Question: Can we charge an E/M service when we do a scheduled endoscopy to account for the cost of nursing staff, supplies, pre- and post- care of … [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...]
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...]
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...]
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...]
Co-surgery, Team surgery, Assistant at surgery
Modifiers for co-surgery, team surgery and assistant at surgery CPT® has specific modifiers for co-surgery, team surgery and assistant at surgery. … [Read more...]
Billing for Multiple Surgical Procedures
Multiple procedures on the same day; Use this step by step procedure to determine if you should bill for more than one procedure, and if so, if you … [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...]
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
Need a quick summary of the global surgical package and frequently used modifiers, including modifiers 54 & 55? This article from CodingIntel will … [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...]
Secrets of the Medicare Fee Schedule
The Medicare Fee Schedule is much more than Relative Value Units! It is the source of global days and status indicators. It tells if a service can be … [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...]
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 stitches? Download … [Read more...]
Can I get paid for…evaluation prior to surgery
The surgeon evaluates a patient, and determines that surgery is needed. Can the surgeon get paid for this initial service? Watch this short video … [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...]