We’re back with Part 3 in our series on ICD-10-CM code changes, which are fast approaching implementation date. If you missed our earlier posts, be sure to read Part 1 and Part 2 to get the jumpstart you need to keep your claims on track   Read more..

If you’re just joining our overview of ICD-10-CM code changes for 2019, you might want to back up and start at the beginning of this series. In Part 1, we address code changes that will primarily affect cardiology and emergency medicine, but these changes are   Read more..

Be sure to stay tuned for this four-part series to get up to speed on all the coding details you need to nail down the 2019 ICD-10-CM code changes! Well folks, it’s that time of year again. October 1st is right around the corner. With new   Read more..

The Office of Inspector General (OIG) was formed in 1976 by President Gerald Ford through the Inspector General Act. Since then, the OIG has been key in fighting waste, abuse, and fraud in Medicare, Medicaid, and other Health and Human Services programs and is the   Read more..

Tips: Keep proper documentation, adopt changes, train, retrain, and audit. If your practice is plugging along successfully, but your revenue is still in a slump, take a look at your coding situation. Improper coding, inexperienced coders, and the lack of updated training and resources are likely   Read more..

Are you up to speed on the 2018 CPT and HCPCS codes for telemedicine, finalized in the Medicare Physician Fee Schedule (MPFS). Read on for an overview of key updates you don’t want to miss. HCPCS codes: G0296 (Counseling visit to discuss need for lung cancer   Read more..

Medicare determined that a practice had been billing X-rays globally for years, when it should have only billed X-rays with a modifier 26 for the professional interpretation of the service, as the practice didn’t own the X-ray equipment. The fallout of this oversight included an   Read more..

If you decide to participate in Merit-based Incentive Payment System (MIPS), you will earn a performance-based payment adjustment to your Medicare payment. You earn the payment adjustment based on evidence-based and practice-specific quality data. You show you provided high quality, efficient care supported by technology by   Read more..

Are you on top of CMS documentation guidelines? The following points identify CMS guidelines for correct documentation that supports and validates the claim submitted for services/procedures: The record of the encounter/episode of care should be complete and legible Documentation should include: Reason for the encounter Assessment,   Read more..

KNOW THE BASICS Use modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified healthcare professional on the day of the procedure or other service) to identify when a patient has a separate E/M service along with a procedure   Read more..