Articles

Spotlight on up-to-date coding

Everyday Coding for Medical Practices

How can a practice increase its revenue? The easiest way is by collecting for services already performed, and the first step in that process is … [Read more...]

Medical Decision Making | Documentation Guidelines for E/M Services

Definition Medical decision making (MDM) is one of the three key components of evaluation and management services. (Make sure you read about the … [Read more...]

Global Surgical Package

An Overview of the Global Surgical Package Need a quick summary of the global surgical package and frequently used modifiers, including modifiers 54 … [Read more...]

Nursing Facility Visits

Definition Nursing facility visits are Evaluation and Management services provided in a skilled nursing facility or a long term nursing … [Read more...]

Modifier 24 and 25

This summary of the rules regarding modifier 24 and 25 is a must read; it includes specific examples of when to report both an E/M and a procedure and … [Read more...]

Incident To Services – Medicare

Medicare has specific rules for billing for Nurse Practitioners, Physician Assistants and other office staff incident to a physician services in an … [Read more...]

Moderate or High MDM – General Surgery

Accurately select the level of medical decision making. This article provides examples of moderate and high MDM. For more information on the … [Read more...]

Billing Admission and Subsequent Visits for Patient Having Surgery

What if I Admit a Patient and Don't Take the patient Immediately to Surgery? Can I bill for the admission and subsequent visits if the patient … [Read more...]

Teaching physician rules and surgical procedures

The teaching physician rules describe a payment method by which Medicare pays an attending physician or teaching physician for services performed … [Read more...]

Teaching Physician Rules – Use Modifier GC

Coding. Why does it keep changing? The information you are looking for has moved. Please see the following resources for up-to-date information on … [Read more...]

Teaching Physician – Primary Care Exception

Overview | Primary Care Exception and modifier GE CMS updated the teaching physician rules in 2019, and this article reflects the change. On April … [Read more...]

Laceration Repair

Wound repair is classified as Simple, Intermediate or … [Read more...]

Infectious Disease Charge Slip

Infectious Disease Billing and Coding Overview Is your electronic charge slip up-to-date with all of the infectious disease CPT® codes for … [Read more...]

Three Key Components of E/M Services

There are three key components to evaluation and management services. History, Exam and Medical decision making. Each component has specific rules and … [Read more...]

How Fees are Set in the Medicare Fee Schedule

How does Medicare calculate payments? This overview provides information and examples to explain how fees are set in the Medicare Fee … [Read more...]

Physician Certification for Home Health Services

This short article includes the HCPCS codes for physician certification of home health services, eligibility criteria, and more... G0180 : … [Read more...]

Coding for Excision of Lesions

This article reviews codes and guidelines for excision of skin lesions. For additional information about minor procedures, see the additional … [Read more...]

Guidelines for Billing Preventive Medicine Services and Split Visits

This cheat sheet provides guidance for billing preventive medicine services and split visits. When can you bill for both an office visit AND a … [Read more...]

Surgical Modifiers

This article includes a list of surgical modifiers with definitions, guidelines for billing multiple surgical procedures, and citations. Download the … [Read more...]

Aftercare and Follow-up: ICD-10 Coding

Aftercare visit codes cover situations when the initial treatment of a disease has been performed and the patient requires continued care during the … [Read more...]