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General Surgery Coding Alert

Reader Questions:

Lean on E/M Documentation for Services Not Actually Performed

Published on Wed Sep 18, 2024

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Other Articles in this issue of

General Surgery Coding Alert

Procedure Coding:
Take These 5 Tips, Accurately Code Upper GI Scope Exams
Hint: Determine how far the scope went. According to one study, the average general surgeon [...]

Coding Deep Dive:
Answer the How, What, When, and Why for Preoperative Evaluations
Don’t forget to check for comorbid conditions. Knowing how to navigate and select all of [...]

Practice Management:
Improve Provider, Coder, Biller Relations, Improve Outcomes and Revenue
Three different roles, the same shared goals. In her presentation “Documenting and Coding From the [...]

You Be the Coder:
Stay Away From This Conscious Sedation Scenario
Question: Our general surgeons want the anesthesiologists to set up a system for routine anesthesia sedation [...]

Reader Questions:
Be Aware of Bilateral Breast Documentation
Question: A provider conducted a fine needle aspiration (FNA) biopsy on both breasts using ultrasound guidance [...]

Reader Questions:
Lean on E/M Documentation for Services Not Actually Performed
Question: Can we count a provider’s efforts to counsel a patient against a test as evaluation [...]

Reader Questions:
Distinguish NCD From LCD
Question: What’s the difference between a national coverage determination (NCD) and a local coverage determination (LCD), [...]

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