In Billing
Oct 19th, 2009
According to the Centers for Medicare & Medicaid Services (CMS), billing staff often do not know where their physicians performed certain services, such as diagnostic test interpretations. Either that or they simply do not understand place of service (POS) codes enough to make informed decisions. “The use of office or POS code 11 in certain situations ...
In CMS
Oct 5th, 2009
If your practice can’t seem to successfully bill for the professional component lately, there could be a logical explanation. It could be something as simple as an incorrect modifier. According to First Coast Service Options Inc. (FCSO), an excessive number of claims from providers are being denied because they request payment for the professional component ...
Jul 1st, 2009
Billable or Not? By G. John Verhovshek, MA, CPC A payer representative recently wrote to Coding Edge with a problem: “A clinical pathologist is also the medical director of a hospital-based laboratory. He is paid a hospital salary for his services as the lab director. He has been billing lab codes with modifier 26 Professional ...
In Coding
Mar 1st, 2009
From A-scans to YAG. By Kim Ross, CPC, OCS, and Sue Vicchrilli, COT, OCS Remember the pirate’s often-lost wooden eye in “Pirates of the Caribbean?” Or Tom Cruises’ eye transplant in “Minority Report?” Movies showing eye injuries intrigue us. Although it is a challenge to code these incidents, an even greater challenge is correctly coding ...