In Billing
Oct 1st, 2013
Danger is imminent if the chief complaint and unique documentation don’t support separately billed services. An example of so-called “split billing” is when the provider performs a physical exam and also discusses the patient’s chronic pre-existing conditions, linking the chronic diagnosis codes to the office visit and the reason for the visit (V70.0 Routine general ...
Aug 1st, 2011
Report what documentation tells you, or you could be hurting the patient. By Debra Mitchell, MSPH, CPC-H Imagine this patient encounter: A 67-year-old female complains of a painful lump on her elbow. The physician performs an assessment and takes a biopsy. Both the office visit and the biopsy are linked to ICD-9-CM code 757.8 Other ...
May 1st, 2009
By Debra Mitchell, MSPH, CPC-H There is a prevailing notion in the health care industry that V codes cannot or should not be cited as a first-listed diagnosis. This is incorrect for several reasons: Health Insurance Portability and Accountability Act (HIPAA) establishes ICD-9-CM (Vols. 1 and 2, including the Official ICD-9-CM Guidelines for Coding and ...
Sep 1st, 2007
What’s in a Name? By Heidi Stout, CPC, CCS-P Foot surgeons use a wide variety of surgical techniques for bunions and hallux valgus correction, and many of these procedures are referenced using an eponym or proper name, such as Austin, Akin, McBride and Lapidus. Unfortunately, not all of these eponyms are listed in CPT®; and ...