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Latest articles

Counting HIPAA Violations
July 20th, 2017 - Wyn Staheli

Information from the Omnibus Rule regarding how HIPAA violations are counted/calculated.

Know how you can leverage your practice performance with 6 revenue cycle metrics
December 20th, 2016 - Ango Mark

Are you one of those busy physicians who pay just a cursory glance at monthly collections? Then you should be prepared to lose revenue every single day like this obgyn practice in southeast Georgia. It is essential for medical practices to track financial performance metrics, as every dollar that...

Looking for a Transcription Comapny? 14 Factors to be considered.
November 21st, 2016 - John Lewis

Apparently choosing a transcription service can just be as simple as Googling for one and opting for the lowest from a list of pricing packages. But is anything that simple? Wait… Is your transcription company specialized in your field? How else can they be accurate when it comes ...

MACRA facts that every clinician should know [Infographic]
November 11th, 2016 - Adam Smith

MACRA is here and the new program is going to sunset several (un) popular programs such as Meaningful Use and the Value Based Payment Modifier model. Everybody who is anybody is busy discussing about MACRA and its ramifications. But as with any big updates the myths are jostling for space with the...

MEDICARE- G0101 & Q0091
October 18th, 2016 - Sreej7

Covered Services Medicare covers the following screening exams along with a Well Woman Exam: 1. G0101 (Cervical or Vaginal Cancer Screening; Pelvic and Clinic Breast Examination): a. G0101 is reimbursed by Medicare every two years, unless the patient is considered high risk, and then it is...

Editors choice articles

Pre-op visits: True or False?
December 29th, 2015 - Codapedia Editor

Are the following statements true or false? • The PCP cannot be paid to do a pre-op assessment of a Medicare patient prior to surgery because of the new consult rules. • The surgeon can never be paid to do a pre-op visit if s/he is going to take the patient to surgery. • The...

Billing Incident to Services-Whose Number Should Be Used?
December 29th, 2015 - Seth Canterbury, CPC, ACS-EM

Should You Bill Incident to Services for a Medicare Patient Under The Number of the “Supervising Physician” or the “Ordering Physician”? This issue was first clarified in the preamble of the 11/1/01 Federal Register (available here on p. 23 of the file, p. 55267 of the...

Cloned E/M notes
December 29th, 2015 - Codapedia Editor

Have you ever read a physician office note and thought it was strangely familiar? Or, not just familiar but identical to another note? Well, Medicare contractors have noticed the same thing, and the Office of Inspector General has included this on their 2011 Work Plan. Medicare contractors have...

Cardiology Coding Unmasked - Part 2 Therapeutic Cardiology Procedures, CPT Codes (92980-92982; 92984; 92995-92996), Medical Necessity Issues (ICD-9-CM)
December 29th, 2015 - Nancy Maguire

92980 Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; single vessel 92981 Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; each additional...

Subsequent nursing home visits
December 29th, 2015 - Codapedia Editor

Subsequent nursing facility visits are reported with codes 99307--99310. These codes are defined as per day codes, and do not have new and established patient divisions. There are also initial nursing facility codes, which only a physician may use. A physician or NPP may use the subsequent...