What are the CPT® codes for TCM? When can they be used? Who can perform these services? Find answers to these questions and more about billing for transitional care management services. Â Listen now…
Guidelines for Reporting Screening Colonoscopy
What is the difference between a screening and diagnostic colonoscopy, and how are they coded? What if a screening colonoscopy was scheduled, but a diagnostic or therapeutic colonoscopy was performed? Listen now for these answers and more…
To use, or not to use? Unspecified diagnosis codes
ICD-10 included many changes to unspecified codes. What kind of unspecified diagnosis codes can a practice still use? Which ones need to be avoided? Listen now to find out…
Risk Based Diagnosis Coding
A tale of two times: The past…practices lived in a fee-for-service world, getting paid the same amount, regardless of how many diagnosis codes were billed. The present…new payment systems and reimbursement models that utilize a variety of factors to determine end of year incentives, or decreased payments. What does that mean for you? Listen now…
Two for One – when can I bill a problem oriented visit and a preventive visit the same day
“By the way…” says the patient during their wellness visit, “can you take a look at ______?” When can you get paid for a problem oriented visit in addition to the wellness visit? This podcast episode includes CPT® and Medicare guidelines for deciding if you can bill both the E/M service and the preventive service, […]
To add, or not to add – E/M Services with a Procedure
Should you bill just a procedure? Or an E/M service with it? Medicare provides a breakdown by CPT® code of the pre-evaluation, pre-operative, intraoperative, and post-operative times included in each code. Listen now to learn more…
Understanding E/M modifiers
Evaluation and management modifiers indicate to a payer that the service provided was not part of the global surgical package. What are the criteria for using these modifiers? Listen now…
Quick Answers to Common Questions – Part 1
Are you getting paid for all the services you are entitled to be paid for? Are you coding and documenting accurately to help decrease compliance risk? This podcast answers the question “Can I get paid for…” and includes coding and documentation tips for: Phone calls -99441, 98966 Signing the home health certification form – G0180, […]
Quick Answers to Common Questions – Part 2
Are you getting paid for all the services you are entitled to be paid for? Are you coding and documenting accurately to help decrease compliance risk? This podcast answers the question “Can I get paid for…” and includes coding and documentation tips for: Nurse Visits – 99211 Nurse performing ear lavage/irrigation – 69209, 69210 Emergency […]
Quick Answers to Common Questions – Part 3
Are you getting paid for all the services you are entitled to be paid for? Are you coding and documenting accurately to help decrease compliance risk? This podcast answers the question “Can I get paid for…” and includes coding and documentation tips for: A problem oriented visit and wellness visit on the same day – G0438 […]