An Overview of CPT Codes, HCPCS, Diagnosis Codes & ICD-10-CM This three-part series from CodingIntel is a must see for new staff and physicians, and is a helpful review for everyone. Includes modules on How Physician Services are Paid, and the basics of CPT codes, HCPCS, diagnosis codes and ICD-10-CM. Part 1 - How Physician Services are Paid Have a new staff member or physician who needs a primer on “how physician services are paid?” This … [Read more...]
Everyday Coding
How can a practice increase its revenue? The easiest way is by collecting for services already performed, and the first step in that process is accurate CPT coding. Everyday Coding is Betsy's signature course. We've gathered all the components here in one convenient spot. You can work through them one at a time, select just the ones you need, or customize training for your physicians and staff. You can find supplementary content by … [Read more...]
Boost Collections by Accurate Coding
Need to increase your revenue? Which would you choose? A) Add more office hours B) Double book during existing hours C) Collect better for the services we've already performed This video provides two strategies for better collection through coding... NOTE: ICD-10 was implemented after this video was recorded, so you will hear references to ICD-9. The strategies are equally relevant under ICD-10. … [Read more...]
How Fees are Set in the Medicare Fee Schedule
How does Medicare calculate payments? This overview provides information and examples to explain how fees are set in the Medicare Fee Schedule. 2016 conversion factor: $35.8279 CMS fee calculation: [(Work RVU * Work GPCI) + (Non-Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor (CF) = Non-Facility fee [(Work RVU * Work GPCI) + (Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor = Facility … [Read more...]
Secrets of the Medicare Fee Schedule
The Medicare Fee Schedule is much more than Relative Value Units! It is the source of global days and status indicators. It tells if a service can be paid bilaterally, if an assistant at surgery is allowed and the break down of the professional and technical component for tests. What you need to know about the Medicare Fee Schedule in 10 minutes... … [Read more...]
How Physician Services are Paid – Infographic
CPT Codes for Medical Reimbursement CPT codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and more...how do all these pieces come together for medical reimbursement? This helpful infographic from CodingIntel shows how physician services are paid with proper medical billing and coding. … [Read more...]
How Physician Services are Paid
Have a new staff member or physician who needs a primer on "how physician services are paid?" This short video is a must see! Learn how all the pieces come together, from CPT and HCPCS, to diagnosis coding and Medicare rules. All in about 15 minutes... … [Read more...]
Consultations: Why Can’t I Get Paid for This?
A surgeon is called to the emergency to see a patient with abdominal pain and bills a consult for the service. This brief video uses an example of billing for a post op service in the global period to help clarify what is and what is not a consult... … [Read more...]
Selecting Category of Code
Some of the most common questions we receive are in regard to selecting category of code for E/M services. This 20 minute video offers step by step guidance for accurately selecting the category of code for office, inpatient, emergency, and observation services. … [Read more...]
Chronic Care Management: Benefit Update
In the 2015 Final Physician Fee Schedule released on Halloween (CMS loves holiday releases of rules) CMS continues to state its support for primary care. One of the methods: a new benefit, chronic care management (CCM) for which they are proposing a rate of about $40 for 20 minutes or more of this non-face-to-face service during a calendar month. We knew about this from the proposed rule but were in wait and see mode until the final rule came … [Read more...]
Risky business, or tempest in a teapot: Are you an audit target?
Some days, it appears we compliance and coding folks are like the boy who cried wolf. We see shadows around every corner. We emulate Captain Kirk, shouting, “Red Alert! Shields up!” (Done mixing my metaphors now, I promise.) The mainstream press doesn’t help with headlines of fraud accusations and sensational stories of government regulations. In the past three days, the New York Times had headline stories about a hospital chain encouraging … [Read more...]