Feb 1st, 2013
Overlooking these modifiers can result in improper reimbursement. By Terri Brame, MBA, CHC, CPC, CGSC, CPC-H, CPC-I Any coder worth his or her wage knows about modifiers 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service ...
In CMS
Jul 1st, 2011
Following the omission of important information in its manual, the Centers for Medicare & Medicaid Services (CMS) clarified in Transmittal 2247, June 24, the policies concerning late night admissions and the mix of residents under the primary care exception. The policies regarding the interpretation of diagnostic radiology and other tests are included, as are the ...
Mar 1st, 2011
A shift in paraesophageal hernia thinking changes this year’s CPT®, plus what’s new with esophagus repairs and hemorrhoids. By Marcella Bucknam, CPC, CPC-H, CPC-P, CPC-I, CCC, COBGC, CCS, CCS-P The diaphragm repair and esophagus repair sections of CPT® underwent significant revisions for 2011. These changes reflect a shift in thinking about how paraesophageal hernia repairs ...