Scenario: A patient comes into an orthopedic office for an injury that has persisted for 5 months. Should your claim include an ICD-10 code for an acute or a chronic injury? On the one hand, the problem has been going on for only 5 months; More..
Making costly coding mistakes when reporting shoulder surgical procedures is, sadly, rather easy. After all, you have a whole host of complex coding rules to follow – not to mention the major coding and documentation changes that have come down the pike for 2018. From More..
From differentiating between biopsy and partial mastectomy to reporting image-guided biopsies, including placement of radiological markers, coding for breast procedures is nothing short of mind-bending at times. And the Centers for Medicare & Medicaid Services’ (CMS’) recent changes to breast-related CPT and ICD-10 codes doesn’t More..
The use of non-physician practitioners (NPPs) in all healthcare settings is rising rapidly. But, unfortunately, many providers are billing for NPP services all wrong – and facing increasing denials and reduced payments. NPPs have their own specific rules and guidelines, along with unique coding and More..
Billing as an out-of-network provider poses unique challenges and obstacles to getting the reimbursement you deserve. Don’t let insurance companies give you the run-around just because you’re not “in-network.” You can take specific steps to successfully bill for out-of-network care, according to medical billing expert More..
If you’re not using modifier Q6 correctly, you could be leaving thousands of dollars or more on the table. This modifier (and its proper use) is crucial to getting deserved reimbursement for locum tenens services. Don’t let a physician’s illness or vacation devastate your practice’s More..
Whether you’re new at coding or an experienced coder, you face a great risk of falling into certain evaluation and management (E/M) coding traps – which can cost your urology practice its reimbursement. You need to stay current on the most prevalent causes of denials More..
Coding spinal fusions is confusing enough, but coding them when the surgeon used spinal instrumentation is even more perplexing. And thanks to the many significant CPT code changes in 2017 and 2018, you have a lot on your plate to figure out before you can More..
Think fast: how quickly can you name the different components of hysterectomy, hysteroscopy, and laparoscopy services? Chances are coding for these and other gynecological services can trip you up, as they often do even the most seasoned coder. Unless you’re well-versed in best-practice coding, you More..
The Centers for Medicare and Medicaid Services (CMS) recently issued a revision to the Medicare manual that everyone should be familiar with: Teaching physicians can use student documentation for billable services. But the ruling, which was quietly made, comes with plenty of caveats, so if More..