In Coding
Sep 29th, 2008
Comments Off on AMA Provides Clarity on Breast Excision/Lymph Node Coding
CPT Assistant (vol. 18, issue 9, Sept. 2008) clarifies that when a surgeon performs partial mastectomy with complete axillary dissection, you should report 19302 Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy. Partial mastectomy with anything less than a complete axillary dissection, however, will call for 19301 Mastectomy, partial (eg,...
In Coding
Sep 29th, 2008
Comments Off on The Best Way to Avoid an Audit
Time and time again, we hear about how the Health and Human Services (HHS) Office of Inspector General (OIG) has audited another carrier for improper payments. Time and time again, the underlying cause has something to do with improper billing of units. In fact, according to a Medicare Claim Recovery Audit Contractors (RAC) demonstration, excessive/multiple ...
In CMS
Sep 29th, 2008
Comments Off on CMS Releases October 2008 Update of OPPS
Appending modifier 52 (Reduced Services) to a radiology service procedure code does in fact reduce payment by 50 percent. Don’t let an outdated version of the 2008 Outpatient Prospective Payment System (OPPS) fool you. You’ll find several other corrections and clarifications the Centers for Medicare & Medicaid Services (CMS) made to the 2008 OPPS in ...
In Coding
Sep 29th, 2008
Comments Off on AMA: Scurvy Sailing into Offices
Scurvy, the vitamin C deficiency disease most often associated with toothless sailors, is popping up around the country among the elderly and other vulnerable patients, according to a recent article in the American Medical Association’s (AMA) AMedNews, and you may find yourself coding it. AMA: Scurvy Sailing into Offices was last modified: September 29th, 2008 ...
In CMS
Sep 29th, 2008
Comments Off on Watch How You Code for Facet Joint Injections
In 2006, the Centers for Medicare & Medicaid Services (CMS) allowed approximately $96 million in improper payments for facet joint injections services and an additional $33 million in improper payments for associated facility claims, according to an Office of Inspector General (OIG) September report. That’s a whopping 63 percent of facet joint injection services allowed ...