Category Archives: Medical Coding

Breast Procedures Codes

Use New ICD-10 & CPT Codes for Breast Procedures

Learn how to code breast biopsies – in a nutshell

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..

NPP Services

Understand the 3 Distinct Billing Options for NPP Services

Don’t try to bill incident-to when the NPP provides initial visit

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..

Out of Network billing

How to Ease Your Out-of-Network Billing Headaches

Why you need to keep an eye on ‘balance billing’ legislation

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..

Locum Tenens Services

Locum Tenens: When You Can (And Cannot) Use Modifier Q6

Heads Up: CMS Has Changed the Lingo for Reciprocal Billing Arrangements

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..

EM services for Urology

Beware of 3 Common E/M-Related Claims Denials in Urology

Why you should tread carefully when using modifiers -25 and -59

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..

CMS Medical Student Documentation

CMS Allows Medical Student Documentation for Billable Services—But Proceed With Caution

Analysts See Risk and Reward: Less Paperwork, but Increased Potential Liability

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..