Lunch and Learn - June 2017 We received this question from one of our members: "We have a medicare patient for whom we provided a pelvic and a breast exam and a pap smear. We submitted it to Medicare and it got denied. Can you tell me why?" Medicare doesn't pay for "routine services", but they do pay for certain screening test. This short video reviews the Medicare requirements and coding for screening pelvic and breast exams and pap smears … [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 medical practices for helping complex patients transition from a facility to a non-facility setting, for example, from the hospital to home. It pays for the provider and clinical staff to perform non-face-to-face services and get paid for the work. Watch this 15 minute video courtesy of CodingIntel … [Read more...]
HCC Coding
What to Know About HCC Coding, Risk Adjustment and Diagnosis Codes Payers are moving to new payment models that take into consideration how sick your patient population is. What is risk adjustment? What are HCC's? What is HCC coding? What are the proper diagnosis codes? And what does it all mean for your practice? Watch this 15 minute video from CodingIntel to learn more. Additional information can be found in our Billing Guide for Risk … [Read more...]
Reporting post op visits to Medicare in 2017
CMS has mandated post op reporting using code 99024 in 9 states for about 250 codes. This isn’t just for surgeons! Many of the codes on the list are provided by primary care clinicians, in the ED or at Urgent Care Centers. This video tells all. … [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 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...]
Lunch and Learn
Are you looking for an easy way to keep your staff up-to-date with coding changes? Are you concerned about accuracy and compliance issues? These short, videos and learning guides can help. Presented in a convenient format Focusing on coding changes Simplifying complex concepts Watch a brief (10-15 minute) video, download the learning guide and use them for staff meetings. Available on demand for those staff members who can’t leave … [Read more...]
Getting Paid for Advance Care Planning
This 5 minute video covers the criteria for billing Advance Care Planning services, CPT codes 99497 and 99498. For additional information on Advance Care Planning, see this article. Also download the CMS ACP fact sheet at the end of this post. Download CMS Fact Sheet … [Read more...]
Coding for Hospitalists
Coding for services done by hospitalists and other specialty physicians in the hospital can be confusing. After watching these videos and downloading the guides, you'll be confident that you are selecting the right category of code and level of service. The third video discusses critical care and prolonged inpatient services. These are great for newly hired hospitalists or coders that code for them. Each is about 12 minutes long, so they'd … [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...]
Reporting Screening Colonoscopy
What is the difference between a screening and diagnostic colonoscopy, and how are they coded? What if a screening colonoscopy was scheduled, but a diagnostic or therapeutic colonoscopy was performed? What you need to know about reporting for colonoscopy procedures in about 10 minutes. … [Read more...]
Modifier 25
There are always questions about modifier 25. Show this video to your physicians, NPs and PAs, and your coding staff, at your next staff meeting. … [Read more...]
Why You Shouldn’t Automatically Bill an E/M with Every Procedure
Should you bill just a procedure? Or an E/M service with it? Medicare provides a breakdown by CPT code of the pre-evaluation, pre-operative, intraoperative, and post-operative times included in each code. Find out more in this 5 minute video. After watching, check out this article for additional information. And download the time file referred to in the video using the button below. Download CMS Time File … [Read more...]
Not all Unspecified Codes are Created Equal
What kind of unspecified codes can a practice still use? Which ones need to be avoided? Quick, five minute guidance in this video about unspecified codes in ICD-10. … [Read more...]
Critical Care
Critical care has high relative value units and payments so it's important to know the coding rules. This video describes when and how to bill for critical care services including: the components of critical care, what can be included in the time of critical care and what can't be included, and the time thresholds for reporting critical care. … [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...]
Explaining E/M Modifiers: 24, 25, 57
These evaluation and management modifiers indicate to a payer that the service provided was not part of the global surgical package. What are the criteria for using these modifiers? This video covers what you need to know about modifiers 24, 25 and 57 in about 15 minutes... … [Read more...]
So Your Payer Has Requested Records: Billing high level services
Documentation is key when billing high level services. What do clinicians need to know? What role do education and internal audits play? This short video offers guidance to help you navigate compliance... … [Read more...]
Billing for New Patients, Established Patients and Consults
Select the correct category of code: should it be a new patient, an established patient or a consult? This video includes CPT and Medicare definitions, insurance considerations and documentation guidelines for each... … [Read more...]
Billing a problem oriented visit with a preventive service
Two for the price of one, or report both a problem oriented visit and a preventive service? This video includes CPT and Medicare guidelines for deciding if you can bill both the E/M service and the preventive service, or if you must select only one. After watching, check out this article for some additional resources. … [Read more...]
ICD-10 Coding for Chronic Diseases – Part 1
This is the first part of a two part series regarding coding for chronic diseases. Includes coding for current conditions and some "status" conditions. This 10 minute video covers chronic conditions common to primary care and other specialties. … [Read more...]