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Nurse Life Care Planners

News and Important Information

Tools and Resources for Life Care Planners

Spinal Cord Stimulator Used for Chronic Pain


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Code Sets

CPT Codes

CPT codes by chapter

ICD-10-CM Codes

Diagnosis codes by chapter

HCPCS Codes

Supply/Procedure codes by chapter

Find-A-Code's Tools & Resources

APC Packager/Pricer

Catch problems and know exact payment details in advance before submitting UB-04 claims

Pro Fee Calculator

Verify Professional & UCR Fees for Reimbursement

ASA Crosswalks & Fees

Crosswalks available from CPT Anesthesia Codes to Surgery and Procedure Codes

UCR Fees

UCR fees for non-medicare payers and UCR data sources

DMEPOS Product Search

Search by Manufacturer, Model #, Product or HCPCS simple search and for accurate coding

WK Drug Database

Search Trade Name, Generic, NDC, Packaging, Codes, Dosages as well as Indications/Diseases associated with the medication

Abbreviations

Research Abbreviations using our comprehensive list of medical abbreviations

Lab Test Search

Research best tests for diseases (CLD rankings), test info, billing codes, etc

Commercial Payer Policies

View Clinical Indications for Medical necessity on procedures, Suggested Code Selection to assist your clinical judgment includes citations

LCDs & NCDs

Search LCDs and NCDs for Clinical Indications and Limitations of Coverage and/or Medical Necessity

NCCI Edits Validator

Validate using NCCI edits for errors in code selection

Click-A-Dex™

Enhanced index searching

Browse-A-Code

Code selection decision tree tool

Find-A-Code Website Demo Video

View this brief demo video on Vimeo to see how you can benefit from using Find-A-Code

Guidelines and Manuals Topics Page

View CPT, Diagnostic, Medicare, and other rules and guidelines

Additional Links and Resources

NCBI PubMed Resources

Search the PUBMed to verify evidence based standards of medical necessity

Home Health PPS

Home Health Prospective Payment System

Home Health Agency (HHA) Center

Home Health Agency (HHA) Center

Home Health PPS Rate Update

Federal Register: CY 2018 Home Health PPS Rate Update

Nurse Life Care Planners Articles

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Medical ID Theft

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Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...

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The OIG Work Plan: What Is It and Why Should I Care?

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The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...

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The Facts of Critical Care

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Critical care services remain to not only be an area of confusion for providers, coders, and auditors, but also a constant target for the carriers for audit. We can sit back and look at critical care and think of all of the ways the code descriptor and/or use could be ...

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5 Ways to Minimize HIPAA Liabilities

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Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...

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How to Properly Report Monitoring Patients Taking Blood-thinning Medications

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Codes 93792 and 93792, which were added effective January 1, 2019, have specific guidelines that need to be followed. This article provides some guidance and tips on properly reporting these services.

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Spinal Cord Stimulator Used for Chronic Pain

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Chronic pain is a condition that can be diagnosed on its own or diagnosed as a part of another condition. When coding chronic pain, there is no time frame defining when pain becomes chronic pain; the provider’s documentation should be used to guide the use of these codes. ICD-10-CM Diagnosis Codes ...

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Pain Codes in ICD-10-CM

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When coding with ICD-10-CM, pain codes can be found in different sections: The Body System affected or site-specific pain codes, such as Low Back Pain M54.5, can be found in Chapter 13. Diseases of the Musculoskeletal system (M00-M99). Other examples might be ocular pain H57.1, found in Chapter 7. Diseases of ...

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Wolters Kluwer Drug Pricing

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Wolters Kluwer provides unit and package pricing for multiple drug price types: Average Wholesale Price (AWP), Wholesale Acquisition Cost (WAC), Direct Price (DP), Manufacturer's Suggested Wholesale Price (SWP), Centers for Medicare & Medicaid Services, Federal Upper Limit (CMS FUL), Average Average Wholesale Price (AAWP), Generic Equivalent Average Price (GEAP). Average...

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Tools and Resources for Life Care Planners

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Life Care Planners play a vital and underappreciated including understanding the progression of a disease and lifetime clinical treatment options, research, delete (I combined this into the paragraph above) compiled into one easy-to-use resource. a unified providing a single destination for procedure coding coding to find information on...

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Documentation for Urological Supplies

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The Medicare Learning Network provides guidance on required documentation for urological supplies.

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Documentation for Manual Wheelchairs

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The Medicare Learning network provides guidance on how to prevent denials for Manual Wheelchair Bases....

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Documentation for Home Health Services (Part A non DRG)

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The Medical Learning Network provides coverage guidance, which should be documented, for home health services.

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Documentation and Orders for Respiratory Assistive Device

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The Medicare Learning Network provides guidance on required documentation for a respiratory assistive device and ordering guidelines.

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Documentation for Skilled Nursing Facilities

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The Medicare Learning Network provides guidance on required documentation for Skilled Nursing Facilities (SNF).

