Mar 1st, 2013
Arm yourself with coding tips to withstand payer scrutiny AND get paid. By David Peters, CPC, CPC-P Whether you work in a hospital, physician office, or other health care setting, gone are the days when claims are processed, paid, and filed away. Instead, claims are dissected, scrubbed, and analyzed for numerous data systems. How does your ...
In Billing
Jun 1st, 2012
Use new Health Care Procedure Coding System (HCPCS) Level II code G9157 Transesophageal Doppler used for cardiac monitoring to bill for esophageal Doppler monitoring, effective Oct. 1. Medicare will allow G9157 to be billed with either modifier 26 Professional component or modifier TC Technical component when services are provided in an ambulatory surgical center (ASC), ...
May 1st, 2012
Place of service errors are on the OIG hit list, so be sure your coding is up to par. By G.J. Verhovshek, MA, CPC For the third consecutive year, the U.S. Department of Health & Human Services (HHS) Office of Inspector General (OIG) has included place-of-service (POS) errors as an area for review in its ...
In CMS
Aug 3rd, 2009
A recent Office of Inspector General Investigation (OIG) audit finds physicians generally code the place of service (POS) incorrectly on claims they submit to Medicare Part B carriers. OIG: Physicians Generally Miscode POS was last modified: June 8th, 2016 by admin aapc...
Jan 1st, 2009
Save payers and patients’ money for physician services not performed during normal business hours. By G. John. Verhovshek, MA, CPC CPT® includes three codes to describe services a physician provides during “nontraditional” hours. Although Medicare will never recognize these codes, third-party insurers may allow additional reimbursement for after-hour services if you demonstrate it is in ...