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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
1^st May 15th, 2020 - Susan

Cigna R24 Omnibus Reimbursement Policy - EXCEEDS LIMIT
1^st 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
1^st 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
1^st Jan 22nd, 2020 - phil.jen

Billing patients/attorney with no insurance
1^st 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
1^st Dec 10th, 2019 - maryN.

Gastroenterology question on codes
Dec 9th, 2019 - trixiecane

Gastroenterology question on codes
1^st Dec 9th, 2019 - trixiecane

J1071 Code
1^st Nov 15th, 2019 - Alicia

Code for Escharotic treatment?
1^st 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
1^st Oct 15th, 2019 - MaureenK

HCPCS Code for a Strassburg Sock
Oct 10th, 2019 - lhaas01 13

CPT 82948
1^st Sep 18th, 2019 - NAHAR, SHAMSU

hospital codes
Sep 17th, 2019 - nate0922 7

CPT code 97760
Sep 17th, 2019 - RedKat

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

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