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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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Know When CCI Manual Says to Use Bone Marrow Code 38222

19. March 2018

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The addition of diagnostic bone marrow and biopsy code 38222 in the CPT® 2018 code set simplified coding in some ways (multiple procedures in one code), but there are still questions to be answered about how to handle specific scenarios. In case you missed it, the 2018 Correct Coding Initiative (CCI) manual answered some of […]

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Chargemaster 101: Quick Tutorial on a Hospital RCM Essential

16. March 2018

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Curious about the world of chargemasters? These three questions will give you a speedy introduction to this crucial revenue cycle management tool used by hospitals. 1. What Is a Chargemaster? A hospital chargemaster, also called a hospital charge description master, lists the billable services and items that a hospital provides to patients. Some of the […]

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Understand Screening vs. Diagnostic With This Mammography Coding Snapshot

12. March 2018

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When the CPT® 2017 code set introduced 77065-77067 for mammography, CMS hung on to HCPCS options G0202, G0204, and G0206 a while longer. But now Medicare accepts the CPT® codes, and the HCPCS options have been sent to the discontinued-code pile. Here’s helpful information on screening vs. diagnostic mammography to help you use the CPT® […]

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Complete This Scavenger Hunt to Rule Path/Lab in 2018

26. February 2018

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Every medical specialty has its coding nuances, but pathology and lab coding has to rank near the top when it comes to specialized rules. And just when you thought you’d mastered them all, 2018 came along to add more for you to learn. Ready to test your skills? Below you’ll find a scavenger hunt of […]

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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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