Make a point to learn drug coverage and payer requirements for billing. It’s essential not to confuse vaccine injections with injectable medications. Injectable medications, for example, are reported with HCPCS Level II codes and vaccines are reported with CPT® codes. But that’s not all: In many instances, injectable medications require prior authorization — and the ...
CPT® guidelines prior to the codes 76881 Ultrasound, extremity, nonvascular, real-time with image documentation; complete and 76882 Ultrasound, extremity, nonvascular, real-time with image documentation; limited, anatomic specific state: A complete ultrasound examination of an extremity (76881) consists of real time scans of a specific joint that includes examination of the muscles, tendons, joint,...
In Audit
Mar 16th, 2015
By Stephanie Jones Cecchini, CPC, CEMC, CHISP, Approved ICD-10 Trainer LinkedIn – LION https://www.linkedin.com/in/stephaniececchini This is part one of a four part series.   Introduction  Like elite military forces, physicians are trained to do what most of us cannot.  People drawn to careers in medicine have unique personality traits and aptitudes that include high intelligence, ...
Dec 1st, 2012
By Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC and G.J. Verhovshek, MA, CPC The practice of medicine constantly evolves. Established roads change direction. Familiar landmarks disappear, and new paths emerge. Even those who know the lay of the land can feel lost in an ever-shifting terrain of technologies, methods, and standards of care. To keep ...
Aug 1st, 2012
By Nancy Clark, CPC, CPC-I Modifiers are crucial in telling the story of the claim by identifying procedures that have been altered in some way without changing the core meaning of the code(s) submitted. Let’s look at the modifiers that can be appended to evaluation and management (E/M) codes used within the global period. The ...