May 1st, 2011
Documentation is critical when requesting extra pay for extra work in the operating room. By Sarah Reed, CPC, and G.J. Verhovshek, MA, CPC When properly applied, modifier 22 Increased procedural services allows a physician to receive greater reimbursement for an especially difficult or time-consuming procedure. But getting modifier 22 claims paid requires more than just ...
Jul 1st, 2010
By Sarah Sebikari, MHA, CPC CPT® codes designated as “separate procedures” are generally incidental and bundled into a comprehensive/major procedure when performed during the same session, through the same incision, and/or on same anatomic site. The Centers for Medicare & Medicaid Services (CMS) does not allow separate reporting of a procedure designated as a separate ...
May 1st, 2009
By Shreka Rogers, CPC, CCP In an environment of declining physician reimbursement, practices are wise to capture every legitimate opportunity to improve payments. Modifier 22 Increased procedural services can enhance compensation, but it is best applied sparingly, and only when documentation supports a truly extraordinary service. Years ago, an extremely astute and gifted surgeon opined ...
Mar 1st, 2008
By Barbara Cobuzzi, CPC-OTO, CPC-H, CPC-P, CPC-I, CHCC and Michelle Dick, Senior Editor Doesn’t it seem like only yesterday you were trying to memorize what circumstances constitute the use of certain modifiers? Unfortunately, 2008 means more memorizing with its modifier changes and the addition of the new modifier 92. The good news is we’ll help ...
Sep 1st, 2007
By G. John Verhovskek, MA, CPC To assign an appropriate hernia repair code from the more than 30 choices that CPT® offers (49491- 49590 and 49650-49659), you’ll probably need to answer at least four of the following five questions, and then read carefully through the code descriptors to find your match. 1. What is the ...