In Billing
Dec 8th, 2017
Effective Jan. 1, 2018, modifier GT Via interactive audio and video telecommunications systems is no longer required on professional claims for telehealth services. Place of Service (POS) code 02 certifies that the telehealth service meets Medicare’s requirements for reimbursement. Get Telehealth Services Paid in 2018 POS code 02, finalized in the 2017 Medicare Physician Fee Schedule (MPFS) f...
Knowing which services are included and which are separately reportable ensures appropriate reimbursement. By Cindy Hughes, CPC, CFPC In the first years of life, preventive services play an important role in determining if a child is growing and developing as expected. And for these services, payer rules play an important role in being reimbursed appropriately. ...
New prepayment audits underscore the importance of proper EHR use. If your practice, clinic, or hospital uses an electronic health record (EHR) but does not have a current “copy and paste” policy, it’s time to create one. To understand why this is important, let’s consider long-standing evaluation and management (E/M) coding challenges, how payers are ...
Look to documentation for clues that tell you if a patient’s cancer is active or past history. By Emily Bredehoeft, COC, CPC, AAPC Fellow A hot topic in oncology is when to start coding history of cancer rather than active cancer. Luckily, ICD-10-CM Official Guidelines for Coding and Reporting provides an answer. Section 1.C.2 Provides ...
In Coding
Oct 18th, 2017
Generally, wound care involves assessment and management of the wound, cleansing of the wound, simple debridement, and removal and reapplication of the wound dressings. In most cases, it is inappropriate to report an E/M service in addition to a wound care service (e.g., debridement, application of an Unna’s boot, etc.); however, if during the wound ...