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Hit the Bull’s Eye With Trigger Point Coding

3. June 2016

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Triamcinolone acetonide, a corticosteroid medication often sold under the brand name Kenalog, can be used both as a topical ointment and as an injectable. This popular medication has many uses, including trigger point injection. What Are Trigger Points? Physicians often use Kenalog for trigger point injections to treat conditions like myofascial pain syndrome. Trigger points, […]

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Look Over the ABCs of Coding for ASCs

1. June 2016

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  Curious what it’s like to be an ambulatory surgery center coder? Though ASC coding has many similarities to provider and hospital coding, it’s just a little different from what you’d do for a physician or a facility. Ambulatory Surgery Centers Defined In Medicare’s eyes, ASCs are distinct entities operating only to furnish outpatient surgical […]

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Getting Paid for Your Non-Physician Practitioner’s Services With Incident-To Billing

29. April 2016

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As the number of physicians shrinks and the demand for healthcare expands, practices seek solutions to their patient care needs — and many have found it by hiring non-physician practitioners, or NPPs. Physician assistants (PAs) and nurse practitioners (NPs) fill the gaps caused by physician shortages in primary care. In fact, a recent Brandeis University […]

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Follow the Guidelines for Diabetic Foot Care Coding

8. April 2016

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With the susceptibility diabetics have for losing feeling in their feet — a condition called loss of protective sensation, or LOPS — good foot care is vital for people with diabetes. When people develop diabetic sensory neuropathy and LOPS, they may be unable to feel when a stone gets lodged in their shoe, or if they step […]

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Listen Up for These Tips for Reporting Cerumen Disimpaction

23. March 2016

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After almost three months, some practices still report confusion about when to report the new cerumen removal code for CPT® 2016, 69209 (Removal impacted cerumen using irrigation/lavage, unilateral). Who could blame them, given years of being told not to report a cerumen removal procedure unless your provider uses instrumentation to disimpact the wax. Also, given the […]

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Bundle Up With CCI Edits Updates

21. March 2016

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Bundling of payments — this is a trend you can expect to see continue to grow, with effects on a wider array of services. Many physicians have experience with bundling in the form of “global surgery periods” or global payments for obstetrical care. In a newer wrinkle of bundling, called a bundled payment methodology, a […]

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Minimize Costs, Maximize Pediatric Practice Revenue With These Tips

9. March 2016

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Are you looking closely at the costs of running your pediatric practice, hoping to find  ways to increase revenue for your practice? Check out these tips for improving your billing and coding to make sure you’re getting the reimbursement your practice deserves for its hard work. Make Sure You’re Paid Contracted Amounts Got managed care […]

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CMS Payment Models Move From Volume to Value

8. March 2016

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Moving from volume to value — this phrase sums up the new Medicare payment model being advanced by the Centers for Medicare and Medicaid Services (CMS). In fact, by 2018, experts say you can expect CMS to move at least half of all Medicare payments from fee-for-service (FFS) to alternative-based systems with payments based on […]

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Nurse Practitioner Care Costs Less Than Physician Care, Study Says

7. March 2016

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A recent study by researchers at Brandeis University’s Heller School for Social Policy and Management, Mathematica Policy Research, and Montana State University reports that the cost to Medicare is actually less for patients whose primary care provider is a nurse practitioner. In the past, you may have heard the opposite, that nurse practitioner care doesn’t […]

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Australia Cuts Diagnostic Scan Payment, While U.S. Expands Some Coverage

4. March 2016

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Australian cancer patients are up in arms following a January announcement from Australian Medicare warning that it would be cutting payments to practitioners for bulk billing for diagnostic services. According to the Australian Diagnostic Imaging Association (ADIA), patients with cancers would fare the worst under these cuts, as they often require multiple diagnostic imaging studies like […]

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