Otolaryngology Coding Alert

Case Study Corner:
Clear the Way for Accurate Cerumen Removal Coding
Hint: removal method is key. When a patient presents to the clinic for cerumen (earwax) r... Read more
FFT Billing:
Know These 7 Myths and 1 Truth About Fee-for-Time Billing
Prep now for summer FFT fill-ins, previously called locum tenens. Summer vacations are ... Read more
Artificial Intelligence:
Ask These Questions When Searching for an AI Coding System – Part 1
Can NLP decipher language differences between doctors? Choosing the right artificial in... Read more
You Be the Coder:
See Why You Don’t Always Bill 69210 With -50
Question: When our otolaryngologists remove impacted cerumen from both of a patient'... Read more
Reader Questions:
Learn the Importance of SDOH
Question: There's a huge push to document social determinants of health (SDOH) for p... Read more
Reader Questions:
Find Flexibility in Delegating Prior Authorizations
Question: If a patient's prescribed medication needs prior authorization from their i... Read more
Allergy Tests & Tx:
Avoid Allergy Testing, Immunotherapy Coding Traps: Part 2
See how to report these different supply scenarios. Green grass, blossoming trees, and br... Read more
Obtain Understanding of Medicare’s New Regulations
Finally get clarification on Medicare's rules for E/M service encounters. The Centers for... Read more
Medicare Tips:
Sharpen Your Medicare Signature Knowledge
Resolving your questionable signatures prior to claim submission is key. In your ENT pr... Read more
You Be the Coder:
Hear This Advice on Timely Filing Denials
Question: After getting a denial on a claim for a patient insured by an employment be... Read more
Reader Questions:
Recognize Supervision Requirements for Diagnostic Testing
Question: How do you handle allergy testing claims when performed by a non-physician ... Read more
Reader Questions:
Phone-In This E/M Encounter
Question: A patient presented to the office for a follow-up appointment. When the pat... Read more
Reader Questions:
Always Remain HIPAA Compliant
Question: One of the physicians in my practice demands we use a sign-in sheet — he ... Read more
Allergy Tests & Tx:
Avoid Allergy Testing, Immunotherapy Coding Traps: Part 1
Check your answers to these common allergy questions to keep claims on track. Every codin... Read more
Understand How To Apply Assistant at Surgery Modifiers
Hint: Do not report modifiers 80 and AS together. As a coder specializing in otolaryngo... Read more
HIPAA Help Desk:
Learn These 3 Truths and 3 Myths About PHI
Hint: Deidentifying records may allow you to scrub PHI from them. From patient names to... Read more
You Be the Coder:
Perfect Your Patch Test Billing Practices With These Pointers
Question: When a patient undergoes patch testing and then returns for a follow-up vis... Read more
Reader Questions:
Does This Case Call for E/M and Immunotherapy Codes?
Question: A patient comes to the office for his allergy shot. He complains of an eara... Read more
Reader Questions:
Medicare Ups Conversion Factor … Slightly
Question: Has there been any change to the Medicare Physician Fee Schedule (MPFS) con... Read more
Reader Questions:
Employ Protections for Patient Signatures
Question: In our recent risk evaluation, we discovered that the electronic signatures... Read more
Breeze Through Spring With Denial-Proof Allergy Dx Coding
Debunk these three myths to sail through allergy diagnosis codes. With allergy season in ... Read more
News You Can Use:
Review New Rules for Reporting Multiple Unlisted Procedures
Also, make note of the modifiers you can now use with unlisted codes. If your provider h... Read more
Discover 4 Ways To Overcome Telehealth Compliance Obstacles
Contracted vendors are also obligated to adhere to HIPAA rules. Telehealth services have... Read more
You Be the Coder:
Find the Right Codes for This Allergy-Induced Asthma Attack
Question: An established patient with a history of moderate persistent asthma present... Read more
Reader Questions:
Here Are Some Hearing Test Codes That Have a PC
Question: What codes should we submit when our physicians interpret and provide a rep... Read more
Reader Questions:
Correctly Coding Hay Fever Is Nothing To Sneeze At
Question: I am looking at a medical chart that says the physician diagnosed the patie... Read more
Reader Questions:
Dig for This Detail When Reporting Otic Post-Op Debridement
Question: Two weeks after undergoing tympanoplasty with mastoidectomy (69641), a pati... Read more
Audiology Focus:
Use These 6 Tips To Code Hearing Tests Successfully
Start by knowing what's included in an E/M visit. If your practice includes an audiologi... Read more
Equip Yourself With Some Audiology TC/PC Guideline Essentials
Begin by defining what constitutes each component of service. When reporting audiological... Read more
Perfect Your Telehealth Reporting With This FAQ
Bonus: Use this clip-and-save chart to answer future questions. Most otolaryngology prac... Read more
You Be the Coder:
Review the Rules for Billing Audiology Services With -AB
Question: Our audiologist performed testing without a physician's order and billed th... Read more
Reader Questions:
Consider These Newborn Hearing Screening Coding Options
Question: What is the correct way to code hearing screenings performed on newborns o... Read more
Reader Questions:
Can You Report Audiologic Tests That Aren’t on CMS’ List?
