Oct 1st, 2012
By Sarah W. Sebikari, MHA, CPC Colorectal cancer is the second leading cause of death in the United States. According to the American Cancer Society, if all adults 50 and older were screened for colon cancer, we could cut the death rate from this disease in half, saving approximately 25,000 lives each year. Colonoscopy is ...
Aug 1st, 2012
By Nancy Clark, CPC, CPC-I Modifiers are crucial in telling the story of the claim by identifying procedures that have been altered in some way without changing the core meaning of the code(s) submitted. Let’s look at the modifiers that can be appended to evaluation and management (E/M) codes used within the global period. The ...
May 1st, 2012
Weed through the guidance to properly append this commonly confused modifier. By G.J. Verhovshek, MA, CPC, and Rita Von Holtum, CPC-H Nearly 18 months since its introduction at the American Medical Association’s (AMA’s) 2010 CPT® Symposium, modifier 33 Preventive service continues to cause confusion. Here, we review eight quick tips that teach you when and ...
Sep 1st, 2011
When accurate diagnosis coding pressure builds, look at location and hemorrhaging for each. By Marcella Bucknam, CPC, CPC-H, CPC-P, CPC-I, CCC, COBGC, CCS, CCS-P Diverticula are small “pouches” that poke through the muscle wall of the intestines, generally due to pressure within the intestine. They occur most frequently in the sigmoid colon (where internal pressure ...
Mar 1st, 2009
Five steps is all you need for modifier 25 claim success. By G. John Verhovshek, MA, CPC Misuse of modifier 25 Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service is among the most common coding mistakes, costing medical practices millions each year ...