Author "Charla Prillaman"

By Charla Prillaman
In Audit
Aug 29th, 2015
By Charla Prillaman, CPCO, CPC, CPC-I, CCC, CEMC, CPMA When we audit medical claims for accurate coding, modifier usage is usually included in the findings.  Inaccurate or inappropriate application of modifiers to CPT© codes could result in inaccurat...
By Charla Prillaman
In Audit
Jul 29th, 2015
By Charla Prillaman, CPCO, CPC, CPC-I, CCC, CEMC, CPMA Have you ever had a conversation with someone whose knowledge you know is always spot-on, and he or she says something that sounds just plain wrong? This recently happened to me. How could Auditor...
By Charla Prillaman
In Audit
Jun 30th, 2015
By Charla Prillaman, CPCO, CPC, CPC-I, CCC, CEMC, CPMA All pro-active medical practices perform coding/billing audits; some by practice staff and others by an outside vendor. These audits are usually designed to identify and, if necessary, remediate a...
By Charla Prillaman
In Audit
May 27th, 2015
By Charla Prillaman, CPCO, CPC, CPC-I, CCC, CEMC, CPMA During a recent meeting with approximately 40 providers, I asked how many had billed a level 5 evaluation and management (E/M) visit in the last month.  Not one hand was raised.   How about the la...
By Charla Prillaman
Apr 23rd, 2015
Recently, a provider asked me the difference between CPT© 20605 and 20551. He had already asked others the same question, and was confused that they gave him different answers. As we talked and reviewed the particular case he was coding, I came to und...