Mar 1st, 2013
By Ken Camilleis, CPC, CPC-I, CMRS, CCS-P Analyze documentation to understand the intricacies of diagnostic and procedural fracture coding. Because there are so many types of fractures and fracture treatments, appropriate diagnostic and procedural coding is very complex. Obtaining appropriate reimbursement in compliance with payer regulations and coding guidelines requires a thorough analysis of t...
In Billing
Jul 26th, 2012
It isn’t every day a Medicare administrative contractor (MAC) says it will cover a procedure that has neither a specific CPT® code describing it nor any concrete proof that the medical intervention is even useful. On July 16, however, Palmetto GBA did exactly that when it posted a policy update for percutaneous endovascular cardiac assist procedures ...
Apr 1st, 2012
Part 1: Make room for the latest in CPT® coding. By Marvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, and G.J. Verhovshek, MA, CPC CPT® 2012 brings important changes to pain management coding. In the first of this two-part series, we’ll: Review the revised coding guidelines for sacroiliac (SI) joint injection. Clarify the methodology ...
Apr 1st, 2012
2012’s bundling of procedures and assigning of “experimental” T codes can hamper provider reimbursement. By Barbara Cataletto, MBA, CPC Changes to CPT® 2012 spinal codes and coding guidelines have an important impact on reimbursement, new technologies, and the advancement of patient care. Let’s review the changes you’ll need to know to properly document and code ...
In Billing
Oct 14th, 2011
Effective for dates of service on or after Sept. 1, 2011 Palmetto GBA will cover the percutaneous insertion of an endovascular cardiac assist device and the device itself. “The impella has the capacity of being inserted into the heart from a peripheral location (femoral/axillary/iliac artery). The location of insertion is dictated by the patient anatomy. While ...