Coding/Billing Tips & Resources

Insurance Verification and Patient Demographics

Usually, front desk personnel verify insurance and patient demographic information. This is vital to the revenue cycle.
When a patient walks through the door, reception is the first point of contact. Patients will complete necessary paperwork and return it to the receptionist...

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New vs. Established Made Easy

Many evaluation and management (E/M) service codes distinguish between new and established patients. A patient is "new" if he or she has not received a face-to-face, professional service from the provider, or a provider of the same specialty/subspecialty in a group practice, within the previous 36 months...

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Look to EMG Codes for Monitoring During Pedicle Screw Placement

Question: Is it appropriate to report intraoperative monitoring codes 95940-95941 for monitoring during pedicle screw placement?
Answer: No. According to the May 2013 CPT® Assistant, "Use electromyography...

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