In CMS
Mar 2nd, 2018
What better time to refresh your coding know-how for colorectal cancer screening than National Colorectal Cancer Awareness month? Of cancers that affect both men and women, colorectal cancer is the second leading cause of cancer-related deaths in the United States, according to the Centers for Medicare & Medicaid Services (CMS). Screening can help find this cancer ...
One common problem with provider documentation is a missing chief complaint (CC). Unless the visit is for a preventive medicine service, the lack of a CC means that the service will be deemed medically unnecessary (and unpayable) by any insurer. Often, providers begin their subsequent notes with symptoms the patient may not have, or a comment ...
May 1st, 2012
Weed through the guidance to properly append this commonly confused modifier. By G.J. Verhovshek, MA, CPC, and Rita Von Holtum, CPC-H Nearly 18 months since its introduction at the American Medical Association’s (AMA’s) 2010 CPT® Symposium, modifier 33 Preventive service continues to cause confusion. Here, we review eight quick tips that teach you when and ...
Mar 1st, 2012
Documentation and proper modifier 25 application is essential. By Abraham (Nick) Morse, MD, MBA Providers generally learn from their billing and coding staff that reimbursement for office procedures includes the immediate pre- and post-procedure management of the patient. In my experience, providers sometimes “over learn” this lesson, and conclude that it is never possible to ...
Mar 1st, 2012
Documentation is the key to avoiding billing issues. By Kerin Draak, MS, RN, WHNP-BC, CPC, CEMC, COBGC There are two types of office encounters: preventive and problem-oriented. Billing either type of visit alone is relatively straightforward, but when billing both visit types during the same encounter, documentation and billing issues can occur. We’ll focus on ...