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Anesthesia Coding Alert

News You Can Use:
Get Ready To Implement the Impending 2024 CPT® Updates
Major neurostimulator-related changes, minor E/M time shifts lead the way. We've come to ... Read more
Year in Review:
Revisit These 4 Key Updates, Refresh Your 2023 Coding Knowledge
How much do you remember about these major changes from the last 12 months? Like any ye... Read more
Artificial Intelligence:
Augment AI Classification Comprehension With This Appendix S Primer
Find out the details that differentiate assistive, augmentative, and autonomous AI. Wit... Read more
You Be The Coder:
Review How To Report This Subsequent Sterilization Case to UHC
Question: A 27-year-old patient who is 40 weeks pregnant presented to the emergency r... Read more
Reader Question:
Avoid Appending -GC for SRNAs Directed by Doctors
Question: Can you provide guidance on how to bill for student registered nurse anesth... Read more
Reader Question:
Identify Proper Billing Practices for Independent Contractor CRNAs
Question: How is the billing handled when the anesthesiologist is medically directing... Read more
Reader Question:
Recognize State Record Retention Requirements May Vary
Question: I work for a medical billing company and have a question regarding the rete... Read more
ICD-10-CM 2024:
Note These New Codes for Common CV Conditions
Peruse this primer to ensure you can pinpoint the most specific dx code. October is here,... Read more
Post-Op Care Coding Quiz:
Size Up Your Daily Hospital Management Coding Skills
Let these three scenarios guide you through the dos and don'ts of reporting 01996. In som... Read more
Back to Basics:
Navigate the Nuances of NCCI PTP Edits With Ease
Exercise caution when using a modifier to break an edit. Do you ever find yourself stump... Read more
Coding Quiz Answer:
Check Your Responses to Our Post-Op Pain Care Quiz
Grab your answers and see if you really are an anesthesiology coding expert. Once you've ... Read more
You Be the Coder:
Figure Out Correct Coding for This Case Scenario
Question: What are the correct anesthesia and surgical codes, modifiers, and diagnosis cod... Read more
Reader Questions:
Lean on ASA Neuraxial Labor Anesthesia Documentation Advice
Question: I've been unsuccessful in my search for documentation requirements for obstetric... Read more
Reader Questions:
Learn What Makes Laboring Patients Eligible for Emergency Status
Question: Can we report an emergency status for labor epidural patients, and if so, is thi... Read more
Reader Questions:
Only Append These Modifiers When Billing Florida Medicaid
Question: Does Florida Medicaid require a modifier when an anesthe­siologist personally p... Read more
News You Can Use:
Keep Tabs on These 4 Key MPFS Proposals
Blame anesthesia payment cuts on budget neutrality. Physicians may be facing more payment... Read more
MIPS:
Peruse These 7 MIPS Tips for Smaller Practices
Know where to find tools that can facilitate success in the QPP. The key to avoiding pen... Read more
Auditing 101:
Strengthen Your Audit Program To Prevent Potential Billing Slip-Ups
Remember: Scope helps establish your ‘why' and ‘how.' If you are content with your p... Read more
Reader Questions:
Remember ASA CROSSWALK® Codes Are Simply Suggestions
Question: Can you explain why the CROSSWALK® for 35190 doesn't list 01270 for an upp... Read more
Reader Questions:
Compare Base Unit Values Before Billing Bone Grafts
Question: With bone grafts, we code for the body part the graft is going to and not ... Read more
Reader Questions:
Review These Rules To Ready Yourself for Reporting TIVA
Question: I am new to anesthesia coding and wasn't sure what to say when asked about... Read more
You Be the Coder:
Size-Up the Correct Codes for This Subsequent Surgery Case
Question: What are the correct codes to report for the surgery, anesthesia, and diagn... Read more
News You Can Use:
Prepare for ICD-10-CM Updates by Perusing This Primer
Explore new options for chronic migraine, SDoH, external causes, and more. Hundreds of ne... Read more
Diagnosis Focus:
Learn the Lingo To Lessen Headache Coding Pain
Expect to extend to the 5th — or often 6th — character. Nearly everyone has experien... Read more
Compliance:
Avoid Medical Necessity Pitfalls With This Expert Advice
Establish a strong compliance program to protect your practice's bottom line. Many practi... Read more
Reader Questions:
Check These Tips To Circumvent Excludes1, Excludes2 Note Confusion
Question: I'm still unclear on the rules surrounding Excludes1 and Excludes2 notes. ... Read more
Reader Questions:
Find Out Why Florida Anesthesiologists Are All Fired Up
Question: I heard at a meeting recently that Medicaid Managed Care in Florida is sup... Read more
Reader Questions:
Consider E/M Codes When Work Exceeds Routine Periop Care
