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Latest articles

Additional COVID-19 Testing Codes Announced
June 29th, 2020 - Wyn Staheli, Director of Research
New coronavirus antigen testing codes announced. These are effective immediately.
HCPCS Codes Were NOT all Created for the Same Purpose
June 29th, 2020 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Have you ever wondered why you were unable to find a particular product/code with our DMEPOS search? When looking for HCPCS Level II codes, there are several kinds of codes and not all HCPCS codes were created for the same purpose. If you are searching for a certain HCPCS product ...
Should I Bill Dental or Medical?
June 16th, 2020 - Christine Taxin
While you likely find yourself focusing on fewer patients and more on emergency care, it’s a good time to understand how medical billing can allow patients with active infection in the oral cavity to seek the treatment they need. Forms need to be filled out correctly, and you must carefully follow ...
Newest Launch - We Now Have Outpatient Facility Pricing!
June 15th, 2020 - Christine Woolstenhulme, QCC, CMCS, CPC, CMRS
Our newest feature launch offers UCR pricing for Outpatient Facility. We recently released pricing information based on databases of insurance claims from private-sector health care providers.Usual, customary, and reasonable charges (UCR) are medical fees used when there are no contractual pricing agreements and are used by certain healthcare plans and third-party payers to generate ...
Medical Necessity using Soap can prevent a future audit!
June 15th, 2020 - Christine Taxin
Medical Necessity using Soap can prevent a future audit! How Do I Correctly Document all my notes on every patient regardless of the insurance I am billing? Medically necessary care is the reasonable and essential diagnostic, preventive, and treatment services (including supplies, appliances, and devices) and follow-up care as determined by qualified ...

Editors choice articles

MEGA- NCCI Edit Changes - WHO Knew?
June 10th, 2020 - Christine Woolstenhulme, QCC, CMCS, CPC, CMRS
Watch for Payer Telehealth Coverage Changes
June 3rd, 2020 - Wyn Staheli, Director of Research
Additional Practice Reopening Tips
June 1st, 2020 - Wyn Staheli, Director of Research
Where is the CCI Edit with Modifier 25 on E/M?
May 20th, 2020 - Christine Woolstenhulme, QCC, CMCS, CPC, CMRS
Health Care Fraud - Don’t Do It!
July 31st, 2017 - Chris Woolstenhulme, CPC, CMRS

Latest questions/posts

cpt 77002 professional componet with cpt 20610, who charges?
   Jul 2nd, 2020 - sschwartz 3 

ICD 10 code for displacement of cholecystostomy tube
   May 15th, 2020 - Susan

ICD 10 PCS code need for repair of skin of left elbow
1st    May 15th, 2020 - Susan

Cigna R24 Omnibus Reimbursement Policy - EXCEEDS LIMIT
1st    Apr 21st, 2020 - keith

covid 19
   Apr 2nd, 2020 - anitac

Fracture treatment and xrays
   Mar 26th, 2020 - rdinaso    12  1 

Billing with an "add on" code
1st    Mar 19th, 2020 - pattioconnor

Hospital Discharge Code 99239
   Mar 13th, 2020 - abbyakinleye 10 

LV Septal Pacing
   Feb 7th, 2020 - sharris

Medicare denying claims, reason CO-45
   Jan 29th, 2020 - phil.jen

CPT 99213 w/ 98941, 97110 or 97140 for Aetna
1st    Jan 22nd, 2020 - phil.jen

Billing patients/attorney with no insurance
1st    Jan 21st, 2020 - bells221

coding question
   Jan 13th, 2020 - nate0922 7 

Cpt codes 99473 and 99474
   Jan 2nd, 2020 - Krogers

Medicare denied the claim
   Dec 13th, 2019 - NAHAR, SHAMSU

CPT code for Interosseous Bioplasty
   Dec 12th, 2019 - rdinaso    12  1 

medicaid primary claim denied due to timely fling
   Dec 12th, 2019 - NAHAR, SHAMSU

codes 27310
1st    Dec 10th, 2019 - maryN.

Gastroenterology question on codes
   Dec 9th, 2019 - trixiecane

Gastroenterology question on codes
1st    Dec 9th, 2019 - trixiecane

J1071 Code
1st    Nov 15th, 2019 - Alicia

Code for Escharotic treatment?
1st    Nov 12th, 2019 - Amanda_Marie

CPT 96405
   Nov 12th, 2019 - npott1 9 

Extirpation of matter from the Pulmonary Artery
   Nov 1st, 2019 - stomach1 3 

Blue cross Blue shield denies office visits/E& M visits.
   Oct 15th, 2019 - gowri.tina

Consultations
1st    Oct 15th, 2019 - MaureenK

HCPCS Code for a Strassburg Sock
   Oct 10th, 2019 - lhaas01 13 

CPT 82948
1st    Sep 18th, 2019 - NAHAR, SHAMSU

hospital codes
   Sep 17th, 2019 - nate0922 7 

CPT code 97760
   Sep 17th, 2019 - RedKat  


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