Table of Contents Modifier introduction Initial evaluation – minor procedure E/M service same day Initial evaluation – major procedure … [Read more...]
Are subsequent hospital or office visits prior to surgery billable?
Question: Are the surgeon’s subsequent hospital visits or office visits between their original consult and the final visit prior to surgery … [Read more...]
Minor Procedures
These cheat sheets for minor procedures include common CPT® codes, descriptions, current work and non-facility RVUs, and global days for quick … [Read more...]
Can two practices split the post-op office care of a patient?
Question: Can two practices split the post-op office care of a patient? Answer: No. Although the operative and post-operative portions of the … [Read more...]
Avoid these 4 costly errors when coding minor surgical procedures
Does your practice perform any minor or major procedures? If so, this post is for you! Primary care practices and urgent care centers should pay … [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...]
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...]
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...]
Reporting post op visits to Medicare in 2017
CMS has mandated post op reporting using code 99024 in 9 states for about 250 codes. This isn’t just for surgeons! Many of the codes on the list are … [Read more...]
Modifier 57
Decision for Surgery. An evaluation and management service that resulted in the initial decision to perform surgery may be identified by adding … [Read more...]
Everyday Coding for Medical Practices
How can a practice increase its revenue? The easiest way is by collecting for services already performed, and the first step in that process is … [Read more...]
Global Surgical Package
An Overview of the Global Surgical Package Need a quick summary of the global surgical package and frequently used modifiers, including modifiers 54 … [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...]
Coding Guide – Global Surgery
An Overview of Global Surgery & Surgery Coding Guidelines Physicians, nurse practitioners and physician assistants in many specialties perform … [Read more...]
Billing Admission and Subsequent Visits for Patient Having Surgery
What if I Admit a Patient and Don't Take the patient Immediately to Surgery? Can I bill for the admission and subsequent visits if the patient … [Read more...]
Why You Shouldn’t Automatically Bill an E/M with Every 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, … [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...]
Surgical Modifiers
This article includes a list of surgical modifiers with definitions, guidelines for billing multiple surgical procedures, and citations. Download the … [Read more...]
Critical Care for General Surgery and Trauma Surgeons
Critical care provided as a stand alone service is based on the seriousness of the patient, the types of interventions, and time Critical care … [Read more...]
Can I get paid for…removing stitches done in the ED
The patient had a laceration repair in the ED and now wants your office to remove the stitches. What can you bill for removing … [Read more...]