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4 Motivators for Sticking to the Coding Straight and Narrow

8. May 2017

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If you ever take the “throw everything out there and see what sticks” approach to coding, it’s time to rethink that strategy. Carefully choosing the wrong codes to bring in more money is no way to code either. Next time you need inspiration to steer clear of these methods, reach for these four reasons coding […]

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Secrets to Subsequent Hospital E/M Coding Success

2. May 2017

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Curious how your use of subsequent hospital visit codes compares to reporting by other practices? Palmetto was curious, too. The Part B MAC took part in developing a Comparative Billing Report (CBR) looking at 99231-99233 billing and payment patterns in 2015 for internal medicine providers. Motivation? Those codes see about a billion dollars in improper […]

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2 Costly Hip Coding Mistakes Corrected

18. April 2017

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With all the hippity hoppity talk this time of year, I have coding for hips on the brain. Might as well go with it and look into some hip coding tips! 1. Watch for Mod 22 Opportunities With Congenital Cases If your surgeon performs hip replacement surgery for a developmental or congenital hip dislocation, there’s […]

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60 Days & 6 Years: The Numbers to Know to Comply With Medicare’s Overpayment Rule

4. April 2017

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You get a fairly clear picture of what this rule is about from its name: Medicare Reporting and Returning of Self-Identified Overpayments. If you discover Medicare gave you too much money, you have to give it back. But there are some layers here, so let’s dig in for a refresher on some of the more […]

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Here’s What’s New in Q2 for CCI, MPFS, and HCPCS

27. March 2017

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It’s almost April! In addition to a potential end to the yellow pine pollen covering every surface outside my home (yours, too?), April means second quarter updates to Correct Coding Initiative (CCI) edits, fee schedules, and HCPCS. Ready for some highlights? Let’s go! CCI for Moderate Sedation Goes Retro If you read this blog regularly, […]

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Get a Glimpse at Potential 2018 MACRA Coding Requirement for Patient Relationship Category

3. March 2017

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There could be new HCPCS modifiers coming your way as part of MACRA to identify patient relationship categories. If the term “patient relationship categories” is new to you, then here’s a brief overview. MACRA requires patient relationship categories and codes as part of an effort to improve resource attribution to clinicians. So there’s a look […]

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Translate HIMSS17 Tips Into Career Advice for 2017

24. February 2017

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This past week, two of our newsletter editors from The Coding Institute attended health IT conference HIMSS17 and Tweeted highlights from sessions. One point that came through loud and clear is that no matter what job you have in healthcare, data connections are so intertwined you have to expand your thinking beyond your own department. […]

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Modifier 22 Could Help Save This Lap-to-Open Gyn Surgery

15. February 2017

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Whether to code lysis of adhesions during a gynecological procedure is a question that comes up again and again. I’ve talked before about how removing adhesions is generally an expected part of the procedure, but exceptional cases may merit the use of modifier 22 (Increased procedural services) on the surgery code. A new take on […]

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Haven’t Started MACRA QPP Prep? There’s Still Time!

3. February 2017

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Groundhog Day has come and gone, and Punxsutawney Phil has declared six more weeks of winter. That gives you plenty of inside time to focus on getting up to speed on MACRA so you can participate in 2017. Remember: With CMS’s Pick Your Pace approach to the Merit-based Incentive Payment System (MIPS), it’s OK if […]

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Are You a Vaccine Guidelines Ace? Test Yourself

24. January 2017

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Vaccination coding crosses many specialties. See if you’ve got what it takes to code these common services. Answer the questions below based on the CPT® guidelines for vaccine immunization codes. Take the Quiz 1. True or false: You may report vaccine immunization administration codes 90460, 90461, and 90471-90474 in addition to the vaccine and toxoid […]

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