In Billing
Jan 2nd, 2015
You should present Medicare patients with an Advanced Beneficiary Notice (ABN) only if the provider believes that Medicare may deny an otherwise covered item or service. If the patient is not given this advanced notice, providers may not shift financial liability for such items or services to beneficiaries should a claim for such items or ...
Understand forms of anesthesia, and their guidelines, for better documentation and reporting. By Michelle N. Myrick, CPC, CPC-I There are many forms of anesthesia that may be used when performing (surgical) therapeutic or diagnostic procedures. Excluding office-based anesthesia, these include general anesthesia (GA), monitored anesthesia care (MAC), and regional anesthesia. Having so many options ...
Sep 1st, 2013
Coding/Billing: Facility Emergency situations call for unique coding of non-physician provider services. By Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC Ambulance codes and guidelines are uniquely applicable to non-physician providers. To make coding these services even more of a challenge, procedure codes relevant to emergency medical service (EMS) providers aren’t found in the CPT® codebook. ...
Jul 1st, 2012
By Susan M. Edwards, CPC, CEDC Correct coding and billing for durable medical equipment (DME) raises many questions, such as: What constitutes DME? Besides the order and physician signature, what other information do I need to submit a claim? Are there modifiers? To shed some light on ambiguous areas, we’ll answer these questions and more. ...
In CMS
Apr 5th, 2010
The April 2010 update of HCPCS Level II codes is now available on the Centers for Medicare & Medicaid Services (CMS) website. Downloadable files include one for a smattering of C codes and another involving four modifiers. New C codes effective April 1 are: HCPCS Code Long Description C9258 Injection, telavancin, 10 mg C9259 Injection, pralatrexate, 1 mg C9260 ...