Lower Extremity Codes

Lower Extremity Codes: Know How to Bill for Braces, Properly Classify DMEs

Avoid mistakes by understanding Medicare’s ‘durable medical equipment’ definition

Do you know the difference between durable medical equipment (DME) for lower extremities and home care supplies—especially as defined by Medicare? If not, your practice could be facing a lot of unnecessary denials. Time to brush up on Medicare’s DME classification, payment responsibility rules, and More..

HIPAA Breach

To Report Or Not To Report A HIPAA Breach

Use these evaluation and prevention strategies to minimize fines and breaches

As a HIPAA-covered entity, your medical establishment is required by the HIPAA Breach Notification Rule to provide notification following a breach of unsecured protected health information (PHI). Depending on the number of individuals your PHI breach affects, you may need to notify each affected individual, More..

RAC Appeals

Watch for New Issues in the RAC Appeals Process

Expect a mad dash to eliminate the backlog

For years, you’ve endured an agonizingly slow claims appeals process due to the enormous backlog of pending appeals. But now, the U.S. Department of Health and Human Services (HHS) Office of Medicare Hearings and Appeals (OMHA) is rapidly speeding things up. Find out what this More..


Get a Sneak Peek at New Diagnostic Radiology CPT® Codes for 2019

Start using 4 new breast MRI codes this January—and double-check medical necessity

You have a whole host of Current Procedural Terminology (CPT®) coding changes to deal with for 2019 – and you can’t afford to overlook a single new, revised, or deleted code. From significant revisions to coding fine needle aspiration (FNA), to new ultrasound elastography codes, More..


2019 Ob-Gyn CPT® Codes: Buckle Up for Dozens of Changes

Check out new E&M codes for technology advancements

On September 5, the American Medical Association (AMA) released the 2019 Current Procedural Terminology (CPT®) code set, containing more than 500 changed codes—that is, additions, revisions, and deletions. And coders for the ob-gyn specialty haven’t been spared from upheaval. Find out what to expect for More..