Recorded on September 24th, 2020 2021 brings a new CPT prolonged services codes for use only with 99205 and 99215 and changes the rules for … [Read more...]
Teaching Physician Rules – Evaluation and Management Services
CMS policy update: E/M services performed under the teaching physician rules Download this teaching physician rules quick reference sheet for a … [Read more...]
Anticoagulation Management
I continue to get questions about billing for anticoagulation management, and I’m hoping this post can put some (all?) of them to rest. First, two … [Read more...]
Anticoagulation management | Can we bill for RN services?
Question: My question is regarding Anticoagulation Management Code 93793. Guidelines state that this code can be performed by a physician, NP, or … [Read more...]
What does CMS’s modifier 25 proposal mean to you? (I wish I knew)
Coding. Why does it keep changing? The article you are looking for was out of date, and we removed it. May we suggest... Using Modifier 25 | … [Read more...]
CPT® coding changes
2020 coding changes For a summary of this year's CPT® coding changes download the handout and watch the webinar here. We provide a review of CPT® … [Read more...]
New CPT® codes for 2018 | Anticoagulation management and education for home INR monitoring
CPT developed (and Medicare recognizes) two new codes for services related to home and outpatient international normalized ratio (INR) monitoring … [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...]
More modifier mishaps | CPT® Modifiers
Some modifier errors are easily avoided by experienced coders or practice management software with an editing function to stop incorrect claims before … [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...]
Using Modifiers Correctly: Every claim line tells a story
Recorded May 4, 2017 Are you missing modifiers? Misplacing modifiers? If so, you’re losing money and wasting time working denials. Slapping a … [Read more...]
Pessary Billing and Coding
Pessary Insertion CPT® Code & Pessary Cleaning CPT® Code Overview Primary care practices, gynecology and urology practices often prescribe and … [Read more...]
New modifier for telemedicine in 2017: modifier 95
During the public health emergency, CMS and private payers relaxed the restrictions on telehealth. These changes are intended to be temporary. There … [Read more...]
Modifier 25
There are always questions about modifier 25. Show this video to your physicians, NPs and PAs, and your coding staff, at your next staff meeting. … [Read more...]
Explaining E/M Modifiers: 24, 25, 57
These evaluation and management modifiers indicate to a payer that the service provided was not part of the global surgical package. What are the … [Read more...]
End Confusion About Modifier 57 (and get paid for initial evaluations)
Use modifier -57 at the visit for the decision for surgery, when surgery is scheduled for that day or the next calendar day A surgeon should always … [Read more...]
No Chart Left Behind: Deadline to Complete Medical Records
Years ago, I worked with a physician who was chronically behind in dictating his notes. The charts were crammed into boxes by date, lining the walls … [Read more...]