In Coding
Apr 1st, 2011
Find out what’s been revised, added, and deleted within CPT®s extensive changes. By Kim M. Ross, OCS, CPC CPT® 2011 features significant changes to both Category I and Category III codes that eye doctors and their billers ought to know. Changes in Cornea Amniotic membrane may be used for ocular surface reconstruction by several methods, ...
Apr 1st, 2011
AMA’s official guide is now more helpful than ever. Coders always are on the lookout for tips and tools to improve job performance and efficiency. Among the very best resources is one that coders use every day (and may take for granted): The CPT® book. The CPT® book is more than just a list of ...
Apr 1st, 2011
Reimbursement depends on whether services are inside or outside the scope of payment. By Denise Williams, RN, CPC-H Since the initiation of the Outpatient Prospective Payment System (OPPS), the Centers for Medicare & Medicaid Services (CMS) has maintained a list of procedures that are covered and reimbursed to facility providers only when provided on an ...
Apr 1st, 2011
Provider rules change depending on whether you’re reporting for inpatient or outpatient services. By Jill M. Young, CPC, CEDC, CIMC When reported to Medicare, cardiac (93015-93024) and pulmonary (94620-94621) stress tests must meet applicable supervision requirements. You also must remember that in the outpatient setting only a physician—never a non-physician practitioner (NPP)—may act as the ...
Apr 1st, 2011
Understand the requirements for appropriate reimbursement. By Stephen C. Spain, MD, FAAFP, CPC As required by the Patient Protection and Affordable Care Act (PPACA), the Centers for Medicare & Medicaid Services (CMS) recently amended the Code of Federal Regulations (CFR) to include an annual wellness visit (AWV) for Medicare beneficiaries. The revenue for this service ...