Coding thoughts for closed treatment of fractures without manipulation Coding closed treatment of fractures without manipulation can be a challenge. To ensure your coding results in proper reimbursement for the services rendered, let’s review fracture types, applicable codes, and the work they represent. Fracture Treatment Isn’t One Size Fits All When a patient is initially ...
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 ...
In Audit
Mar 14th, 2018
Although most providers aim to stay under the radar of the Office of Inspector General (OIG) and private payers for fraudulent billing practices, others hide intentional wrong-doing and are fearful of being discovered. While still other providers choose to self-disclose once errors and fraudulent conduct is revealed. If your healthcare organization finds illegal billing activity, consider ...
The 2017 CPT® codebook features some important changes for coding pelvic ring fractures, including the deletion of two codes, the addition of two new codes, and an added parenthetical instruction. Here’s what you need to know about the updates. Greater Specificity, Differing Treatments, Justify New Codes Codes 27193 and 27914 were deleted for 2017, and ...
Part 1: Arm yourself with bundling rules and medical policy knowledge. Cost control and denials are common in orthopedic care. Over the next two months, we’ll review common mistakes that lead to orthopedic claims denials and provide tips to avoid those mistakes. This month, we’ll discuss unbundling and medical policies. Next month, we’ll discuss up-coding ...