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| Articles by Erin Articles |
131. 87804: Tips To Stay Away From Denials For Second-Strain Flu Testing Claims
April 07, 2011
While determining whether a patient has both A and B strains, take a look at your insurer and find out whether modifier 59 is required.
If you carry out two tests to screen for two different strains of the flu, do you report two line items on the same code? This is the issu...
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132. Stop Using 96402 For Lupron Injections In Noridian Patients
April 06, 2011
Does your practice treat patients with insurance cover through Noridian? If so, you will need to take note of a new chemotherapy drug administration rule from the Medicare Administrative Contractor (MAC). See to it that you are correctly reporting Lupron injections to stay away from denials.
<...
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133. Orthopedic coding: Three tips to give wings to your PLIF claims
April 06, 2011
Remember to cash in on separately reportable bone grafts
When your orthopedist carries out posterior lumbar interbody fusion (PLIF), notes on instrumentation placement and other procedures carried out during the PLIF encounter are important. If you miss these separate services, yo...
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134. Gastroenterology coding: Go easy with your modifier 25 use
April 03, 2011
Don't be too hard on your modifier 25 use
A certain doctor in our clinic said you don't require different diagnosis codes to use modifier 25 for reporting an evaluation & management service on the same date as a procedure. But then I have always added modifier 25 to the evaluation...
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135. Yes, you can use 44180 with unlisted code 58999
April 03, 2011
Here's a particular ob-gyn coding scenario that ob-gyn coders can take note of: My ob-gyn documented the following procedure: Excision granulation tissue vaginal cuff. Laparoscopy, extensive (45 minutes) lysis of adhesions of the sigmoid colon to posterior cul-de-sac. Scissors utilized to dissect ...
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136. In A Long-Standing Hydrocephalus Code For Cranial Expansion
April 03, 2011
In a particular situation, the neurosurgeon carried out a cranial expansion in a longstanding hydrocephalus that was not controlled by shunts. After removing the sagittal bone over the sagittal sinus, he circumferentially thinned the inner table underneath the frontal and parietal regions. ...
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137. Orthopedic Coding: Global Starts Post-Procedure
April 01, 2011
Recently, an established patient with degenerative scoliosis reported to the orthopedist for an evaluation/management visit. Notes pointed out that it was a preoperative visit to prepare the patient for cervical laminoplasty surgery (the service took place 48 hours prior to the surgery). Encounter...
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138. A Three-Step Strategy To Help You Sail Through Irrational Denials
April 01, 2011
If you have ever been in a situation where you wanted to contest a denial by an insurance company based on irrational payer guidelines, you may be right in thinking this is like trying to break down a stone wall; however you are not helpless to change the situation in your favor.
Here...
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139. Otolaryngology coding: Four easy guidelines to profit $16 from 94664
April 01, 2011
Remember that while reporting for inhaler demo/evaluation is the type of device the provider is using; however do not stop with just that. Documentation requirements and qualifying modifiers are just as important while coding for inhaler services.
When you are confused why some payers wo...
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140. General Surgery Coding: Cms Is Already Changing Part B Payment For This Year
April 01, 2011
You should not get too comfortable with the nearly brand-new 2011 Medicare Physician Fee Schedule. On February 4, CMS announced various changes to payment indicators that'll impact the amounts that you gather from your Medicare Administrative Contractor (MAC).
While the agency had ...
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Author: Erin Articles
