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Knock Out 99285 Confusion Now – This ED Code Is Getting Noticed

16. February 2018

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The highest level emergency department code, 99285, is popular. A comparative billing report (CBR) by eGlobalTech recently showed the national percentage of emergency department services submitted with 99285 was 55 percent. And when the highest level E/M code in a group is getting that much use, you know there’s going to be some scrutiny. Here’s […]

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$36.2 Billion in Improper Payments Means CMS Will Watch These Areas

5. February 2018

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A 90.5 percent accuracy rate for Medicare Fee-for-Service (FFS) payments may not sound too bad, but consider that the 9.5 percent improper payment rate adds up to $36.2 billion! That’s the news from the 2017 Medicare Fee-for-Service Supplemental Improper Payment Data report based on Comprehensive Error Rate Testing (CERT). Smart move: Reviewing CERT results can […]

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Here’s How New Hysterectomy Code 58575 Compares to Other Code Options

24. January 2018

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We’re coming to the end of Cervical Health Awareness Month, in case you didn’t know. And in a roundabout way, that makes me think of the new 2018 hysterectomy code 58575 (Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed). How does this new code […]

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CPT® 2018 Quiz: Can You Say Laparoscopic Esophagectomy Three Times Fast?

19. January 2018

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Have you mastered which laparoscopic esophagectomy procedures match to the three new options in the CPT® 2018 code set? The descriptors for 43286-43288 are dense, packed with anatomic and surgical terms that sometimes hit the eight-syllable mark. So if you know which terms to look for in your documentation to help narrow down your code […]

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Did You Catch It? New Year, New Look for CLFS

17. January 2018

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Your 2018 preparations for lab coding aren’t complete if you haven’t looked into the changes to the Clinical Laboratory Fee Schedule (CLFS). Here are some hints from Pathology/Lab Coder to point you in the right direction. Get an Overview of the CLFS Makeover The 2018 CLFS brought a major overhaul to payment for lab testing. […]

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Avoid This $45 Mistake! Know the Difference Between US Codes 76881 and 76882

4. January 2018

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Many specialties provide joint ultrasounds, including radiology, podiatry, and orthopedics. And that means many specialty coders need to know about changes to the descriptors and guidelines for ultrasound (US) codes 76881 and 76882 in the CPT® 2018 code set. Use this quick primer to be sure you’re using these revised codes correctly for 2018 dates […]

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We’ve Wrapped Up 4 Medicare PET Coding and Coverage Resources for You!

21. December 2017

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CMS keeps a close eye on PET imaging, and that means you need to, too. Make sure you’re using all of these resources so you understand coding and coverage for this high-tech imaging option. 1. Know Where to Find NCD Details Medicare has a National Coverage Determination (NCD) for PET scans, with specifics for everything […]

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Here Comes Santa ‘Jaws’! Taste Success With This Tongue and Mouth Floor Coding Quiz

20. December 2017

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Need a break from the holiday madness? There’s nothing more relaxing than an anatomy quiz. Or if that’s not your flavor of fun, consider this a way to rev up for more accurate coding in 2018! The quiz below was inspired by an article in Otolaryngology Coding Alert, the newsletter included in Otolaryngology Coder. Get […]

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Compare and Contrast 94620 and Its Replacement Codes for Pulmonary Testing

8. December 2017

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Pulmonology coders are saying goodbye to a common pulmonary stress testing code on Jan. 1, 2018. Here’s what’s replacing it, along with some Medicare Physician Fee Schedule details to help you get a better handle on the new codes. Compare the Code Descriptors In 2017, you use 94620 (Pulmonary stress testing; simple (eg, 6-minute walk […]

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Can’t-Miss Corrections to CPT® 2018 Available Now!

4. December 2017

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Time to bring out the red pen and take your CPT® 2018 preparations to the next level! Every detail counts in coding, and that means that after you’ve taken a look at the initial announcements about code changes, you need to dig deeper to make sure you’re aware of corrections, too. The AMA released several […]

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