In Coding
Oct 7th, 2019
Don’t let insufficient documentation lead you astray. How many times has a provider asked you, “What do I need to document to get a 99215?” All too often, medical coders feel they should help their providers understand what elements of documentation are needed to warrant the higher level evaluation and management (E/M) service. Do not ...
Reimbursement requires extra effort on behalf of the surgeon, in more ways than one. For general surgeons, payment for lysis of adhesions is a battle that has become difficult to win. But with a relative value unit of 18.46, it isn’t something surgeons will let go of easily. I did my homework and found the ...
In Coding
Aug 12th, 2019
Comments Off on Consider Depth and Other Factors when Coding for Burns
The more familiar you are with burn injuries and documentation, the easier it is to code the cases. Burn coding is challenging and requires you to consider multiple factors. Proper coding and documentation require an understanding of the types of burns, estimating burn extent based on age, and being familiar with how this estimation varies ...
In Audit
Aug 1st, 2019
Rik Salomon, CPC, CRC, CEDC, CEMA, CMCS, and I recently got into a rather spirited debate with a group of Certified Professional Coders (CPCs®) on coding guidelines and how they govern our medical coding. CPT® and ICD-10 guidelines are the primary determinants for how we code. We ignore all rules from Medicare and other payers ...
In Coding
Jul 10th, 2019
Novitas Solutions recently issued a Modifier 50 Fact Sheet, reminding medical coders of the proper use for this CPT payment modifier. The Medicare Administrative Contractor (MAC) for jurisdictions H and L warns that, effective for Part B claims received on and after Aug. 16, 2019, services will be rejected as unprocessable when modifier 50 Bilateral ...