In this post ICD-10-CM diagnosis coding for positive HIV status Update to HIV coding in 2022 Medical practice reimbursement for individual … [Read more...]
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To Credit or Not to Credit: Auditing E/M Services
Recorded September 21, 2017 When it comes to auditing E/M services, there’s black, white and a whole lot of gray. Reasonable auditors can disagree. … [Read more...]
7 Sure Fire Ways to Owe the Government $4 million in Fines and Repayments | Coding Compliance
Most practices aren’t looking to pay the government any money in fines and repayment because of coding errors. Two recent OIG settlements described … [Read more...]
Reporting a Problem-Oriented Visit on the Same Day as Welcome to Medicare (G0402) or Initial and Subsequent Wellness Visit (G0438, G0439)
I continue to hear that some consultants and coders don't agree with reporting a problem oriented visit with welcome to Medicare or wellness visit … [Read more...]
Primary Care and Post-Op Reporting | Medicare Requirements
Hey, primary care! This one’s for you too. Primary care doctors probably didn’t pay attention when the news broke that CMS is requiring reporting … [Read more...]
Medical Decision Making | Evaluation and Management Services
Lunch and Learn Medical Decision Making is the third key component of evaluation and management services. MDM has three components: The number … [Read more...]
Modifiers in the Post-Op Period | Global Surgical Package
Although there is a single payment for surgical procedures that have 0, 10 and 90 global days, there are frequent instances in which the surgeon … [Read more...]
G0101 Pelvic and Breast Exam
Medicare developed two HCPCS codes for screening services for women, without certain frequency time limits G0101(screening breast and pelvic exam) … [Read more...]
Co-Surgery, Team Surgery, Assistant at Surgery
Modifiers for co-surgery, team surgery and assistant at surgery CPT® has specific modifiers for co-surgery, team surgery and assistant at surgery. … [Read more...]
Every Claim Line Tells a Story | CPT® Modifiers
Some people read mystery novels, some people can read body language but medical coders can read claims. Some claim lines are simple to read. The … [Read more...]
Newsletter Archives
2024 April - Who is using G2211? March - Updated wellness visit guidelines February - MACs not processing new HCPCS codes January - New CPT code … [Read more...]
Wound Care | CPT® Codes for Debridement
Health care organizations have started wound care clinics to care for patients with non-healing wounds and frequently use wound care debridement codes … [Read more...]
Quick Coding Reference Sheet – E/M Services
E/M Quick Reference for Evaluation and Management Codes This is an E/M reference using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer … [Read more...]
Quick Coding Reference Sheet – Psychiatry
This is an E/M reference using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it on the site? In case you … [Read more...]
This Practice Paid Medicare $4.48 Million
Do you sign up for email lists and then wonder why you did it? We all do, don’t we? But, one email I always read is from the Department of Justice … [Read more...]
Psychotherapy Coding Changes
Words removed from one set of codes, time added to another code. There are two changes in the psychiatry section of CPT® for 2017 behavioral health … [Read more...]
Global Surgical Package: An Overview
Need a quick summary of the global surgical package and frequently used modifiers? This article from CodingIntel will ensure that your medical … [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...]
Moderate or High MDM – General Surgery
ARCHIVE The 1995/1997 Documentation Guidelines are gone beginning 1-1-2023. (Ding dong....) However, we will still need to use them when auditing … [Read more...]
Coding Guide – Newborn and Pediatrics
Neonatologists, pediatricians and family physicians who care for newborns and sick children in the hospital need to select the category of code that … [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...]
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