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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