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

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

5. June 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

1. June 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 ICD-10-CM Cardiology Coding Tips That Line Up With the Risk-Adjustment Trend

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

18. May 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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After July HCPCS Updates, Match These Meds to Correct Codes Faster

7. May 2018

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Thinking about summer? You aren’t the only one! CMS has posted a file with five Q codes that will be effective July 1, 2018. If you code for any of these supplies, plan ahead so you’re ready to change your coding when July comes. Watch mg to Separate SublocadeTM Codes for Opioid Use Disorder First […]

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Compare 38571-38573 Lymphadenectomy Codes At-a-Glance to Avoid Cutting Reimbursement in Half

20. April 2018

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If you’re already familiar with laparoscopic bilateral total pelvic lymphadenectomy codes 38571 and 38572, you know the pattern. The second code descriptor builds on the first. When the CPT® 2018 code set added 38573, the new code descriptor followed that pattern, adding quite a few more requirements before you use the new code. Not sure […]

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OIG and CMS Are Both Watching Drug Specimen Validity Testing … Are You?

6. April 2018

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Coding for drug testing and specimen validity testing was the focus of recently released MLN Matters SE18001. At the end of the MLN article, there’s a link to an OIG report on the topic revealing millions in improper payments. If CMS and the OIG consider something you code worthy of focus, you really should read […]

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How to Avoid a $233 Vulvectomy Coding Mistake

30. March 2018

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Not sure whether to report an integumentary or vulvectomy code when your ob-gyn treats a patient for a vulvar lesion? If you select the wrong code, your practice could lose out on the money it rightfully deserves. Did you know? Vulvectomies involve much more work and therefore have higher RVUs than lesion excisions. For instance, […]

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Don’t Miss a Single Cognitive Care Planning Code 99483 Requirement! Take Them One at a Time

23. March 2018

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One of the most significant changes for family medicine in 2018 is the switch from HCPCS to CPT® for behavioral health integration (BHI) and care management. In this post, we’ll check out new cognitive assessment code 99483, which not only replaced G0505, but also added 160 words to the descriptor! Walk Through the New Code […]

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