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Modifier 58 or 78? Master These Confusing Modifiers

13. August 2018

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Knowing when to use modifiers 58 and 78 isn’t easy. Base your choices on this straight-from-Medicare guidance to help ensure cleaner claims. Make Modifier 58 Your Choice for Anticipated Procedures Modifier 58 (Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period) is the focus […]

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Hot Topic: Get the Scoop on Proposed MPFS 2019 Changes to E/M Coding and Payment

3. August 2018

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The 2019 proposed Medicare Physician Fee Schedule (MPFS) includes some major potential changes to E/M coding and payment in its 665 pages. Major. Here are the highlights. Just remember that what’s below is proposed and may change before the final rule is implemented. Here’s the Big Payment News About Levels 2-5 Let’s get right to […]

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Will You Ace This Gynecology Cervical-Health Coding Quiz?

16. July 2018

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Knowing uterine and cervical anatomy, and the difference between conization and biopsy will go a long way toward helping you with loop electrode excision procedure (LEEP) claims and other gynecology claims. This quiz helps give you a check up on terms and procedures. Read the Questions Here You’ve got two options for this quiz. If […]

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3 Fast Tips to Improve Nerve Conduction Study Coding

12. July 2018

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Clinicians use nerve conduction studies (NCS) to assess peripheral nerve function. Here are three pointers that are essential to accurate NCS coding. 1. Know Where to Find NCS Codes Let’s start simple. You can’t report nerve conduction studies if you don’t know where to find the codes, so here they are. You choose the correct […]

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35 Category III Code Updates Announced! Get to Know Them Fast

5. July 2018

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Four new Category III codes were effective July 1, 2018. But that’s just a warmup to the 35 changes planned for Jan. 1, 2019. Check this summary to see where you need to focus for updates. Remember: The final list of codes may change before implementation, so be sure you use the final, correct list […]

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

18. June 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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Cataract Claims Double Dipped? These RACs Are Checking

8. June 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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3 Times Anesthesia Coders Should NOT Report +99140

29. May 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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2 Knee Arthroscopy Myths You Need to Bust Right Now

23. May 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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Ace FESS Coding Updates With This Quick Terminology Quiz

15. May 2018

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CPT® 2018 introduced several changes for nasal/sinus endoscopy codes, sometimes referred to as FESS codes. Otolaryngology coders need some real anatomy-terminology skills to apply these codes correctly, so here’s your chance to sharpen your knowledge. Look at the terms below. In some cases, you’ll see a related code tied to the term to help show […]

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