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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    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
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    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
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    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
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    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
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    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
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    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