CPT Coding

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    Get a Jumpstart on the 2019 CPT® Code Set: Part 2 If you’re just joining our overview of CPT® code changes for 2019, you might want to back up and start at the beginning of this series. In Part 1 , we lay out E/M code additions   Read more..
    Posted on 10 Oct, 2018
    2019 CPT Code Set: Part 2
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    The air is getting brisk, and soon autumn leaves will fall. It seems appropriate, almost metaphorical, to change our code sets, doesn’t it? No sooner will you have acclimated to ICD-10 updates when CPT code changes come into effect on January 1st. The 2019 CPT® (Current   Read more..
    Posted on 5 Oct, 2018
    Get a Jumpstart on the 2019 CPT® Code Set: Part 1
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    The first encounter your patients may have with your agency is via an Internet search for you. Your website, then, is your first opportunity to attract and convert patients and boost patient satisfaction. The user experience you provide should load quickly, state information clearly, and   Read more..
    Posted on 9 Nov, 2017
    Is Your Home Health Agency’s Website Working for You?
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    Payers get the upper hand because they are huge companies that can funnel resources into figuring out how not to reimburse you. Their most recent shell game is prior authorization. “When I started out [prior authorization] never came up,” says Kevin de Regnier, an osteopath who   Read more..
    Posted on 15 Sep, 2017
    3 Ways to Outsmart Prior Authorization Ploys
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    Incorporate new POS code for telehealth services.
    According to a recent report by Zion Market Research, the global telehealth market will increase to as much as 12 million toward the end of 2022, a sign of the growing acceptance of remote medical services. Change Request (CR) 9726 updates recently replaced the place of   Read more..
    Posted on 3 Apr, 2017
    Telehealth Coding System: Changing Rules & Guidelines
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    2017 CPT® Coding Updates: Make Room for Key Laryngoplasty & Flexible Laryngoscopy Changes
    Remove “fiberoptic” from laryngoscopy codes.  CPT® 2017 packs some important changes general surgery coders don’t want to overlook. Effective Jan. 1, 2017, you’ll have a new specific code — 31573 — to use when your surgeons performs a flexible laryngoscopy with therapeutic injection. The new code   Read more..
    Posted on 20 Dec, 2016
    2017 CPT® Coding Updates: Make Room for Key Laryngoplasty & Flexible Laryngoscopy Changes
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    Remember this modifier when coding for FBR and a separate E/M.
    When a patient reports to the practice for a foreign body removal (FBR), there might be an opportunity to report an FBR code along with a separate evaluation and management (E/M) code. The rub is finding that info in the encounter notes, and knowing when it   Read more..
    Posted on 8 Feb, 2016
    Check for E/M on FBR Encounters
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    With these services correct coding is all about the wound type.
    When the physician performs multiple skin debridements for the same patient, you’ll need to know what separates a “surface” debridement from a deeper one, as it is the most important factor when coding these services. The basics: Most physician practices will perform two types of debridement   Read more..
    Posted on 21 Jan, 2016
    Ignore Anatomy in Favor of Depth on Multiple Debridements
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    Remember: Include healthy tissue provider excises in final tally.
    When faced with a lesion excision claim, you’ll need to follow a couple of specific guidelines to carve out all your deserved reimbursement. The basics: Obtain the proper excision measurements — and properly ID the pathology of the lesion — and you’ll be on your way   Read more..
    Posted on 15 Jan, 2016
    Want to Max Out Lesion Coding Returns? Measure Specimens Pre-Path
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    Calendar days pace observation service coding.
    The rules for observation coding are typically pretty straightforward. Pick 99218-99220 for the first day when the patient is in observation for multiple days; pick 99234-9236 if the observation lasts more than eight hours on a single day. Monkey wrench: Are you prepared, however, for an   Read more..
    Posted on 4 Jan, 2016
    When Clock Strikes Midnight, Switch Up Observation Coding

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