Part B Insider (Multispecialty) Coding Alert
Check This Progress on Billing 69210 With E/M Codes
PDF
Plus: Burwell confirmed as new HHS secretary.
If you’ve been frustrated by halted reimbursement for 69210 (Removal impacted cerumen requiring instrumentation, unilateral) with an E/M service, you’ll be glad to finally receive some good news on that front.
The scoop: Cigna has changed its policy regarding claims that include 69210 with an office-based E/M code (99211-99215). Any claim with these codes and modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service) will be reprocessed by the payer. Going forward, Cigna will reimburse providers when they append modifier 25, with no documentation necessary with submission.
For more on this issue, visit the website of the American Academy of Otolaryngology-Head and Neck Surgery at www.entnet.org/content/news-and-updates-private-payers.
Part B Insider (Multispecialty) Coding Alert
- Compliance:
Senior Medicare Patrol Recovered $9.1 Million by Watching for Fraud and Abuse
Seniors volunteer for this program, which aims to help CMS detect issues that might constitute [...] - Modifiers:
This Payer Now Rejects Most Modifier 25 Claims
Navigate the modifier maze with quick advice. You’ve followed the modifier 25 guidance, double- and [...] - Electronic Health Records:
CMS Proposal Could End EHR Meaningful Use Woes
If this rule is finalized, you could get more time to comply. As quickly as [...] - Mental Health Coding:
3 FAQs Help You Code Psych Services Properly
Differentiate between E/M and evaluation codes with this advice. If your practice struggles to collect [...] - Reader Question:
Bronchoscopy Coding Can Be Tricky
Question: Our pulmonologist performed a bronchoscopy with left upper and lower lobe endobronchial biopsies, left lower [...] - Part B Coding Coach:
Selecting the Wrong Hemorrhoid Code Could Cost You $255
One note allows mixed codes for internal procedures. If you crack open your CPT® book [...] - Physician Notes:
Check This Progress on Billing 69210 With E/M Codes
Plus: Burwell confirmed as new HHS secretary. If you’ve been frustrated by halted reimbursement for [...] - In other news
As expected, the popular Director of the White House Office of Management and Budget has [...]