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Consult Documentation Guidelines

  By Jeannie Cagle, BSN, RN, CPC For those practices that bill consultation codes, the guidelines can be confusing. Yet, it is worth taking the time to learn the rules to get the additional reimbursement paid for consultation codes over new patient codes. Remember the following:   ·         There must be written documentation in the chart from the physician practice requesting the consult. You can have them fax a request or the patient...

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Code description change for cerumen removal won’t change payment, at least for Medicare

Highly billed code 69210, for impacted cerumen removal, got a tweak to its code description for 2014 that changes the rules for billing the service but, at least for Medicare, won’t change how you get paid for it. CPT® changes for 2014 made 69210 a unilateral code, meaning that by the descriptor, it’s for the removal of impacted cerumen from a single ear. The actual code description is “Removal impacted cerumen requiring instrumentation, unilateral.” Pr...

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New CLIA-Waived Tests

Providers can now bill for six new tests (4 drug tests and two lipid/glucose panels) that have been approved by the FDA as waived tests under CLIA. CLIA-waived tests are simple tests performed at the point-of-care using devices that are largely exempt from federal requirements, including most training, proficiency testing, and quality control regulations (unless specified as required in the test system instructions).  In order to be reimbursed for these tests, sites must hold the appropriat...

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ICD-10 Session 4 - Signs, Symptoms, Exams
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CMS proposes paying for chronic care management in 2015
Betsy Nicoletti
OIG adds to increased scrutiny of how patients pay for rising share of drug costs
Scott Kraft
ICD-10 Session 5 - Neoplasm Table, Table of Drugs and Chemicals, External Cause Codes
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ICD-10 Session 6 - Chapter One of the Tabular List
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How to code A-fib with bradycardia?
by Tchang.ccscodingspecialist
Tue, Sep/02/2014 02:31PM
J7321 - supartz
by karlar
Tue, Sep/02/2014 12:47PM
1995 guidelines physical exam body areas vs. organ systems
by Bernadette10
Tue, Sep/02/2014 12:20PM
re: Critical Care documentation
by dsteed
Sun, Aug/31/2014 02:50PM
how do others code liver transplants, when reporting 47135, does anyone code the bile duct reconstrution separate ? or just the 47135 and the backbench prep.... assuming this is a cadaver
by burnsta2
Sun, Aug/31/2014 10:59AM
re: Medicare and spirometry
Sat, Aug/30/2014 08:09PM

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