The 3-day payment rule is known to coders by various names such as the 72-hour rule, the 3-day payment window, or MS-DRG window policy. Kimberly Lee M.Ed., RHIA, CCS-P, describes how to navigate the rule’s nuances for billing purposes.
Because of the prevalence of eating disorders, coders should become familiar with their types, symptoms, codes, and relevant guidelines. They appear in ICD-10-CM under category F50 (eating disorders), but codes for individual symptoms appear throughout the manual.
A broken nose is a break in the bone or cartilage over the bridge of the nose or over the septum—the structure that separates the nostrils. Debbie Jones, CPC, CCA, explains how to select the most specific CPT codes for nasal fracture and dislocation treatments.
Understanding and managing coding edits is essential to ensure correct coding. Refresh your knowledge of the different types of coding edits and how they must be addressed.
Over the past two decades, case management research has established recommendations for optimal caseload size. These efforts were significant, contributed to evidence-based practice, and remain relevant today.
