In Coding
Apr 1st, 2018
Look at what kind of fracture it is, then decide whether it’s restorative or definitive care. By Jeannie Dean, CPC, COC, CPMA, CEMA, CEDC, CPC-I There is a common misconception that you cannot bill for fracture care in the emergency department (ED). In fact, emergency physicians regularly provide fracture care. To determine if fracture care ...
Make a point to learn drug coverage and payer requirements for billing. It’s essential not to confuse vaccine injections with injectable medications. Injectable medications, for example, are reported with HCPCS Level II codes and vaccines are reported with CPT® codes. But that’s not all: In many instances, injectable medications require prior authorization — and the ...
In CMS
Mar 2nd, 2018
What better time to refresh your coding know-how for colorectal cancer screening than National Colorectal Cancer Awareness month? Of cancers that affect both men and women, colorectal cancer is the second leading cause of cancer-related deaths in the United States, according to the Centers for Medicare & Medicaid Services (CMS). Screening can help find this cancer ...
In Billing
Mar 1st, 2018
Is the caring for, and treatment of post-operative complications in the global period coded and billable?  To answer this question, You first must know who the third-party payer is because different payers have different rules. What’s the Global Issue? Medicare says they will not pay for any care for post-operative complications or exacerbations in the global ...
Billing for new patients requires three key elements and a thorough knowledge of the rules. A persistent concern when reporting evaluation and management (E/M) services is determining whether a patient is new or established to the practice. New patient codes carry higher relative value units (RVUs), and for that reason are consistently under the watchful ...