Tag Archive | "coding"

Find Flu Vaccine Codes Fast for Cleaner Medicare Claims

Thursday, October 17, 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

Monday, October 14, 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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Get the Scoop on Proposed Medicare Codes for Managing 1 Chronic Condition

Thursday, October 10, 2019

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You’ve got Chronic Care Management (CCM) codes when a patient has multiple chronic conditions to manage, but what about when there’s just one? To help solve the problem, Medicare wants to introduce new codes for Principal Care Management (PCM). Here’s more on that from the 2020 Medicare Physician Fee Schedule (MPFS) proposed rule. Start With […]

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Your Guide to CCI Trends for the End of the Year

Monday, September 30, 2019

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On Oct. 1, 2019, there will be 118 new National Correct Coding Initiative (NCCI or CCI) edits for physicians reporting to Medicare. Keep your coding up to date and in compliance with the edits with this quick overview featuring path/lab, allografts, venous procedures, and radiation oncology. Keep in mind: The edits we’re talking about here […]

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

Monday, August 26, 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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Smash 3 Myths to Upgrade Your Mammography Coding and Coverage Knowledge

Thursday, July 18, 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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Coding Smarts: Be a Diabetic Neuropathy Vocab Champ

Wednesday, June 5, 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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Learn the ABCs (and Zs) of IUD Coding

Friday, June 30, 2017

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Intrauterine devices (IUDs) for birth control are fairly common, but somehow the coding for IUD-related services isn’t as clear-cut as it could be. In today’s post, get to know the codes and a common coding hurdle to watch for. Go Through All the Code Sets to Find the Codes CPT® provides these codes for IUD […]

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Welcome Spring With 3 Laceration Coding Scenarios

Monday, April 10, 2017

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The weather is getting warm enough for bare feet, knees, and elbows, and that leaves them more vulnerable to lacerations. Check out these three scenarios to help you choose correct codes for those cuts, powering up your laceration coding skills for spring. Case 1: Don’t Overcode for Bandaging Skinned Knee Suppose an established patient presents […]

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Coding Debridement Using 11042 to +11047? Let’s Do Some Math!

Friday, September 30, 2016

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There’s a theme to the Correct Coding Initiative (CCI) edits going into effect Oct. 1, 2016. Debridement codes, including 11042 to +11047, are getting bundled into surgical code after surgical code. (Check out the changes file for physicians/practitioners here under Related Links, and watch for cases where existing edits swap the columns the codes are […]

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