CMS policy update: E/M services performed under the teaching physician rules Did you see that CMS updated its teaching physician rules? In the 2019 … [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, … [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...]
Modifier 51 or 59? How to know which to bill?
There are two modifiers commonly used in surgical specialties when billing two or more procedures at the same encounter. Appending the correct … [Read more...]
Coding multiple procedures | Examples with modifiers
Biopsies and lesion destruction codes are often performed at the same patient visit. This leads to questions about bundling and modifiers. There are … [Read more...]
Modifier 25 for Dermatology
Modifier 25 Significant, separately identifiable E /M service by the same physician on the same day of the procedure or other service Use to … [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 The article you are looking for was out of date, and we removed it.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...]
Using Modifier 59 | Cheat Sheet
Modifier 59 is referred to by CMS as the modifier of last resort. It is often used when modifier 51 is the more accurate modifier. This quick … [Read more...]
Using Modifier 33 | Cheat Sheet
Modifier 33 is used to identify certain screening and preventive services. This quick reference sheet addresses: When to use modifier 33 Why … [Read more...]
Using Modifier 25 | Cheat Sheet
Use of Modifier 25 may be applicable when an E/M service is provided on the same day as a procedure, a preventive medicine service, or other medical … [Read more...]
Coding Guide – CPT® and HCPCS Code Modifiers
Table of Contents Modifier introduction Initial evaluation – minor procedure E/M service same day Initial evaluation – major procedure … [Read more...]
Advance Care Planning | CPT® 99497, 99498
Advance Care Planning (ACP) and the Use of ACP CPT® Codes Starting January 1, 2016, CMS began to recognize and reimburse physicians and Non-Physician … [Read more...]
Code Prolonged Services with Confidence | Webinar
Recorded April 10, 2018 Few services are as confusing or as rewarding as prolonged care codes. In 2018, CMS added two new HCPCS prolonged services … [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...]
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...]
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...]