Author Archives | deborahm

deborahm - who has written 171 posts on SuperCoder Blog.

Deborah works on a wide range of TCI SuperCoder projects, researching and writing about coding, as well as assisting with data updates and tool development for our online coding solutions. Since joining TCI in 2004, she’s covered the ins and outs of coding for radiology, cardiology, oncology and hematology, orthopedics, audiology, and more.

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Start Using These 7 PLA Oncology Codes on July 1, 2018

Monday, June 18, 2018

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We’ve been on a roll with coding updates lately, so let’s keep that momentum going! The July 2018 updates are bringing changes for Proprietary Laboratory Analyses (PLA) CPT® codes. The codes won’t be published in the printed manual until 2019, but the updates are effective July 1, 2018. Seven of the 17 new codes are […]

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Even More Tips to Get ICD-10-CM 2019 Update Prep Rolling (Part 2)

Friday, June 15, 2018

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Our coverage of ICD-10-CM 2019 updates continues here! In Part 1, you read about diagnosis coding for everything from eyelid disorders to urethral strictures. But there’s more to learn, so let’s keep going! Keep in mind: Below are just some of the highlights from the new code set, not a complete listing. Plus, the codes […]

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Breaking News: Get an ICD-10-CM 2019 Overview (Part 1)

Wednesday, June 13, 2018

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The preliminary ICD-10-CM 2019 code list shows roughly 280 new reportable codes and about 170 revisions. As you check into the 2019 diagnosis code changes, here are some trends and highlights to be alert for. (Watch for more coverage of the 2019 ICD-10-CM updates in the next post.) Remember: This is a preliminary list. The […]

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Cataract Claims Double Dipped? These RACs Are Checking

Friday, June 8, 2018

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If you perform cataract removal services in RAC regions 1, 2, or 3, be on alert. Coding and unit errors are under the spotlight. Here’s the scoop. What & Where: Learn the RACs and Regions Involved RACs Cotiviti Healthcare and Performant have both posted the following as approved audit issues: 0083 – Cataract Removal Excessive […]

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2019 Updates on the Horizon: See What’s Coming for ICD-10-PCS

Tuesday, June 5, 2018

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You may have noticed 2019 ICD-10-PCS changes already posted on your TCI SuperCoder Coding Tools page, if that’s your medical coding software. (2019 … whoa!) Let’s check out the trends in the new 2019 ICD-10-PCS codes for inpatient reporting. The numbers: There are 392 new codes, eight revised titles, and 216 deleted codes, according to […]

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Prep Time! July 2018 MPFS Updates Bring More Than RVU Changes

Friday, June 1, 2018

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We’re a month away from the July 2018 Medicare Physician Fee Schedule (MPFS) update. These quarterly changes are easy to overlook, but checking any fee schedule update is important. Even if, for some reason, you’re not interested in RVU changes, there may be changes to indicators (like PC/TC) that affect proper reporting. Here are some […]

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3 Times Anesthesia Coders Should NOT Report +99140

Tuesday, May 29, 2018

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When a payer reimburses for +99140 (Anesthesia complicated by emergency conditions (specify) …), you don’t want to miss legitimate opportunities to report that code. But knowing what qualifies as emergency conditions is a common stumbling block. Don’t let these three common pitfalls ruin your anesthesia coding accuracy. 1. When Delay Is Documented for the ‘Emergency’ […]

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3 ICD-10-CM Cardiology Coding Tips That Line Up With the Risk-Adjustment Trend

Friday, May 25, 2018

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All the discussions of risk adjustment have put a spotlight on diagnosis coding, and one big way cardiology coders can help is by ensuring they follow the official rules for coding and learn about coding comorbidities, too. Here are some good, old-fashioned rules that will also help ensure your pro-fee cardiology coding follows best practices […]

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2 Knee Arthroscopy Myths You Need to Bust Right Now

Wednesday, May 23, 2018

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There are a lot of possible variations for knee arthroscopy services, so you’ve got to know where to go for help on coding them. Make sure your knee arthroscopy claims don’t fall victim to these two error-causing myths! Follow the guidance in the Correct Coding Initiative manual. Myth: Report G0289 Along With 29880/29881 for Chondroplasty […]

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Find Out Which 4 Codes Are Off the DMEPOS 2018 Prior Authorization Master List

Friday, May 18, 2018

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DMEPOS had a 44 percent improper payment rate according to CERT’s 2017 Medicare FFS report. That’s high. Really high. So anyone submitting claims that fall under DMEPOS needs to be up on all the rules. One important area to watch is Medicare’s Master List of which codes require prior authorization. The recent annual update posted […]

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