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Perfect Your Coding for Pressure Ulcer Diagnoses With These Documentation Tips

15. October 2018

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ICD-10-CM has a lot of codes (more than 150!) for pressure ulcers, and that means your clinicians’ documentation game has got to be on point for your to get the most accurate code for the case. These three steps should help you get the job done. 1. Know Where to Look for Pressure Ulcer Stage […]

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Smart Move: Know These Top Medicare Denial Reasons AND How to Avoid Them

10. October 2018

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  Let’s put data to work to help prevent denials! CGS is one of the Medicare contractors that provides information on top claim denial reasons, and here we’ll take a look at some denial triggers from August 2018 and how you can prevent them. Check Status Before Reporting Duplicate Service Reporting the exact same service […]

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Do You Know the Answers to These Medicare Disaster Relief Questions?

3. October 2018

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Because of Hurricane Florence, CMS issued several waivers in North Carolina, South Carolina, and Virginia to help with access to healthcare. Even if you’re not in an affected area, this should be a reminder that disaster prep isn’t just about working in theory. You need to understand it well enough to apply it. Below you’ll […]

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3 Helpful Hints for Better Subsequent Hospital Care E/M Coding

18. September 2018

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Subsequent hospital care E/M codes 99231-99233 have some oddities that can trip you up if you don’t use these codes often (and even if you do). Improve your E/M coding accuracy by keeping these three pointers in mind. 1. Look for 2 of 3 With Interval History Option The descriptors for 99231, 99232, and 99233 […]

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Here’s How ICD-10-CM Official Guidelines Apply to New Ecstasy Poisoning Codes

23. August 2018

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ICD-10-CM 2019 is adding a new subcategory for “poisoning by ecstasy,” effective Oct. 1, 2018. Poisoning is one of those coding terms that has a more complex meaning than you may first suspect. Read on to get clarity on when to use these new codes. Catch Complete Character Requirements for Ecstasy Codes ICD-10-CM 2019 adds […]

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40650-40654 Myth Buster: Get the Truth Behind 3 Problem Areas for Lip Repair Codes

20. August 2018

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Reimbursement for full-thickness lip-repair codes 40650-40654 ranges from about $300 to $600 on the MPFS, so you want to be sure you use these codes correctly. Watch out for three common myths that can lead to reporting errors for these codes: 40650 (Repair lip, full thickness; vermilion only) 40652 (… up to half vertical height) […]

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ICD-10-CM 2019: Know the Documentation You’ll Need for New Gallbladder and Cholangitis Codes

16. August 2018

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If you code cholecystitis or cholangitis, you’ll want to know these new codes when ICD-10-CM 2019 kicks in on Oct. 1, 2018. Check out the helpful hints below to be sure you know how to apply the codes from the get-go. Watch ‘Code First’ Note With New Cholecystitis Codes ICD-10-CM 2019 adds new subcategory K82.A- […]

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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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Crash Course: Compare ICD-10-CM 2019 Official Guidelines for Post-Op Sepsis to 2018 Rules

9. August 2018

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The ICD-10-CM 2019 Official Guidelines are out and offer more details on how to use new codes for sepsis following a procedure. Take a look at what’s new and get a handle on how to sequence these codes. Remember These New Codes to Improve Sepsis Coding ICD-10-CM 2019 includes these two new codes with instructional […]

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ICD-10-CM 2019: Here’s What You Need to Know About Appendicitis, Screenings, and Blepharitis

30. July 2018

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ICD-10-CM 2019 implementation is just a couple of months away. The effective date, Oct. 1, 2018, is coming our way fast. Here are some interesting tidbits from our TCI Coding Alerts on the 2019 diagnosis code updates for appendicitis, screenings, and eye care to help you prepare. Bonus tip: The 2019 ICD-10-CM Official Guidelines for […]

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