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ED Coding and Reimbursement Alert

Reader Questions:

Look for More Accurate Code Before Using Modifier 52

Published on Wed Oct 12, 2022

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ED Coding and Reimbursement Alert

Critical Care:
Know Nuances When Choosing Between 99285, 99291
Remember, high-level ED E/Ms can resemble critical care. When your provider treats a very sick [...]

ICD-10 Coding:
Put Sequencing Atop Your Priority List When Choosing Dx Codes
Patient outcome, and your reimbursement, can be affected by poor sequencing. Proper sequencing is essential [...]

Compliance:
Reduce Duplicate Claims With Advice Regarding Modifiers
Do you know the basics on repeat modifiers? When Medicare denials start piling up at [...]

You Be the Coder:
Nonspecific Lumbago Calls for This Code
Question: Encounter notes indicate that the provider treated a patient with “lumbago NOS.” I’m having [...]

Reader Questions:
Go Digital for Finger Fx Modifier
Question: Encounter notes indicate that after a level-four evaluation and management (E/M) service, the ED [...]

Reader Questions:
Slow Down When Considering Coding Strapping Twice
Question: If the provider performs strapping on a patient’s ankle and foot, can we report [...]

Reader Questions:
Look for More Accurate Code Before Using Modifier 52
Question: Encounter notes indicate that the ED physician performed an evaluation and management (E/M) service for [...]

Reader Questions:
Check Bronchoscopy Type Before Choosing Code
Question: The ED physician performs a bronchoscopy. How should I report this procedure? AAPC Forum [...]

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