Question: Are there any guidelines as to when an anesthesiologist can bill separatel... Read more
You Be the Coder:
Choose the Correct Codes for This Hemilaminectomy Case
Question: A 67-year-old patient presents for a hemilaminectomy with decompression of ... Read more
Procedure Focus:
‘PICC’ the Best Venous Catheter Code Using These 5 Q&As;
Know line type, procedure performed, and patient age to narrow the possibilities. When y... Read more
Interventional PM:
Peruse Procedure Particulars To Pinpoint Proper PM Coding
Pay attention to what can and cannot be billed separately with electrical stimulation, RFA... Read more
Claims and Denials:
Discover Ways To Dodge Common Denial Dilemmas
Curb claim headaches via meticulousness and detailed documentation. Researching and re-su... Read more
Reader Questions:
Realize Reciprocal, Locums Billing Only Applies to Physicians
Question: One of our anesthesia providers is a CRNA, and we do the billing for her. When s... Read more
Reader Questions:
Find Out How To Secure Payment for Services Provided
Question: Does Medicare have any guidelines regarding having a patient pay for an anesthes... Read more
Reader Questions:
Don’t Forget Payers May Define 1 Time Unit Differently
Question: I'm new to coding and need help with reporting anesthesia time. If payers want t... Read more
You Be the Coder:
Choose Modifiers Carefully for Correct Coding of Consecutive Cases
Question: A 27-year-old patient who was 40 weeks pregnant presented to the ER and, on exa... Read more
Anesthesia Basics:
Steer Clear of These 5 Time Calculation Snafus
Bust these myths to boost your chances of anesthesia claims success. Anesthesia coding te... Read more
Diagnosis Deep Dive:
Break Down Bradycardia Basics to Boost Your Coding Savvy
Hint: Pay attention to synonyms and coding notes. Most coders who encounter bradycardia ... Read more
Claims and Denials:
Prevent Top Denials by Perusing These Pro Tips, Part 1
Learn how to save your practice money, time, and a whole lot of frustration. With claim ... Read more
Reader Questions:
Appreciate What Affects Anesthesia Audit Time
Question: Can you give me some guidelines on how long it should take an auditor to au... Read more
Reader Questions:
Figure Out If You Can Bill for 2 Docs Working on 1 Case
Question: Is there any way to bill for two anesthesiologists working on one case? Co... Read more
Reader Questions:
See What Activities an Anesthesiologist Is Allowed To Juggle
Question: Can an anesthesiologist direct one CRNA and be the anesthesia provider for ... Read more
You Be the Coder:
How Should This Emergency Intubation Scenario Be Handled? Find Out
Question: The anesthesiologist was called to the waiting room, located directly outsi... Read more
Line Placement:
Step Up Your Swan-Ganz Coding Game With These 5 FAQs
Find out what other line is separately reportable with an SGC. Most anesthesia coders kn... Read more
Interventional PM:
Find These Facts for Flawless Injection Reporting
Hint: Knowing spinal anatomy is half the battle. Chronic and acute pain can turn anyone'... Read more
Technology:
Recognize AI’s Potential to Positively Impact Your Revenue Cycle
Prevent denials by using AI to analyze past claim denial trends. After decades of develop... Read more
Reader Questions:
Avoid Using Modifier 47 for Your Anesthesiologist’s Services
Question: I am new to anesthesia and have been going through case examples of instan... Read more
Reader Questions:
Don’t Get Discouraged by Lumbar Plexus Single Shot Denials
Question: Our providers commonly perform lumbar sympathetic plexus blocks via single ... Read more
Reader Questions:
Reporting SPANK Block Requires Peripheral Injection Code
Question: What code should I use to report a SPANK block? This is a new block for us,... Read more
You Be the Coder:
Check Procedure Details for Proper Pain Pump Coding
Question: I am new to coding pain management (PM) and came across documentation of ep... Read more
L&D Anesthesia:
Can You Code These Complex C-Section Cases
Remember: Anesthesiologists cannot bill for the provision of PCA. In some cases, coding f... Read more
Diagnosis Deep Dive:
Assign Tachycardia Codes Without Missing a Beat
Hint: Use atrial rate to distinguish typical from atypical atrial flutter. When you come... Read more
Practice Management:
Ease Into Practicing Post-PHE in 7 Simple Steps
Start now to ensure a smooth segue back to ‘normal' standards. For more than three yea... Read more
Reader Questions:
Use This Code When Urgent Hysterectomy Follows Delivery
Question: The anesthesiologist places an epidural for labor and delivery. The deliver... Read more
Reader Questions:
Learn What To Do for Anesthesia Switch Ups
Question: I have a case that began as monitored anesthesia care (MAC) for the first 8... Read more
Reader Questions:
Find Ways To Justify 1 Case Requiring 4 Providers
Question: Do you have any recommendations on how to bill a case in which we had two a... Read more
