Tag Archive | "bilateral"

Meet the Latest Modifier-Related RAC Topics

Thursday, November 21, 2019

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You may know that medical coding modifiers can affect payment and bundling rules for your claims, but did you know modifiers are on the radar for Recovery Audit Contractors (RACs), too? Here are some of the recently added audit issues that have links to modifier use. Quick background: Medicare’s RAC program is used to identify […]

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Get a Sneak Peek at CPT® 2020 Additions, Deletions, and Revisions

Tuesday, July 23, 2019

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With all the excitement about Medicare and AMA plans for E/M in 2021, don’t forget that the CPT® code set will have changes in 2020, too. The official code set will be out soon, but, in the meantime, here are some hints from the AMA about the changes you’ll have to know for Jan. 1. […]

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Bring in Correct Bilateral Procedure Pay With These Pro Pointers

Thursday, February 7, 2019

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Choosing medical codes and modifiers for bilateral services can be confusing. Here are a few questions you can ask to help ensure accurate coding and reimbursement for physician claims. Does the Code Descriptor Specify Bilateral? “Bilateral surgeries are procedures performed on both sides of the body during the same operative session or on the same […]

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3 Things to Know Before Reporting Spine Code 63030

Tuesday, January 17, 2017

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$1,012.06. That’s the national Medicare rate for lumbar laminotomy code 63030 in January 2017. To help ensure you collect every dollar you deserve (but not a penny more), keep these three tips in mind for proper reporting. 1. Know How to Count Interspaces Watch for the word “interspace” at the end of the descriptor for […]

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