In CMS
Dec 10th, 2018
The 2019 HCPCS Level II code set includes an unusual nine new modifiers that help medical coders and billers accurately report services recently adopted or changed by Medicare. Some are already effective; others are effective January 1, 2019. Modifiers CO and CQ Modifiers CO and CQ identify therapy services provided by an occupational therapy assistant ...
In Billing
Oct 23rd, 2018
Are your clinicians reporting patient relationship codes on their Medicare Part B claims? The HCPCS Level II modifiers are voluntary this year, making it a good time to get in practice. What Is the Purpose of Patient Relationship Categories and Codes? The Medicare Access and CHIP Authorization Act of 2015 (MACRA) requires the Centers for ...
Part 2: Applying appropriate modifiers and assigning medically necessary diagnosis codes aids claim reimbursement. Delivering quality care while ensuring effective clinical documentation and compliant medical coding is an ongoing challenge in a fast-paced emergency department (ED). This two-part series reviews best practices for optimizing coding compliance and reimbursement of ED claims. Last mont...
In Billing
Jun 13th, 2018
Modifier 52, Reduced Services and Modifier 53, Discontinued Procedure apply to physician services while Modifiers 73 and 74, Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure Prior to the Administration of Anesthesia and Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure After Administration of Anesthesia respectively apply to facility charges. It ...
The 2018 CPT® code book introduces two new codes to report anesthesia during colonoscopy, one of which is applicable specifically for a screening exam. But if a screening colonoscopy reveals diagnostic findings, proper coding for the anesthesia service may differ, depending on the payer. CPT® Sticks with Screening Code 00812, Regardless of Findings CPT® 2018 deletes ...