Coding Principles for Practice Administrators July 21, 2022 @ 12:00 pm eastern Please note: Registration closes at 5:00 pm the day before the … [Read more...]
Payment denials for unspecified codes
From the day coders got their first glimpse at ICD-10 codes, the question went out in the land: “Will payers deny unspecified codes?” Recently, a … [Read more...]
How old is your oldest CPT book
My, how CPT® has grown Thank you to everyone who completed our mission critical survey: how old is your oldest CPT® book and how many pages is it? … [Read more...]
2022 RVU table with national fee amounts
Looking for 2022 work RVUs? Wondering how much a new code pays? Look no farther. You can download the 2022 CMS national RVU table below. It does … [Read more...]
Best Practices in Revenue Cycle Management | Webinar
Best Practices in RCM: Strategies for a New Era in Healthcare Recorded October 21, 2021 Medical practices face new risks and opportunities as … [Read more...]
How medical practice services are paid | Webinar
How medical practice services are paid Recorded May 20, 2021 “Who makes up these rules, anyway?” If you’ve ever asked that question, or been asked … [Read more...]
2021 Reimbursement: What Your Practice Needs to Know | Webinar
Recorded February 18, 2021 This webinar was presented by special guest Elizabeth Woodcock. Learn more about Elizabeth here. 2020 was clearly one … [Read more...]
99072 – CPT® code for supplies, equipment and staff time during the public health emergency
The AMA released a CPT® code for use in non-facility settings for the expense related to supplies, equipment and staff time and activities for visits … [Read more...]
Coding Guide – How Physician Services are Paid
Medical coding in physician offices is governed by coding rules, Medicare and other third party policies and reimbursement decisions made by payers. … [Read more...]
Medicare National Coverage Determination (NCD) for Ambulatory Blood Pressure Monitoring (ABPM): CPT® and ICD-10 Coding
CMS released an NCD for ABPM on July 2, 2019. CMS has expanded the coverage for ABPM by allowing it for a greater range of BP measurements. Of course, … [Read more...]
Physician specialty codes and claims processing
When physicians enroll in Medicare, they self-elect their specialty designation. In the enrollment process, there are fields to indicate primary and … [Read more...]
NGS changing processing of same day NP/PA claims
Is NGS your MAC? Did you see their announcement that for claims processed on or after Sept 15, 2018, they will no longer deny claims for a second … [Read more...]
Fee-for-service medicine | The rumors of my death have been greatly exaggerated!
Let me start with apologies for stealing Mark Twain’s words! And, a quick search will show I'm not the only one to apply these words to … [Read more...]
Two visits for the price of one? | Multiple medical visits on the same day
Patients often schedule two medical appointments on the same day with physicians of different specialties. It’s convenient for them. It saves travel … [Read more...]
Diagnosis Coding | Not just for claims anymore
Physician claims are paid based on the fee schedule associated with the CPT® or HCPCS code that is submitted. Diagnosis coding can be a reason for a … [Read more...]
Who is responsible for coding physician services? The medical provider or the coder?
Legally, when a physician, physician assistant (PA) or nurse practitioner (NP) enroll in a Medicare, Medicaid or commercial insurance, the … [Read more...]
OB Coder Survey | Billing extra visits during pregnancy
Thank you to the 63 generous coders and billers who answered my questions about billing extra OB visits during the maternity period. If we and our … [Read more...]
Dear Resident, Do you Understand Relative Value Units (RVUs)?
Measuring physician productivity with work RVUs: News flash! Physicians are more interested in medicine than coding. No doctor undertook the … [Read more...]
Skin Test for Tuberculosis (PPD)
How do we bill for placing the skin test for tuberculosis? To bill for placing the purified protein derivative (PPD) skin test for tuberculosis, use … [Read more...]
Facility versus Non-Facility in the Physician Fee Schedule
Understanding facility versus non-facility in the physician fee schedule explains the RVU and payment differences that practices receive when … [Read more...]