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May is National Stroke Awareness Month Recognize this preventable and treatable disease. Strokes kill approximately 140000 people every year in the United States and up to 80 percent are preventable a... [ Read More ]
Know the stages of HIV prevention detection and its associated conditions for proper coding and better patient care. With Dec. 1 being World AIDS Day the topic of human immunodeficiency virus HIV and ... [ Read More ]
Recently established coverage of the revolutionary cancer therapy Chimeric Antigen Receptor Tcell CAR Tcell provides Medicare patients with access to this cuttingedge treatment.The articleInnovative C... [ Read More ]
This is a wonderful resource for chapter officers. It is available now in the 2019 Officer Facebook group. With all the technology available today we are hoping you can take advantage of this informat... [ Read More ]
Medical coders and auditors are essential to their employers outcome in the Cost performance category. Of the four performance categories in the Meritbased Incentive Payment System MIPS one of two tr... [ Read More ]
I need clarification from someone in the pain management world. My provider is performing a genicular nerve blocks where he indicates he injected the superior medial and lateral epicondyles of the fem... [ Read More ]
HI can anyone tell me if 76937 is separately paid by medicare and medicaid if done with an A-line or Central line placment with all the proper documentation on file, which includes US report? Thanks.... [ Read More ]
Document records 12:34 is the start of medication being given by RN. At 1:04 the CRNA starts the Propofol and ends at 1:20. The reason stated is below. Do I bill under the CRNA using the total time ... [ Read More ]
Looking for any guidelines on how to code SPANK (sensory posterior articular nerve of knee)? Provider(anesthesiologist)is performing for post-op pain management following total knee surgery and is u... [ Read More ]
I'm being asked to add the RT or LT modifiers to anesthesia codes for the following insurances: Harvard Pilgrim, UHC, & BCBS of MA.
In my 25 years of billing anesthesia, I've never us... [ Read More ]
I have a provider that has 3 concurrent cases (1 personally performed, 2 involving residents). Based on CMS' guidelines, each would meet the payment at "Personally Performed Rate"... [ Read More ]
I don't teach anesthesia coding often so I'm stumped on this one.
Can someone please help me identify what I am misunderstanding or missing?
Base unit: 6
Time: 60 minutes (15 minutes x 4)
Modifying ... [ Read More ]
Some input on this claim would be greatly appreciated. I'm having a hard time finding a dx that MMO will pay on this procedure. Diagnosis used: M46.1, M53.3, M47.817. Everything I'm finding is showing... [ Read More ]
I work in the billing department of a pain management office. We are having issues with Blue Cross taking back money for J codes that are billed out when we refill the pumps.
Does anyone out in ... [ Read More ]
So, I have been getting denials for 95972 when billed with SCS implant. I've tried billing this with modifier -51 or -59 with no luck. The insurances keep denying as inclusive, I'm thinking there mayb... [ Read More ]