Table of Contents CPT HCPCS Modifiers NCCI Multiple procedures Fee calculation Global surgical payment Diagnosis coding A physician sees a patient in the office or treats a patient with a fracture in the emergency department and wants to get paid for this service. That shouldn’t be too much to ask, should it? The coding and reimbursement system in the United States is anything but simple and easy. This billing … [Read more...]
Billing Guide-CPT and HCPCS Code Modifiers
Table of Contents Modifier introduction Initial evaluation – minor procedure E/M service same day Initial evaluation – major procedure Post-operative care CPT modifiers Assistant at, co-surgery, team surgery HCPCS modifiers List of modifiers included Using CPT and HCPCS code modifiers correctly is critical to ensure accurate and timely payment. Some modifiers bypass the claims editing system, allowing a practice to be … [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 patient comes into a physician office, has an office visit for asthma treatment. A single CPT code and a single diagnosis code is all she wrote. If the patient also received a nebulizer treatment at the visit with albuterol, then the story is more interesting and it needs a modifier. Missing CPT … [Read more...]
HCPCS code G0505: Cognitive assessment for patients with dementia
CMS developed and is recognizing and paying for physicians and non-physician practitioners to evaluate a patient with cognitive impairment, such as Alzheimer’s disease or dementia. This code became effective January 1, 2017 and has a national facility payment rate of $178.01 and non-facility payment rate of $238.30. CPT has developed a similar code, and CMS expects to retire the HCPCS code in 2018 and replace it with the CPT code. G0505: … [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...]
Can I get paid for…signing the home health certification form
An Overview of Home Health Certification CPT CMS pays a small fee for the planning, certification, supervision and re-certification of home health services. Don't do the work and forget to get paid. Find out more about getting paid to sign the home health certification form in this brief video from CodingIntel dedicated to home health coding using G0179 & G0180... https://player.vimeo.com/video/169796758 Back to … [Read more...]