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Special Skilled Nursing Facility (SNF) Billing Exceptions for Laboratory Tests PUB-100 40.4

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When a SNF furnishes laboratory services directly, it must have a Clinical Laboratory Improvement Act (CLIA) number or a CLIA certificate of waiver, and the laboratory itself must be in the portion of the facility so certified. Normally the A/B MAC (A) makes payment under Part B for clinical laboratory ...

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Billing Negative Pressure Wound Therapy (NPWT) (disposable device)

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Per CMS: Disposable NPWT services are billed using the following Current Procedural Terminology® (CPT®) codes: 97607 - Negative pressure wound therapy, (e.g., vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or ...

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Nurse Life Care Planners Webinars

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E/M and the Organ Systems Part 2 of 2

E/M and the Organ Systems Part 2 of 2

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E-M and the Organ Systems (Part 1)

E-M and the Organ Systems (Part 1)

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Anatomy of the Ankle and Common Injuries

Join Brandon Leavitt as we master the anatomy of the foot and ankle and common diseases and injuries which are found with this joint. We will also cover how these terms are described in ICD-10-CM.

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Anatomy and Diagnostic Coding for Wound Care

In this webinar, Brandon Leavitt will review the anatomy of wounds from injury, disease, and other conditions and the proper ICD-10-CM coding for them. A review of pressure and non-pressure, and venous stasis ulcers, burns, corrosions, neoplasms, and other diseases affecting the integument will be presented.

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Coding and Auditing Wound Care

In this webinar, Aimee will review wound care coding and auditing information for wound care services, including proper modifier use, NCCI edits, Medicare coverage guidelines, and documentation requirements.

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Proper Coding and Billing for Drugs, Biologicals and Injections

Proper Coding and Billing for Drugs, Biologicals and Injections

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How to Check NCCI Edits Using FindACode

How to Check NCCI Edits Using FindACode

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ICD-10-CM Training - Session 08

ICD-10-CM Training - Session 08

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ICD-10-CM Training - Session 07

ICD-10-CM Training - Session 07

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ICD-10-CM Training - Session 06

ICD-10-CM Training - Session 06

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ICD-10-CM Training - Session 05

ICD-10-CM Training - Session 05

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ICD-10-CM Training - Session 36

ICD-10-CM Training - Session 36

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ICD-10-CM Training - Session 35

ICD-10-CM Training - Session 35

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ICD-10-CM Training - Session 34

ICD-10-CM Training - Session 34

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ICD-10-CM Training - Session 33

ICD-10-CM Training - Session 33

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ICD-10-CM Training - Session 04

ICD-10-CM Training - Session 04

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ICD-10-CM Training - Session 32

ICD-10-CM Training - Session 32

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ICD-10-CM Training - Session 31

ICD-10-CM Training - Session 31

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ICD-10-CM Training - Session 03

ICD-10-CM Training - Session 03

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ICD-10-CM Training - Session 02

ICD-10-CM Training - Session 02

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ICD-10-CM Training - Session 30

ICD-10-CM Training - Session 30

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ICD-10-CM Training - Session 29

ICD-10-CM Training - Session 29

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ICD-10-CM Training - Session 28

ICD-10-CM Training - Session 28

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ICD-10-CM Training - Session 27

ICD-10-CM Training - Session 27

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ICD-10-CM Training - Session 01

ICD-10-CM Training - Session 01

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ICD-10-CM Training - Session 26

ICD-10-CM Training - Session 26

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ICD-10-CM Training - Session 25

ICD-10-CM Training - Session 25

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ICD-10-CM Training - Session 24

ICD-10-CM Training - Session 24

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ICD-10-CM Training - Session 23

ICD-10-CM Training - Session 23

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ICD-10-CM Training - Session 22

ICD-10-CM Training - Session 22

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ICD-10-CM Training - Session 21

ICD-10-CM Training - Session 21

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ICD-10-CM Training - Session 20

ICD-10-CM Training - Session 20

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ICD-10-CM Training - Session 19

ICD-10-CM Training - Session 19

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ICD-10-CM Training - Session 18

ICD-10-CM Training - Session 18

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ICD-10-CM Training - Session 17

ICD-10-CM Training - Session 17

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ICD-10-CM Training - Session 16

ICD-10-CM Training - Session 16

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ICD-10-CM Training - Session 15

ICD-10-CM Training - Session 15

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ICD-10-CM Training - Session 14

ICD-10-CM Training - Session 14

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ICD-10-CM Training - Session 13

ICD-10-CM Training - Session 13

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ICD-10-CM Training - Session 12

ICD-10-CM Training - Session 12

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ICD-10-CM Training - Session 11

ICD-10-CM Training - Session 11

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ICD-10-CM Training - Session 10

ICD-10-CM Training - Session 10

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ICD-10-CM Training - Session 09

ICD-10-CM Training - Session 09

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