Question: Why is it so hard to have correct diagnosis coding for tick bites? And, how is it coded? Answer: The search function in electronic health … [Read more...]
CPT® and CMS Rules for Critical Care | What’s the Difference?
CMS and CPT count critical care time differently. CMS issued a “technical correction” in the 2023 PFS Final Rule. They stated that it is their … [Read more...]
Reporting a Problem-Oriented Visit on the Same Day as Welcome to Medicare (G0402) or Initial and Subsequent Wellness Visit (G0438, G0439)
I continue to hear that some consultants and coders don't agree with reporting a problem oriented visit with welcome to Medicare or wellness visit … [Read more...]
Primary Care and Post-Op Reporting | Medicare Requirements
Hey, primary care! This one’s for you too. Primary care doctors probably didn’t pay attention when the news broke that CMS is requiring reporting … [Read more...]
Medical Decision Making | Evaluation and Management Services
Lunch and Learn Medical Decision Making is the third key component of evaluation and management services. MDM has three components: The number … [Read more...]
Psychotherapy Documentation Guidelines | Time
Question: Is it okay to use the time description in the order as the documentation of the psychotherapy time? The therapist selects 90832, … [Read more...]
Modifiers in the Post-Op Period | Global Surgical Package
Although there is a single payment for surgical procedures that have 0, 10 and 90 global days, there are frequent instances in which the surgeon … [Read more...]
G0101 Pelvic and Breast Exam
Medicare developed two HCPCS codes for screening services for women, without certain frequency time limits G0101(screening breast and pelvic exam) … [Read more...]
Documenting Exam | Evaluation and Management Services
Lunch and Learn Exam is the second key component of evaluation and management services. This short video discusses the requirements for documenting … [Read more...]
More Modifier Mishaps | CPT® Modifiers
Some modifier errors are easily avoided by experienced coders or practice management software with an editing function to stop incorrect claims before … [Read more...]
Pessary Cleaning and Re-Insertion
Question: Can we bill code 57160 when a patient comes in for a pessary cleaning? Answer: No, report an E/M service based on the key … [Read more...]
Co-Surgery, Team Surgery, Assistant at Surgery
Modifiers for co-surgery, team surgery and assistant at surgery CPT® has specific modifiers for co-surgery, team surgery and assistant at surgery. … [Read more...]
Every Claim Line Tells a Story | CPT® Modifiers
Some people read mystery novels, some people can read body language but medical coders can read claims. Some claim lines are simple to read. The … [Read more...]
Documenting History | Evaluation and Management Services
Lunch and Learn What does a clinician need to document in the history? Is it okay to say, "non-contributory"? What if the medical assistant takes … [Read more...]
Meatloaf Says, “2 Out of 3 Ain’t Bad” | E/M Documentation Guidelines
Question: When selecting an E/M service for an established patient, does medical decision making need to be one of the determining … [Read more...]
Pessary Billing and Coding
Coding for Pessary Services Primary care practices, gynecology and urology practices often prescribe and provide pessaries. A pessary is used to … [Read more...]
Wondering About Transitional Care Management?
A Video Overview of TCM Codes Finally, payment for services practices typically do for free! Transitional Care Management (TCM) provides payment to … [Read more...]
HCC Coding
Introduction | HCC and Risk Adjusted Diagnosis Coding Payers are moving to new payment models that take into consideration how sick your patient … [Read more...]
Collaboration of Care Model for Behavioral Health Integration (CoCM.BHI)
Definition HCPCS codes that describe collaboration of care services in primary care practices for patients with behavioral health … [Read more...]
Billing for Multiple Surgical Procedures
When billing for multiple procedures on the same day, use this step by step procedure to determine if you should bill for more than one procedure, and … [Read more...]
How to Get Paid for Services in Medical Practices: Three Quick Videos for New Clinicians and Staff
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 … [Read more...]
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