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Latest articles

Coding for a Performance of an X-ray Service vs. Counting the Work as a Part of MDM
March 21st, 2022 - Stephanie Allard , CPC, CEMA, RHIT
When x-rays are audited on the same date as an E/M encounter we have one of three decisions to make about the work that went into the radiological exam when the practice owns x-ray equipment and does their own interpretations internally. First, we must determine whether the x-ray was...
Continuous Glucose Monitoring (CGM) Systems: Leveraging Everyday Tech to Enhance Diabetes Management
March 16th, 2022 - Susan Gatehouse, RHIT, CCS,CPC, AHIMA-Approved ICD-10-CM/PCS Trainer
However, is the coding for the treatment and management of diabetes being adequately captured? Diabetes mellitus (DM) affects over 400 million people worldwide. It is a chronic disease of inadequate control of blood levels of glucose that affects the body’s ability to turn food into energy. Essentially, the...
ESRD Hemodialysis Hits Home with the New ETC Model
March 16th, 2022 - Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
In 2021, two major ESRD programs became effective, essentially preparing to transform not only risk adjusted services, but also at-home dialysis, health equity among beneficiaries needing transplant services, and improved access to donor kidneys.
Refresh Your IV Hydration Coding Knowledge
March 16th, 2022 - Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Reporting IV infusion services can be complicated, especially when multiple infusions are reported in a single encounter. Take a few minutes to freshen up your knowledge on IV hydration coding with a review of the guidelines and a few coding scenarios.
Medicare Auditors Caught Double-Dipping
March 14th, 2022 - Edward Roche, PhD, JD
Overlapping extrapolations require providers to pay twice. Some Medicare auditors have been caught “double-dipping,” the practice of sampling and extrapolating against the same set of claims. This is like getting two traffic tickets for a single instance of running a red light. This seedy practice doubles the amount...

Editors choice articles

PCS Coding for Ankle Fracture - Look Deeper Into the Codes!
May 25th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Coding Lesions and Soft Tissue Excisions
April 29th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
COVID-19 Vaccines
March 10th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Not Following the Rules Costs Chiropractor $5 Million
September 1st, 2020 - Wyn Staheli, Director of Research
Is COVID-19 Causing Risk Adjustment “Gotcha’s”?
August 27th, 2020 - Wyn Staheli, Director of Research

Latest questions/posts

Medial Nerve Block L3,L4 and L5
   May 27th, 2022 - sharris

billing amounts
   May 22nd, 2022 - nia 4 

Ccm billing
   May 22nd, 2022 - nia 4 

TCM billing
   May 15th, 2022 - nia 4 

Ccm billing
   May 12th, 2022 - nia 4 

Ccm billing
   Apr 26th, 2022 - nia 4 

Ccm billing
   Apr 25th, 2022 - nia 4 

TCM readmissions
1st    Apr 23rd, 2022 - Ellen M 1 

Ccm billing
   Apr 17th, 2022 - nia 4 

Billing/Claims for 4 providers
1st    Apr 14th, 2022 - billing81 1 

Claim Billing question
1st    Apr 6th, 2022 - Nettie1113

Ercp codes
   Mar 16th, 2022 - Endocenter 2 

maximum limit on units claimed
1st    Mar 8th, 2022 - nia 4 

Anesthesia for Colonoscopy/ EGD
   Feb 24th, 2022 - Endocenter 2 

Emergency department 99282 what is included
1st    Feb 18th, 2022 - MFC

   Feb 18th, 2022 - surgicalcoder65 2 

Can someone tell me what the cpt code is for Bilateral segmental tubal excision and ligation by endoscopy?
1st    Feb 15th, 2022 - CCShaw

1st    Jan 14th, 2022 - yd

Parastomal Hernia Repair w/Colostomy Closure
1st    Jan 10th, 2022 - KHill 1 

Bowel wall thickening
   Jan 10th, 2022 - Endocenter 2 

Drainage Catheter Flush
   Dec 30th, 2021 - surgicalcoder65 2 

Portal Hypertensive Gastro-duoenopathy?
1st    Dec 27th, 2021 - Endocenter 2 

Completion Thyroidectomy or Lobectomy
1st    Dec 14th, 2021 - surgicalcoder65 2 

Can 67904 and 67908 be billed together (bundled)?
1st    Nov 30th, 2021 - ectdocs

Two adjustment codes
   Nov 17th, 2021 - phil.jen 2 

Reduction Ascending Aortoplasty
1st    Oct 29th, 2021 - Christine1229

Geico Denying Modifier 59 & 25. Why?
1st    Sep 29th, 2021 - DDoug

EKG and Spirometry with E&M same DOS
1st    Sep 29th, 2021 - sbt

OTC or RX management in MDM
   Sep 17th, 2021 - sharris

Coding an E/M in place of a minor procedure that will not be paid
   Sep 16th, 2021 - sschwartz 4 


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