In Billing
Sep 30th, 2019
Three credible sources give three different answers, and only one is right. The definition for billing units of allergy serum preparation for patients was recently challenged by a colleague of mine who works in the allergy space. Are there limitations on diluted antigens when counting units for CPT 95165 Professional services for the supervision of ...
In Billing
Sep 26th, 2019
When calculating an evaluation and management (E/M) level or auditing an E/M service, every Medicare Administrative Contractor (MAC) has always had the points assigned for a new problem under the Number of Diagnoses or Treatment Options based on a new problem to the examiner. This means that, although a problem may be established for a ...
In Billing
Sep 13th, 2019
Incident-to billing for advanced practice providers (nurse practitioners, physician assistants, clinical nurse practitioners, nurse midwives, etc.) has been available to limited license practitioners since 1998. And the rules for what is required to bill incident-to are clearly defined by the Centers for Medicare & Medicaid Services (CMS). Yet, this privilege, which enables a limited license ...
In Billing
Sep 13th, 2019
October 1 is a scary time for medical coders. There are fourth quarter updates to HCPCS Level II codes and code editors. Payment system and fee schedules are updated. And ICD-10-CM code changes go into effect. What’s a coder to do? Whatever you do, don’t hide under your bed. Jason’s under there (just a little Friday ...
In Audit
Sep 10th, 2019
Earning an AAPC core certification (CPC, COC, CIC, CRC) opens the door into the medical coding world, but it doesn’t mean your education is complete. As with the science of medicine, the business of healthcare is constantly evolving. Medical coders must adapt and reinvent themselves to keep up with the changes and maintain a competitive ...