid Services (CMS) created Healthcare Common Procedure Coding System (HCPCS) codes with guidelines that vary significantly from the CPT guidelines. CMS does not always limit the time attributed to prolonged service to time on the date of the encounter.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122019024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coding Hotline 编码热线
AAP Pediatric Coding Newsletter Pub Date : 2023-04-01 DOI: 10.1542/pcco_book228_document004
{"title":"Coding Hotline","authors":"","doi":"10.1542/pcco_book228_document004","DOIUrl":"https://doi.org/10.1542/pcco_book228_document004","url":null,"abstract":"This month’s Coding Hotline answers questions regarding CPT and ICD-10-CM coding for maternal depression screening.","PeriodicalId":370754,"journal":{"name":"AAP Pediatric Coding Newsletter","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129780918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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