December 04, 2013 - By Laura EvansWhen using Medicare’s incident-to rules to bill for your non-physician practitioner (NPP) services, make sure to steer clear of common pitfalls that can cause problems in an audit if you don’t catch them before claims go out the door.
At the top of the list: Make sure the service being... Read More
December 04, 2013 - By Julia KylesNext year you’ll find four new time-based interprofessional telephone/internet consultations (ITICs) in your CPT manual. Share them with staff so they understand how to report the services and poll your payers to find out whether they will cover them:
99446 (Interprofessional telephone... Read More
December 04, 2013 - By Scott KraftHaven’t started on your ICD-10 plans to meet the Oct. 1, 2014, implementation deadline? Don’t despair; you’re not too late, even if you haven’t done a single thing to prepare, say experts.
Most practices reported that they will begin the necessary training and testing steps... Read More
November 21, 2013 - By Laura EvansPay close attention to your reporting of hospital discharge day management codes 99238-99239. Effective Oct. 1, those codes include office/outpatient E/M visits (99201-99215), observation care discharge (99217) and emergency department visits (99281-99285) as bundled components, in addition to G0459... Read More
November 14, 2013 - By Jennifer ClampetExpect to see at least 19 new cardiology procedure codes in 2014, according to CPT® 2014 Professional Edition, released recently by the AMA.
The changes were approved by the CPT Editorial Panel over the last year and take effect Jan. 1.
One of the biggest changes for peripheral cardiologists i... Read More
November 07, 2013 - By Laura EvansPrepare for changes next year to the upper gastrointestinal endoscopy codes primary care practices use most often. In particular, you’ll want to keep an eye out for possible place of service limits on the new codes, say coding experts.
For starters, codes 43235-43259 have all been revised, an... Read More
October 30, 2013 - By Laura EvansDon’t let your primary care practice be underpaid for the mental health services you provide to your patients – a pitfall that can be all too easy to fall prey to, say billing experts. Report your patients’ co-morbidities first and look to billing E/M codes based on time for counse... Read More
October 24, 2013 - By Connie L. Zeller, CPCCMS updated the Medicare claims processing manual for End Stage Renal Disease (ESRD). Pub 100-2, chapter 11 received numerous additions and clarifications.
On January 1, 2014 changes to ESRD claims reimbursement will be made under the End Stage Renal Disease - Prospective Payment System (ESRD... Read More
October 24, 2013 - By Connie L. Zeller, CPCThe ICD-10-PCS definition of change is: the taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane. A few examples of this type of root operation are urinary catheter change,... Read More
October 17, 2013 - By Laura EvansNow that we’re a year out from the transition to ICD-10, you may be wondering when you’ll get to see your Medicare administrative contractor’s (MAC’s) local coverage determinations (LCDs) with ICD-10 diagnosis codes.
CMS has an answer to that question: April 2014.
MACs are... Read More
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Can You CodeItRight?
Retropharyngeal and parapharyngeal abscess are coded with the same code as peripharyngeal abscess.