In Coding
Oct 1st, 2010
Look to NCCI policy for the two-specific conditions that call for unbundling. By Brad Ericson, CPC, COSC A biopsy performed on the same date of service as a more extensive procedure—such as an excision, destruction, or removal—generally is bundled into that more extensive procedure. But, under two-specific conditions for Medicare and most other payers, a ...
Oct 1st, 2008
Sunlight on Coders’ Compensation By Brad Ericson, CPC, CPC-ORTHO Ask coders what they do and how much they make, and their answers are as varied as how sensitive to the sun they are. Some are easy burners, with salaries and careers that show the results of outside forces quickly. Some are seemingly immune to the ...
Sep 1st, 2008
By Brad Ericson, CPC, CPC-ORTHO It’s called the Certified Interventional Radiology and Cardiovascular CoderTM, (CIRCCTM) and it was developed by interventional radiology (IVR) coders to demonstrate the unique expertise needed to successfully report procedures in this growing subspecialty. Interventional radiology coding proves as dynamic as the type of medicine it reports. The techniques performed ...
Jun 1st, 2008
Brad Ericson, CPC, CPC-ORTHO Once a patient is evaluated by a physical therapist (PT), reporting outpatient therapy can become sticky. The reason is twofold: PT modality coding is largely based on 15 minute units, and a patient might receive a mix and match of massage, gait training, and myofascial release in the same hour, The ...
Jun 1st, 2008
Brad Ericson, CPC, CPC-ORTHO A new federal auditing program is coming to city near you. The Recovery Audit Contractor (RAC) program, created in 2004 through the Medicare Modernization Act (MMA) to safeguard the Medicare Trust Fund, identifies Medicare and Medicaid overpayments and requests repayments from facilities, physician practices, and DME providers. A demonstration project begun ...