Dec 1st, 2012
By Laurette Pitman, RN, CPC-H, CGIC, CCS Endoscopic retrograde cholangiopancreatography (ERCP) is much easier to report than it is to say; but let your guard down and you might slip up when assigning CPT® codes for ERCP-related procedures. Up-to-date coding information on biliary and pancreatic duct stenting procedures, such as that found in the American ...
In CMS
Oct 1st, 2012
Surgical modifiers are crucial to telling the story of a claim by identifying procedures that have been altered, without changing the core meaning of the code(s) submitted. Let’s focus on proper application and instructive resources for three surgical modifiers: modifier 50, modifier 51, and modifier 59. Modifier 50 Modifier 50 Bilateral procedure describes procedures/services that ...
Jun 1st, 2012
Let under-utilized appeals systems work for your practice. By Heather M. Shand, CMAA, CBCS, CMB Sometimes, even if you do everything right, you may end up with denied claims. Rather than throw up your hands and walk away, you should appeal. Yes, it will mean extra work, but the results are worth it: Most of ...
Jun 1st, 2012
It’s a worthwhile venture, but document and code claims carefully to get paid. By Marty Kotlar, DC, CHCC, CBCS Adding therapeutic procedures and modalities can be a great adjunct to a chiropractic practice. Many doctors of chiropractic medicine incorporate therapeutic procedures and modalities, and most insurance carriers (except Medicare) will reimburse chiropractors for them. Supervised ...
Jun 1st, 2010
By G. John Verhovshek, MA, CPC Used appropriately, modifier 59 Distinct procedural service is a powerful reimbursement tool allowing for separate payment of distinct services that, under usual circumstances, would not be billed together. For this same reason, the modifier also allows ample opportunity for misuse and abuse. The competent coder will apply modifier 59 ...