In Billing
Nov 12th, 2019
Using 87804 x 2 might result in denial. If you’re performing a test that detects the flu via immunoassay in the office, your provider might test for two strains of the virus. Impact: When you file these claims properly, you’ll be paid for two flu tests rather than one. Read on for a bit of knowledge ...
In Coding
Oct 31st, 2019
Navigate with ease through the complexity of non-chemotherapy infusion encounters. Coding infusion services can seem as complicated as driving to an unknown destination without GPS, especially when there are multiple medications. Whenever you’re feeling lost, use this road map for facility-based billing of non-chemotherapy medications to find your way to proper payment. First Stop: Hierarchies ...
In Coding
Jul 23rd, 2019
Bay City, Michigan surgeon Vasso Godiali, MD, was indicted on July 10, 2019, for allegedly orchestrating a $60 million healthcare fraud scheme. He is also charged with money laundering for financial transactions involving almost $50 million in proceeds from the scheme. The indictment comes from both the federal government and Michigan state authorities because it ...
In Coding
Jul 8th, 2019
Although coding in this area may seem complex, you can simplify it with a quick review of requirements and carrier policies. Coding for spinal cord stimulation lead implantation is thought to be too complex and difficult for some. There are several reasons for this perception: There are coding differences based on the site of service ...
In Coding
Jul 8th, 2019
When you have distinct, separate procedures, know which modifiers will get the claim paid in full. Modifier 59 Distinct procedural service acts as a “universal unbundling” modifier for procedures that are normally included as part of another procedure, or “bundled.” The modifier tells the payer that there are special circumstances that warrant separate reporting (and ...