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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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Urology: Prevent Claim Problems by Applying New BCG Code

8. August 2019

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Urology coders who report BCG had an important code update July 1, 2019. Make sure you’ve made this important code swap and understand the new rules for accurate reporting of this bacteria-based immunotherapy. Replace J9031 With J9030 for BCG One use of Bacillus Calmette-Guérin, more commonly known as BCG, is bladder cancer treatment. The provider […]

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Smash 3 Myths to Upgrade Your Mammography Coding and Coverage Knowledge

18. July 2019

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Mammography is a common service, but radiology coders need to learn some not-so-common rules. Take your know-how to the next level by getting to the truth about these myths. Myth 1: Mammography Is for Women Only Medicare’s National Coverage Determination (NCD) for Mammograms states that “diagnostic mammography is a radiologic procedure furnished to a man […]

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Modifier 51 Hints: Your Go-To Guide for the MPFS Multiple Procedure Column

13. June 2019

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There are nine different Multiple Procedure indicators on the Medicare Physician Fee Schedule (MPFS), meaning there are a lot of payment adjustment possibilities you need to know. Here’s each indicator, an example of a code with that indicator, and a quick look at where modifier 51 comes into play. What Is Modifier 51? The basic […]

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Coding Smarts: Be a Diabetic Neuropathy Vocab Champ

5. June 2019

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Roughly 25 percent of people over 65 in the U.S. have diabetes, and about half of people with diabetes have some form of nerve damage. So there’s a good chance you’ll need to know the terms used for diabetic neuropathy ICD-10-CM codes at some point. Be ready with this quick list of medical definitions. Are […]

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