All posts by Martha Summerlin


Internal Reviews in Anesthesiology: Head Off Audit Findings at the Pass

Hint: Payers are on the lookout for non-covered services billing & improper modifier use

As an experience coded, “compliance” is term you’re more than familiar with. But do you fully understand how to be compliance-ready for a potential anesthesia audit from the Office of the Inspector General (OIG) or Medicare? The OIG, Medicare, and other payers are scrutinizing anesthesia More..


Learn the Mechanisms of Coding Robotic-Assisted Urology Surgeries

Plus: Don’t rush to select a code for unlisted urology procedures

The use of technology in urology procedures – especially surgeries – has introduced many benefits: fewer complications, shorter hospital stays and recovery periods, and much smaller surgery scars. So it’s no surprise that we’ve seen a significant rise in robotic-assisted surgeries in recent years. The More..

Pain Management

2019 Pain Management Coding: Prep for Intrathecal Pump Updates

Plus: Expect the Proposed Fee Schedule to affect reimbursement rates, including for pump electronic analysis

Opioid abuse is a hot headline topic, with concern growing over how many people are turning to opioids for pain management. As a result, payers have their eyes trained on pain management claims, regardless of subtopic. That’s why pain management coders need to up your More..

Urology Codes

Prep Now for 53+ Changes to 2019 ICD-10/CPT Urology Codes

Sneak peek: You’ll see code updates for PCNL, urethral strictures, and abnormal findings in urine

The word’s out: Claims reimbursements are getting tougher for urology coders, and all the looming changes to CPT® and ICD-10-CM codes don’t make things any easier. It’s your job to accurately present and report urology procedures and services. Drill down into your knowledge now and More..

ICD-10-CM Neurology

ICD-10-CM for Neurology: 4 New Developmental Delay Codes & CADISIL Subcategory

Each code set this year specifies the type of disorder or body part

Order up: You asked, and we’re delivering even more ICD-10-CM 2019 coverage, this time for neurology. What’s new, starting Oct. 1, 2018, are 30 additions and revisions for clonic hemofacial spasm, developmental disorder screenings, and cerebral infarction codes, among others, says medical coding consultant Kim More..

Cerebral Infarction Codes

Don’t Skip a Beat with New Hyperlipidemia, Cerebral Infarction 2019 ICD-10-CM Codes

Vague cardiology codes for several disorders have been deleted—learn their replacements

Our coverage of ICD-10-CM 2019 continues here with a few more updates on what’s new for cardiology. The updated codes take effect in just two short months—on October 1, 2018—so it’s time to put your preparation efforts in high gear. Knowing your cardiology diagnosis codes More..