In Coding
Aug 9th, 2018
With so many code choices, be sure all related procedures are accounted for. Although hysterectomy is a common procedure in gynecology practice, coding for it is a challenge due to so many code choices. Along with the surgical approach and extent (i.e., total or partial) of the hysterectomy, accounting for related performed procedures is key ...
In Coding
Jun 7th, 2018
  Q What is proper coding if an anesthesiologist performs perioperative transesophageal echocardiography (TEE), 93355? Per the National Correct Coding Initiative (NCCI), TEE is bundled to the primary anesthesia service (00560), which results in non-payment of the TEE when reporting both services. A The short answer is, in the scenario described, compliant coding is 00560 ...
Here’s the clarity you need to use new procedure codes, modifiers, and bundling rules correctly. CPT® 2018 introduces important changes for nasal/sinus endoscopy coding, including several new codes that bundle endoscopic procedures often performed together. Let’s explore these new codes, as well as other important additions and revisions. New Ethmoidectomy Codes Bundle Sphenoidotomy and More ...
In Billing
Dec 5th, 2017
There’s usually a reason and a solution for every denied claim. Claim denials are inevitable. The first step to work through them is understanding the most common denials, such as: bundling; global denials; multiple frequency denials; and no plan coverage denials. Bundling Unbundling occurs when a service is billed using individual codes when a single, ...
Maximize revenue cycle profits by watching bundling. Becoming knowledgeable about National Correct Coding Initiative (NCCI) policies and edits may be the difference between having a profitable revenue cycle or placing your facility at risk for denials. In recent years, NCCI policies and edits have become key factors in outpatient facility and professional claims denials. You ...