In Coding
Jun 5th, 2019
Cardiology subspecialties are like subcontractors who bring different skills to help maintain the functionality of a healthy heart. Cardiology is the branch of medicine that specializes in the diseases and abnormalities of the heart and blood vessels. Cardiology subspecialties focus on specific conditions and treatment options, and understanding their differences can help when coding conditions ...
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 ...