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5 Tips to Keep Your CPT® Category III Coding on Track

9. December 2019

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Category III CPT® codes are separate from the more commonly used Category I codes, making it all too easy to overlook these important codes. Follow the five tips below to help ensure your coding is accurate for Category III codes. 1. Update Cat. III Codes Twice a Year Consider this question: When are CPT® codes […]

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Oncology and Hematology Coders: Get Tips on HCCs and Risk Adjustment

2. December 2019

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Risk adjustment models often focus on chronic conditions, like cancer, when determining risk scores for patients. But limiting your medical coding to a single diagnosis isn’t the best approach for these increasingly important payment models. Oncology and hematology coders can get their reporting in line with risk adjustment models, including Hierarchical Condition Categories (HCCs), by […]

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Here’s Where to Turn When Coding for Chest Pain

24. October 2019

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A lot of primary care physicians and specialists see patients presenting with chest pain. In many cases, the provider may not be able to confirm a more specific diagnosis for the encounter. To ensure you’re coding this symptom correctly, follow these pointers on ICD-10-CM coding for chest pain. Use Both the Index and Tabular List […]

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Ob-Gyn Coders, Beware This Costly Modifier 24 Myth

21. October 2019

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Suppose a Medicare patient presents to your ob-gyn practice for a visit scheduled as a follow-up after cervical lesion biopsy, but the doctor also spends time on counseling and coordination of care related to the malignant tumor the biopsy identified. Can you report an E/M with modifier 24 if the visit is during the biopsy’s […]

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Find Flu Vaccine Codes Fast for Cleaner Medicare Claims

17. October 2019

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In early October 2019, flu activity was low, according to the Centers for Disease Control and Prevention (CDC). But hopefully vaccinations will land in the “widespread” category for this flu season. A high volume of services means a high volume of coding, though, so protect your Medicare reimbursement with this guidance on flu vaccination coding. […]

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Get the Facts About Reporting Glaucoma Screening to Medicare

14. October 2019

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Before you report glaucoma screenings to Medicare, go through this quick Q&A to be sure you’ve got all the bases covered. The Medicare Benefit Policy Manual, Chapter 15, Section 280.1, is your source for information about glaucoma screenings that you report to Medicare, and we’ve put together the major points for reporting to Part B […]

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Welcome ICD-10-CM 2020! Do You Know the Code Set’s Secret Language?

3. October 2019

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As of Oct. 1, we are officially applying the 2020 ICD-10-CM code set. Get your diagnosis coding year off to a good start by refreshing your knowledge of some of the not-always-obvious terms essential to accurate claims: NEC, NOS, and, with. If you want full details, check Section I. A of the FY2020 “ICD-10-CM Official […]

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ICD-10-CM: 3 Official Tips for More Accurate COPD Coding

26. September 2019

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ICD-10-CM 2020 is bringing a small change to chronic obstructive pulmonary disease (COPD) code J44.0, making it a good time to refresh your knowledge of the guidelines that apply to coding for this disease (or group of diseases, if you want to be precise!). 1. Understand the Change to J44.0 To start, let’s take a […]

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Anesthesia Coders: Know How to Report for Multiple Procedures During Obstetric Cases

26. August 2019

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Obstetrical cases don’t always go as planned, so make sure you’re ready to report the correct anesthesia CPT® codes for these labor and delivery variations. Handle Labor, C-Section, and Tubal Ligation Coding Question: What is the proper coding when a patient has anesthesia for labor that results in a cesarean section with tubal ligation at […]

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Learn Coronary Artery Anatomy According to CPT® and CCI

22. August 2019

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When your job is converting medical documentation into codes, your knowledge of medical anatomy has to be shipshape. But you’ve got the added complication that the code set you’re using may have its own definitions for specific terms. Case in point: CPT® guidelines set out five major coronary arteries with coronary artery branches for only […]

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