Help physicians and patients understand exactly what it all means. One of the most asked questions coders get from patients at an orthopedic practice is: “Why is there a surgical code on my bill for an office visit?” It’s a valid question coming...
More InfoProviders are encouraged to file protective appeals. Know what to watch when coding bug bites, poison ivy, and heatstroke! Get ICD-10 pointers. Somehow it is mid-August already, and talk about 2020 code updates is buzzing. But summer 2019 isn’t...
More InfoJuly is a busy month for medical coders and billers because so many CPT and HCPCS Level II codes changes are implemented July 1. It’s hard to keep track of all the changes, but it’s essential that you do to ensure your coding/billing is correct...
More InfoOverlooking separately billable services rendered during the global period will cost your practice dearly. Many obstetrics/gynecology (OB/GYN Coding) practices are coding deliveries incorrectly or failing to submit claims for “problem visits”...
More InfoTen new HCPCS Level II codes for drugs and biologicals will be payable for Medicare, effective for claims with dates of service on or after July 1, 2019. HCPCS Level II codes is a standardized coding system that is used primarily to identify...
More InfoOn May 2, the Centers for Medicare and Medicaid Services (CMS or the Agency) announced in a press release that it will be changing how frequently the Agency reviews applications for new and revised Level II codes under the Healthcare Common...
More InfoComplications of chronic kidney disease (CKD) include early death and heart disease. Chronic kidney disease (CKD) affects 15 percent of United States adults, or 37 million people, according to a recent statement by the Centers for Disease Control...
More InfoA new collaboration between the AMA and UnitedHealthcare will work to address the social and environmental factors that affect patients’ health by standardizing data collection on their social determinants of health (SDOH) to help address...
More InfoCPT modifiers help payers understand all of the distinct services and procedures physicians perform. As the scope of practice for today’s internists continues to expand, these modifiers are also increasingly required to ensure accurate...
More InfoA summary of the CPT® Editorial Panel’s actions during its February 2019 meeting offers us a glimpse of changes to come for the CPT 2020 and 2021. Perhaps the biggest news are approved revisions to office and outpatient E/M codes 99201-99215...
More InfoIn addition to the annual release of CPT® code changes, the American Medical Association (AMA) likes to keep medical coders on their toes by releasing mid-year changes. The following Vaccine codes and Category III codes were accepted and/or...
More InfoThere are numerous reasons for claims denials but most of them come down to some form of documentation error, according to Karen Meador, MD, MBA, Senior Physician Executive and Managing Director at the BDO Center for Healthcare Excellence in New...
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