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A new Medicare program aims to reduce the risk of type 2 diabetes T2DM in patients 60 and older by 71 percent.The goal of the Medicare Diabetes Prevention Program MDPP rolled out last year by the Cent... [ Read More ]
Clinical diagnostic laboratories submitting claims to Medicare should be aware of 12 new tests recently approved by the FDA. The new Clinical Laboratory Improvement Amendments of 1988 CLIA waived test... [ 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 ]
Weve had such great attendance at our Q38A sessions recently that weve decided to host two sessions in March The first will be March 8th at 1200 PT and the second will be March 22nd at 1200 CT. To reg... [ Read More ]
There are 13 new CLIAwaived tests effective April 1 2019. The Center for Medicare 38 Medicaid Services CMS announced in CR11080 that these apply to facilities with a CLIA certificate of waiver. QW is ... [ Read More ]
Our providers are doing Subcostal TAP Blocks and have been trying to use 64425. This is not an Intercostal Nerve Block, so I do not feel 64425 is appropriate. The procedure description is re... [ Read More ]
Hello, new coder for pain management ASC. We billed 64633 RT LT, 64634 RT LT, 64634 59 RT LT. Insurance company is denying both 64634's for missing code or modifier. Any advice on how to bill correctl... [ Read More ]
Can someone please tell me what CPT code you should use to code the erector spinae pain block? I have used 64999 for years but my current employer wants me to use 64461 (Paravertebral Block).... [ 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 ]
In a 2017 CPC practice exam, I came across the following question related to Anesthesia Guidelines
Which of the following procedures can be coded separately when performed by the
a. ... [ Read More ]
What code would you give for this scenario?
A healthy 5 year old male is placed under anesthesia to have a biopsy taken from his left ear drum.
I... [ Read More ]
I bill code 00630 for a microdisectomy procedure. The patient is in prone position obviously. Do I bill code 01992 and put the start and stop time like I did on code 00630? Is code 01992 reimbursable?... [ Read More ]
I have a CRNA that did a Brachial plexus block. He wants to bill this with 8 units. CPT says to report 64415 once per nerve plexus regardless of the number of injections performed along the nerve pl... [ Read More ]
I am new to Anesthesiology billing and wondered if anyone can provide guidance about this- Medicare (Novitas) and Medicaid (Pennsylvania) do not make any additional reimbursement for the physical sta... [ Read More ]
I am the sole employee of 2 Anesthesiologists. One Anesthesiologist asked me yesterday about performance based coding for Swan Ganz (donning gown and gloves) and coding for hanging Antibiotics preoper... [ Read More ]