Author

Bruce Pegg
Editor, Newsletters

An experienced teacher and published author, Bruce is TCI’s new voice of primary care, delivering advice and insights every month for coders in the fields of family, internal, and pediatric medicine through Primary Care Coding Alert and Pediatric Coding Alert. Additionally, he is the current editor of E/M Coding Alert. Bruce has a Bachelor of Arts degree from Loughborough University in England and a Master of Arts degree from The College at Brockport, State University of New York. He recently became a Certified Professional Coder (CPC®), credentialed through AAPC.

  • [addtoany]
    Last time, we looked at numbers 10 and nine on our list of CPT® modifiers that create confusion and problems in coding and billing for medical services and procedures. This time, we look at four more as we count down to the number one misused   Read more..
    Posted on 10 Jan, 2019
    By Bruce Pegg
    Avoid the Top 10 CPT® Modifier Mistakes – Part 2
  • [addtoany]
    If there is one area of medical coding guaranteed to produce headaches for even the most seasoned coder, it has to be the use of CPT® code modifiers. Get them right, and you capture maximum reimbursement for your provider and avoid the scrutiny of eagle-eyed   Read more..
    Posted on 28 Dec, 2018
    By Bruce Pegg
    Avoid the Top 10 CPT® Modifier Mistakes – Part 1
  • [addtoany]
    As we prepare to sit down with our families for the holidays and enjoy a day of delicious food and good company, we here at TCI hope that you, too, have a wonderful celebration — not to mention a much-needed break from your CPT® Coding   Read more..
    Posted on 21 Dec, 2018
    By Bruce Pegg
    5 CPT® Codes to Avoid for a Happy Holiday
  • [addtoany]
    Your new 2019 CPT® manual contains a lot of changes to the peripherally inserted central venous catheter (PICC) codes and guidelines. But if you code for a provider who has received PICC certification, you don’t have to get overwhelmed. We’ve added up all the major 2019   Read more..
    Posted on 12 Dec, 2018
    By Bruce Pegg
    2019 CPT® PICC Code Updates by the Numbers
  • [addtoany]
    SPOILER ALERT: More shake ups, reductions, and rebalancing for 2019. The Centers for Medicare & Medicaid Services (CMS) released revisions to payment policies under the Medicare Physician Fee Schedule (MPFS) for the Quality Payment Program (QPP) for calendar year 2019. “The Year 3 policies are reflective of the   Read more..
    Posted on 7 Dec, 2018
    By Bruce Pegg
    What You Need to Know About the Quality Payment Program, Year 3
  • [addtoany]
    If you’ve read TCI’s Medicare Compliance and Reimbursement Insider, then you already know the painful truth: If your practice receives Medicare reimbursement for services rendered to Medicare beneficiaries, and if you cannot prove medical necessity for those services, then you can be prosecuted under the   Read more..
    Posted on 4 Dec, 2018
    By Bruce Pegg
    4 Things You Need to Know about Medical Necessity, Fraud, and the False Claims Act
  • [addtoany]
    CMS has just released its Final Rule on the 2019 Medicare Physician Fee Schedule, and for the moment the dust has settled on all the discussions, debates, and deliberations regarding evaluation and management (E/M) levels and documentation. It contains a picture – albeit one that   Read more..
    Posted on 12 Nov, 2018
    By Bruce Pegg
    5 Big Takeaways From the 2019 MPFS Final Rule
  • [addtoany]
    If you routinely document evaluation and management (E/M) services, you’ve probably been waiting anxiously since July for the Centers for Medicare and Medicaid Services (CMS) to release the 2019 Medicare Physician Fee Schedule Final Rule to see if the proposed changes to the E/M guidelines will be enacted   Read more..
    Posted on 1 Nov, 2018
    By Bruce Pegg
    Levelling the E/M Playing Field: CMS Proposes Solution to Guideline Confusion
  • [addtoany]
    In part one of this series, we looked at several new 2019 CPT® codes that will enable you to capture payment for telehealth services. In this second blog, we’re going to look at another way telehealth is reshaping healthcare by changing the way providers monitor   Read more..
    Posted on 29 Oct, 2018
    By Bruce Pegg
    The RPM Revolution Begins!
  • [addtoany]
    Halloween is only a few days away, and is there any better way to celebrate than to curl up on the couch with a bowlful of candy and some scary movies? Well, if you’re a coding geek like all of us here at TCI, you can   Read more..
    Posted on 23 Oct, 2018
    By Bruce Pegg
    Spoiler Alert: ICD-10 Goes to the (Scary) Movies