I am a doctor, and my medical practice focuses on primary care and preventive medicine, in addition to inpatient management. To keep up with the constant changes in the healthcare industry, government, and insurer requirements, it was necessary for me to learn more about the business side of healthcare. My CPC® Opened New Doors In ...
In Coding
Jan 6th, 2020
Part 2: Know the codes and documentation to help prove medical necessity for gender-related surgical procedures. Patients with gender conflict have stereotyping and depression to overcome; don’t let staff and billing be another obstacle they must face when getting medical care. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) helps to remove ...
In Coding
Jan 6th, 2020
Use the MSN to inform patients of their benefits and clarify billing questions. While calling Medicare to explain a patient’s benefits is sometimes better, this is not always the first phone call the patient makes. More likely, the patient calls the provider’s office with questions about their medical bills. Here’s how your practice can use ...
The quality of evaluation and management documentation is paramount for clinician reimbursement. Evaluation and management (E/M) services are the most vulnerable to billing errors because it is complicated to select the proper code for the level of service captured in the documentation. A firm grasp of the differences between medical decision making (MDM) and medical ...
In Coding
Jan 6th, 2020
Consider anatomy and coding guidance to put things into perspective. Functional endoscopic sinus surgery (FESS) is a surgical procedure performed endoscopically on the nasal/sinus cavities. The purpose of the surgery is to reduce the symptoms of chronic sinusitis such as congestion, drainage, post-nasal drip, headaches, and facial pain. Coding FESS can be unnerving because there ...