Differentiate migraines from common headaches for proper ICD-10-CM coding. A migraine is more than just a headache. Although migraines are not completely understood, scientists believe the pain is caused by dilation and constriction of the cephalic blood vessels or a microembolism. What we do know is that not all migraines are the same, and diagnosis ...
Don’t let billing these services strike with a thunderclap of pain. The thunderclap headache heralding reversible cerebral vasoconstriction syndrome (RCVS) is described by sufferers as just that: a thunderclap. There is no warning before the unimaginable pain brings you to your knees. Inside the head, arteries supplying the brain with blood constrict or dilate. The ...
Mar 1st, 2013
  Walk through real cases to help you strengthen A&P. By Rhonda Buckholtz, CPC, CPMA, CPC-I, CENTC, CGSC, COBGC, CPEDC Preparing for ICD-10-CM implementation requires a strategy to minimize productivity losses. Remember how painfully slow it was to search the ICD-9-CM codebook when you first started to learn coding? Although ICD-10-CM may be familiar to ...
Jun 1st, 2012
Here’s what to do when your provider’s documentation takes a back seat. By Robyn Margani, CPC If it isn’t documented, it wasn’t done. That’s the golden rule of coding. As we’ve all been told again and again, inaccurate documentation can lead to improper payments, non-compliance with government and insurance regulations, and audit risks. Unfortunately, the ...
Jun 1st, 2012
Fight for your right to be paid for properly documented claims. By G.J. Verhovshek When commenting on Abraham Morse’s, MD, MBA, article “Same-day E/M and Office Procedure: Yes, You Can!” (March 2012 Coding Edge, pages 16-17), several readers shared that insurers (including Medicare contractors) routinely deny evaluation and management (E/M) claims when reported with other ...