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.

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    Look around your practice or facility’s waiting room. Are there patients reading texts on their phones? If they are looking at messages they have received from your provider, your office may be in violation of Health Insurance Portability and Accountability Act (HIPAA) regulations. If you think   Read more..
    Posted on 25 Apr, 2019
    By Bruce Pegg
    Get to Know Texting and HIPAA Correlations Before You Hit Send
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    Here’s a fun little coding challenge for you. Get out your ICD-10-CM, CPT®, and HCPCS manuals, and see which codes you need to paint the full picture of this scenario. One of your adult patients steps on a rusty nail, which opens up a 1.2 cm   Read more..
    Posted on 5 Apr, 2019
    By Bruce Pegg
    Can You Code This Tetanus Case Study?
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    If you’ve noticed a small yet significant decrease in your pathology practice or clinical lab income for the first quarter of 2019, don’t be surprised. That’s because CMS estimates the 2019 Medicare Physician Fee Schedule (MPFS) changes will result in an overall two percent decrease   Read more..
    Posted on 2 Apr, 2019
    By Bruce Pegg
    Uncover How the 2019 MPFS Could Be Negatively Affecting Your Path/Lab Bottom Line (and What You Can Do About It)
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    With the arrival of the Patient-Driven Payment Model (PDPM) and consequent replacement of RUG-IV, ICD-10 diagnosis coding has become a pivotal learning opportunity in the skilled nursing facility (SNF) realm of healthcare. Nurse assessment coordinators (NACs) are frequently acting as ICD-10 sleuths, figuring out how   Read more..
    Posted on 26 Mar, 2019
    By Bruce Pegg
    4 Steps to Pressure-free ICD-10 Bed Sore Coding
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    If, like most practices, you have a nurse practitioner (NP) or other nonphysician practitioners (NPPs) on staff, and you aren’t billing incident-to for some of the services they perform, then not only are you leaving money on the table, but you’re also negatively affecting your   Read more..
    Posted on 26 Feb, 2019
    By Bruce Pegg
    Master Incident-to Billing With This Comprehensive Guide
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    If you’re tempted to stop at the point where the ICD-10 coding guidelines for Chapter 20 say “there is no national requirement for mandatory ICD‐10‐CM external cause code reporting” and think that there’s no need for you to document external causes of morbidity codes for   Read more..
    Posted on 14 Feb, 2019
    By Bruce Pegg
    Got External Cause Coding Questions? We’ve Got Answers
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    If the 2019 Healthcare Common Procedures Coding System (HCPCS) changes flew under your end-of-2018 radar, don’t feel bad. After all, like most of us, you probably spent the last part of last year paying attention to the annual ICD-10 and CPT® changes and staying on   Read more..
    Posted on 29 Jan, 2019
    By Bruce Pegg
    Get Cozy with the 2019 HCPCS Updates
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    If you shook your head in disbelief at the last round of National Correct Coding Initiative (NCCI) edits, you’re probably not alone. That’s because the Centers for Medicare and Medicaid Services (CMS) created a staggering 45,727 additions, 19,729 deletions, and 41 changes to the list   Read more..
    Posted on 25 Jan, 2019
    By Bruce Pegg
    How to Make Sense of the 2019 First Quarter NCCI Edits
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    Previously, we looked at six of our top 10 CPT® modifiers that create confusion and problems in coding and billing for medical services and procedures. In this last post, we present the top four misused CPT® code modifiers. See if you agree with us! 4) Modifier   Read more..
    Posted on 15 Jan, 2019
    By Bruce Pegg
    Avoid the Top 10 CPT® Modifier Mistakes – Part 3
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    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