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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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Get 1 Step Closer to 99285 Perfection With This HPI Primer

26. April 2018

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Emergency medicine code 99285 seems to be popping up a lot lately because of potential overuse. To help give you your best chance at coding correctly, it helps to take a close look at each element involved. Today, let’s look at the history of present illness (HPI) requirement. The good news is that most of […]

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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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Podiatry Alert: Here’s What Caused $330 Million in Improper Payments for Part B and DMEPOS

16. April 2018

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We’ve talked about CERT 2017 report results before in this blog, but that’s mostly been Part B. Podiatry coders need to be thinking about DMEPOS, too. And based on the 70.5 percent error rate estimated for podiatry under DMEPOS, practices need to put that on their priority lists. Review the CERT Report Stats The “2017 […]

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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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Emergency Medicine Coders: Don’t Miss These 3 Trending Areas!

28. March 2018

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There have been some hot topics in recent issues of TCI’s Emergency Department Coding & Reimbursement Alert that are just too good not to share. Here’s a quick summary with links to the articles for you lucky readers with access to the online newsletter or to Emergency Medicine Coder. 1. Streamline With This Change to […]

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