Ophthalmology blog

2019 Ophthalmology Codes: Help Payers See Patients’ Condition More Clearly

Get ready for new, super-specific codes for meibomian gland, blepharitis

Still wasting time scouring the web for the details you need to code an eye care procedure? Time to arm yourself with laser-focused insights on eye-care-specific CPT® and ICD-10 code additions, deletions, and revisions for 2019. In his live presentation, “CPT®, ICD-10, and Medicare Updates,” More..

Shoulder Surgery Coding

Don’t Give Orthopedic Coding Changes the Cold Shoulder

Get to know the latest ICD-10 and make 2019 a maximum-reimbursement kind of year

You’re facing more than 300 Current Procedural Terminology (CPT®) and more than 450 ICD-10 coding changes for 2019—and many orthopedic coding changes among them. Unfortunately, none of these changes will make your shoulder surgery coding any easier. From bundling and modifier usage, to the growing More..


Probe These Otolaryngology Modifiers For Opportunities To Bill Better

Tip: Catch incorrect modifier usage quickly with internal/external otolaryngology audits

Auditing is a word almost nobody wants to hear, and yet it’s a crucial part—and requirement—of maintaining a healthy, successful otolaryngology practice. It’s also a smart idea if you want to catch problems before they become bigger issues. Your options when it comes to otolaryngology More..

Pain Management

Advanced Procedural Coding in 2019: Note 3 Revisions to Spinal Cord Stimulation Codes

Ignoring definition changes to these pain management CPT codes will be costly

“Too expensive” may be one of your least favorite phrases—and you can avoid it with some sharp-shooter coding. If you often work with advanced procedural coding, you know how expensive many of these procedures can be. When it comes to botulinum toxins, intrathecal drug delivery, More..

QAPI Culture

Develop a Proactive QAPI Culture & Meet New CMS Nursing Requirements

Take a peek at the QAA/QAPI worksheet that surveyors use

Dealing with Quality Assurance and Performance Improvement (QAPI) compliance isn’t exactly new—but the Centers for Medicare & Medicaid Services (CMS) has recently thrown you a curveball. In an effort to help nursing facilities cultivate a proactive QAPI culture, the agency has unveiled new requirements. Here’s More..

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..