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Latest articles

Transparency and Fees
August 15th, 2017 - Christine Taxin
More than any other industry, healthcare is almost notorious for its lack of price transparency. While patients generally know how much their copay will be and certainly how much their final bill turns out to be, few hospitals and practices publish the actual costs of their services prior to those ...
United HealthCare Ending Consultation Reimbursements: Effective October 1st, 2017
August 15th, 2017 - NAMAS
While Medicare discontinued payment allowance for consultation services (ranges 99241-99245 and 99251-99255) in January 2010, many commercial carriers have continued to cover these services. United Healthcare is now joining Medicare's opinion on consultation services. In the June 2017 edition of the United HealthCare Bulletin, United Healthcare has announced that effective October ...
Collect More Cash from Patients
August 11th, 2017 - Christine Taxin
One of the easiest things a practice can do to increase collections makes it easier for patients to pay by whatever method they have available at the time of the visit, says Christine Taxin Adjunct Professor at NYU Dental School and Owner of
Cybersecurity - Are you sure you are secure?
August 4th, 2017 - Wyn Staheli
An article by Medical Economics highlights the June report of the Health Care Industry Cybersecurity Task Force. Their report confirmed once again that healthcare providers are not adequately addressing cybersecurity as part of the compliance programs. The threat of hackers is very real and providers need to ensure that they have taken ...
Proposed Telehealth Changes for 2018
August 4th, 2017 - Wyn Staheli
Medicare has proposed making some changes to policies regarding telehealth services. They are adding some new codes to their covered list of telehealth services and propose eliminating the requirement to use the GT modifier. Since many payers adopt similar policies, watch for further announcements...

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...

Latest questions/posts

CPT® Clarification
   Dec 30th, 2016 - abbyakinleye 9 

Glaucoma Suspect and Ocular Hypertension
   Dec 30th, 2016 - yml3768 31 

modifiers 57 and 47
   Dec 30th, 2016 - Bones0321

CPT® check my answer
1st    Dec 30th, 2016 - Bones0321

Refunds to the insurance
1st    Dec 29th, 2016 - Jsimon1956

CPT® code for RCT
1st    Dec 28th, 2016 - ronic

Ear Lavage
   Dec 28th, 2016 - amfinley

99214 on Tuesday 66821 yag on Wednesday Blue Cross
   Dec 27th, 2016 - cwilcox54

1st    Dec 27th, 2016 - Staci

How to track metrics for medical practice?
1st    Dec 27th, 2016 - adamsmith0123  

Modifier 25
1st    Dec 26th, 2016 - pjl4wvu

Treatment of plantar warts with Intralesional Candida Antigen
   Dec 23rd, 2016 - colesen

Attempted Removal of Foreign Body
   Dec 23rd, 2016 - Prindt

Advance tissue Rearrangement
   Dec 22nd, 2016 - Stinkyharris

CPT® 90738
   Dec 22nd, 2016 - Mand0984 11 

Hospice visit in hospital
   Dec 22nd, 2016 - raj2001md 1 

Immigration physicals
   Dec 21st, 2016 - sschwartz 2 

suboxone tratment cost in facility
   Dec 21st, 2016 - Madvan

Need codes: for neurosurgeon and eye surgeon
   Dec 21st, 2016 - LBAROGIANIS 249 

   Dec 21st, 2016 - donna73006


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