In Billing
Feb 25th, 2019
The Centers for Medicare & Medicaid Services (CMS) issued a policy change modification to the claims processing logic for Modifier 59 Distinct procedural service (and the optional XE, XS, XP, and XU) on February 15, 2019. These modifiers are only processed when applied to the Column 2 code in a bundled pair, per Correct Coding Initiative ...
Mar 1st, 2013
Arm yourself with coding tips to withstand payer scrutiny AND get paid. By David Peters, CPC, CPC-P Whether you work in a hospital, physician office, or other health care setting, gone are the days when claims are processed, paid, and filed away. Instead, claims are dissected, scrubbed, and analyzed for numerous data systems. How does your ...
Feb 1st, 2013
Overlooking these modifiers can result in improper reimbursement. By Terri Brame, MBA, CHC, CPC, CGSC, CPC-H, CPC-I Any coder worth his or her wage knows about modifiers 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service ...
Dec 1st, 2012
By Laurette Pitman, RN, CPC-H, CGIC, CCS Endoscopic retrograde cholangiopancreatography (ERCP) is much easier to report than it is to say; but let your guard down and you might slip up when assigning CPT® codes for ERCP-related procedures. Up-to-date coding information on biliary and pancreatic duct stenting procedures, such as that found in the American ...
The basics of ambulatory surgery center (ASC) coding and billing aren’t hard to master, but they do differ from physician and facility requirements. The following overview will help you know what’s most important in the ASC setting. Definition of ASC To understand correct coding and billing for an ASC, you must first understand what an ...