- Bruce Pegg
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[addtoany]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, 2019By Bruce Pegg
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[addtoany]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, 2019By Bruce Pegg
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[addtoany]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, 2019By Bruce Pegg
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[addtoany]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, 2019By Bruce Pegg
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[addtoany]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, 2019By Bruce Pegg
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[addtoany]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, 2019By Bruce Pegg
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[addtoany]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, 2019By Bruce Pegg
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[addtoany]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, 2019By Bruce Pegg
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[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, 2019By Bruce Pegg
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[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, 2018By Bruce Pegg
