Coding/Billing Tips & Resources


Update Your Codebook: AMA Releases CPT Errata

December 9, the American Medical Association (AMA) released the 2015 Errata and Technical Corrections, some of which may affect how you report certain CPT® codes on claims. The most recent entries include ...

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7 Top Billing and Coding Errors to Avoid

Duplicate claim submitted — Claims are often denied as duplicates for the following reasons:
  • The claim was previously processed (i.e., no payment made, allowed amount applied to deductible on the initial claim). The provider re-files the claim to "correct" it. The second claim submitted is considered a duplicate because the initial claim was processed correctly.

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Reporting Unlisted Procedure Codes

You may claim unlisted procedure codes only if an existing CPT® Category I or Category III code does not describe the procedure you wish to report. Per Chapter 1 of the National Correct Coding Initiative Policy Manual for Medicare Services ...

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