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There are five newlyadded waived complexity tests under the Clinical Laboratory Improvements Amendments of 1988 CLIA. These tests go into effect Oct. 1 and will be implemented by Medicare Administrati... [ Read More ]
Deficient understanding of this essential vitamin could wreak havoc on your coding for related testing and diagnoses. Vitamin D testing is a current Center for Medicare 38 Medicaid Services CMS Compar... [ Read More ]
Price transparency overshadows all other finalized Medicare policy updates among hospitals. The Hospital Outpatient Prospective Payment System OPPS final rule for calendar year CY 2020 offered the usu... [ Read More ]
Since 1963 February has been American Heart Month and the American Heart Association has been leading its awareness. The goal during this month is to acknowledge heart disease and to raise money for r... [ Read More ]
Anatomy is important when applying bundling rules to procedures. The shoulder is a complex joint and proper coding for shoulder procedures requires a strong foundation of knowledge in anatomy and phys... [ Read More ]
Has anyone encounter a problem with Medicaid paying for 99384 with an EP modifier I have several to not pay and all Medicaid saying is invalid code.
Thanks
Christine... [ Read More ]
Hello everyone,
I was curious how other coders were handling risk with the new 2021 guidelines. The minimal and low categories no longer have examples, and the guidelines state that the risk levels ... [ Read More ]
We are having an internal battle on what codes you can use for a cardiopulmonary bypass that was done after a valve replacement. The patient was experiencing increased bleeding from the chest tubes wi... [ Read More ]
We are having to book double slots to perform covid testing and providers are all documenting total time of 25-35 minutes with each patient even with negative covid tests and diagnosis is something si... [ Read More ]
Good morning
I am hoping I can get some feed back with the new E/M Coding in Eye Care. What tests are appropriate in eye care in the data elements? Contrasts sensory, Sherma, tear break up tests?, D... [ Read More ]
Hi,
Does anyone know which code would be appropriate to use for a triple pelvic osteotomy? I am in dire need of this code so if anyone can help it would be greatly appreciated.
Thanks in advance!... [ Read More ]
The following example was used in training our providers on the new 2021 E/M guidelines. The final code was a 99212. Using the new 2021 MDM table and AMA definitions, credit was given for:
Number and... [ Read More ]
This is a group practice with Obgyn and Maternal Fetal Medicine subspeciality.
Patients are scheduled among the 4 office locations depending on their medical needs.
The doctors circulate among the 4 ... [ Read More ]
We are having trouble locating concise data that tells us which mdm we need to use for TCM starting January 1, 2021. Do we use 95/97 or the new 2021 E/M guidelines?
Any help would be appreciated!
Than... [ Read More ]