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Latest articles

Where is the CCI Edit with Modifier 25 on E/M?
May 20th, 2020 - Christine Woolstenhulme, QCC, CMCS, CPC, CMRS
If you are not seeing a CCI edit when reporting an E/M code with a certain procedure, it may be that there is no edit. CMS does not have a CCI edit for every CPT code, however, there are still general coding rules that must be followed.  The use of Modifier 25 is one example ...
Packaging and Units for Billing Drugs
May 18th, 2020 - Christine Woolstenhulme, QCC, CMCS, CPC, CMRS
To determine the dosage, size, doses per package and how many billing units are in each package, refer to the NDC number. Take a look at the following J1071 - Injection, testosterone cypionate, 1mg For example; using NCD # 0009-0085-10 there are 10 doses of 100 mL (100 mg/mL = 1 mL and there are ...
Getting Your Practice Back on Track
May 12th, 2020 - Wyn Staheli, Director of Research
As we begin returning back to work, we will all face a new normal. The COVID-19 pandemic has changed the face of business. While it has certainly been a challenge to keep up with the ever-changing regulations (that’s likely to continue for a little longer), exciting new opportunities have also been created, such as the expansion of telemedicine. There’s also the maze of government funding that needs to be navigated and an increased awareness of OSHA standards to implement.
ICD-10-CM - Supplement information for E-Cigarette/Vaping Reporting
May 5th, 2020 - Christine Woolstenhulme, QCC, CMCS, CPC, CMRS
The CDC has released additional information and coding guidance for reporting encounters related to the 2019 health care encounters and deaths related to e-cigarette, or vaping, product use associated lung injury (EVALI).  The update offers coding scenarios for general guidance, poisoning and toxicity, substance abuse and signs and symptoms.  ICD-10-CM Official Coding Guidelines - ...
Additional Telehealth Changes Announced by CMS
May 4th, 2020 - Wyn Staheli, Director of Research
On April 30, 2020, CMS announced additional sweeping changes to meet the challenges of providing adequate healthcare during this pandemic. These changes expand the March 31st changes. The article covers some of the key changes. See the official announcement in the references below.

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Additional Telehealth Changes Announced by CMS
May 4th, 2020 - Wyn Staheli, Director of Research
COVID-19 Clinical Trial Participation Helps Providers Earn MIPS Credit
April 22nd, 2020 - Wyn Staheli, Director of Research
Special COVID Laboratory Specimen Coding Information
April 21st, 2020 - Wyn Staheli, Director of Research
Now That is Fraud! Genetic Testing "Public alert"
April 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

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  

Both COPD and Bronchiectasis?
1st    Sep 16th, 2019 - JackKline


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