You Be the Coder:
Check Certain Details for Correct Coding of Canceled Cases
Question: How is the service performed by Dr. Marcus in a case canceled after inducti... Read more
Procedure Focus:
Take the Guesswork Out of Coding Facet Joint Injections
Hint: Count the number of levels injected, not the number of nerves injected. Coding and ... Read more
ICD-10-CM:
Don’t Let Pain Dx Coding Be a Sore Spot
Find out which code to turn to for ongoing treatment-resistant pain. Everything about pai... Read more
Documentation:
Strive for These 3 Cs to Strengthen Your Medical Records
Help preserve medical record accuracy by promoting timely chart sign-off. It's a good ide... Read more
Reader Questions:
Gain Insight Into Monitored Anesthesia Care Modifiers
Question: I have recently learned about G8 and G9 modifiers. How do I know whether Me... Read more
Reader Questions:
Know Which Circumstances Mandate a Medical Direction Modifier
Question: Can an anesthesia provider other than an anesthesiologist, such as a CRNA o... Read more
Reader Questions:
Review How To Report Anesthesia for Take-Back Surgery
Question: Which modifier is most appropriate for a take-back surgery where the patie... Read more
You Be the Coder:
Up Your CRNA Billing Game With This Scenario
Question: What is the appropriate anesthesia procedure code and modifiers for Dr. Jon... Read more
2023 Updates:
See How the Budget Bill Left Providers Wanting More
Did Congress' last-minute intervention to stave off payment cuts come up short? In the c... Read more
Diagnosis Focus:
3 Tips Lead to Accurate Aortic Aneurysm Coding
Make your job easier by educating providers on what to include in their documentation. Ev... Read more
Compliance:
Sidestep HIPAA Violations Through Scrupulous PHI Handling
Safeguard all forms of private info, whether electronic, paper, or verbal. Advancements i... Read more
Reader Questions:
Know When To Turn To Modifier 53
Question: We have a case where the procedure was canceled due to the results of elec... Read more
Reader Questions:
Understand the Nuances of Reporting Fee-for-Time Compensation
Question: Can you explain the Q6 locum tenens modifier for anesthesia services? We ar... Read more
Reader Questions:
Follow This Advice on Rounding Anesthesia Time Up
Question: When billing insurances other than Medicare, which requires precise time r... Read more
You Be the Coder:
Size Up Your Teaching Anesthesiologist Billing Skills
Question: For the case below, what is the appropriate anesthesia procedure code and m... Read more
2023 Updates:
Collect $79 for the New Chronic Pain Management Code
And don't forget the add-on code for full payment. More and more patients need chronic p... Read more
Pain Management:
Tackle TPI Injections in No Time Using This Quick Primer
Muscles or injections? Here's what number matters for coding. You have a lot to remember... Read more
Skill Builder:
Master These Pro Tips for Discussing Audit Results With Providers
Know your options when conversations take an uncomfortable turn. Coding audits help you i... Read more
Reader Question:
Look to Documentation for DHCA Support
Question: I have seen several coding newsletters and conference materials that state ... Read more
Reader Question:
Reach Out About Reciprocity Agreements
Question: Our group is planning to work with an anesthesia group located in south Geo... Read more
Reader Question:
Get the Facts on Discontinuous Anesthesia Time
Question: Can you explain discontinuous time? I am asking because we have two sets of... Read more
You Be the Coder:
Make Sense of Modifiers in This Concurrent Case
Question: For the case below, what are the appropriate anesthesia codes and modifiers... Read more
2023 Fee Schedule:
Know These 6 MPFS Takeaways for 2023
Get quick tips on Part B drug modifier JZ, chronic pain management code G3002, and more. ... Read more
Condition Spotlight:
Know the Nuances of Coding Low Back Pain
Here's where to find the Excludes1 note that can keep your coding in the clear. When yo... Read more
Compliance:
10 Ways to Keep Your Practice Safe From Phishing and More
Smart move: Include physicians and executives in tests. Exhausted from hearing about elec... Read more
Reader Question:
Take On TEE Certification Requirements
Question: What type of certification is required for anesthesiologists to bill for th... Read more
Reader Question:
Capture Pre-Op Injection for Post-Op Pain
Question: Our doctors are doing DepoDur® injections, which are intrathecal morphine ... Read more
Reader Question:
Check Rules for CRNA Without Medical Direction
Question: The majority of our facilities use only certified registered nurse anesthet... Read more
You Be the Coder:
Think Through This Thromboendarterectomy Challenge
Question: The anesthesiologist provided emergency anesthesia services to a 47-year-ol... Read more
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