In Coding
Dec 13th, 2018
Know when and how to report fee-for-service obstetric visits. Many obstetric offices charge for obstetric (OB) visits using a global care code. In some cases, however, you may need to report OB visits individually as fee-for-service visits. Let’s review the steps to ensure your providers are hitting all documentation requirements for these services. Step 1: ...
In Coding
Dec 13th, 2018
Modifier 59 Distinct procedural service is an “unbundling modifier.” When properly applied, it allows you to separately report—and to be reimbursed for—two or more procedures that normally would not be billed or paid independently during the same provider/patient encounter. For example, per CPT Assistant(Jan. 2018): Code 20680 [Removal of implant; deep (eg, buried wire, pin, screw, metal band, ...
In Coding
Dec 13th, 2018
Nearly every section in the code book has updates: The stakes are high that your coding is affected. CPT® 2019 includes 212 new Category I and III codes, 50 revised code descriptors, and 71 deleted codes — plus revised introductory guidelines, and new and revised parenthetical references. Nearly every section of the code book (except ...
Know what payers are looking for in subsequent hospital care claims, and how to give it to them. Medical necessity is the No. 1 consideration when selecting an evaluation and management (E/M) service code. Without medical necessity to support billed services, your practice is put at a serious noncompliance risk. Consider, for example, one payer’s ...
In Coding
Dec 11th, 2018
Besides being a time for giving and promoting peace on earth, December is the month of holiday preparation, gathering with loved ones, and celebrating. With so many festivities and too much holiday hustle and bustle, accidents happen. Here are some ICD-10 codes you may see this season. Christmas Preparation Accidents These codes are useful if you fall while ...