Question: Will Medicare pay for the technical component of diagnostic tests that are ... Read more
Reader Questions:
Bill -AB With Apt Documentation for Acute Condition Discoveries
Question: A patient presented to the audiologist for diagnostic testing without a phy... Read more
CPT® 2024:
Update Your Ablation Coding Understanding: Part 2
Find out if the new codes will ease PNN destruction reimbursement woes. Otolaryngologists... Read more
E/M Coding:
Deconstruct the Complex Concepts in the MDM Table
Hint: Getting the definitions down pat is half the battle. Most folks in the business o... Read more
Apply These 5 Tactics To Perfect Your Appeals Process
Do your homework to defend your reimbursement reasoning. Although appealing denials isn't... Read more
Reader Questions:
Make Note of Medicare Overpayment Rules
Question: Who is responsible for identifying and correcting overpayment in any Medica... Read more
Reader Questions:
Find Out How To Handle Family History Facts
Question: When our otolaryngologists get referrals for procedures, the referring phys... Read more
Reader Questions:
Avoid Making This Time Calculation Misstep
Question: I noticed that the physicians at the practice I just started working at ten... Read more
You Be the Coder:
Examine Coding Choices for EAC Debridement
Question: I have a provider who uses an operating microscope to debride the ear canal... Read more
CPT® 2024:
Update Your Ablation Coding Understanding, Part 1
Discover the new codes to use for PNN destruction in lieu of 30999. Ablation therapy is a... Read more
Modifier Madness:
Boost Your Modifier Savvy With Answers to These 6 FAQ
Learn which modifiers are most likely to stand in the way of claim success. Modifiers can... Read more
Skill Builder:
Preview These Pro Tips for Discussing Audit Results With Providers
Know your options when conversations take an uncomfortable turn. Chart audits can identi... Read more
You Be the Coder:
Review Which Details Enable Correct Cerumen Removal Reporting
Question: Patient presents with worsening of hearing in the left ear over the past se... Read more
Reader Questions:
Assess the Pros and Cons of Appending Modifier 51
Question: Should I use modifier 51 when billing multiple procedures? New Hampshire S... Read more
Reader Questions:
Find Out How To Fix This IT Destruction Billing Blunder
Question: A patient with difficulty breathing and snoring underwent superficial ablat... Read more
Reader Questions:
Take Note of When Techs Can Bill for Testing
Question: When a physician orders a comprehensive audiometry threshold evaluation and... Read more
Medicare Physician Fee Schedule:
Review These 5 MPFS Final Rule Takeaways
Get the 411 on payment cuts, complex E/M code G2211, telehealth, and more. Expect some g... Read more
Modifier Madness:
Let These Answers Aid You in Achieving Modifier Mastery, Part 1
Avoid misusing modifiers or risk inappropriate reimbursement, audits, and more. Although ... Read more
Auditing 101:
Bolster Your Audit Program To Prevent Billing Slip-Ups
Remember: Scope helps establish your ‘why' and ‘how.' While you may be content with y... Read more
You Be the Coder:
Assess Which Modifier Enables Reporting Both These Procedures
Question: The otolaryngologist excises a lesion from the patient's nose with an excis... Read more
Reader Question:
Understand the Split/Shared Definition Update
Question: What's the latest on CMS revising the definition of “substantive portion... Read more
Reader Question:
Know PE Tubes Are Typically Considered an Implant
Question: When coding pressure equalization (PE) tube removals, should we consider th... Read more
Reader Question:
Recognize Allergy Testing Includes Reviewing Results With Patients
Question: Following allergy testing, the physician meets with the patient to go over ... Read more
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