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| Articles by Erin Articles |
91. Unlisted Procedure Coding: Boost Your Chances Of Payment
May 05, 2011
You shouldn't choose a CPT code that merely approximates the service provided. This rule is important for compliant coding, however it leaves you with the tough job of submitting a claim without a procedure-specific code. Boost your chances of getting the payments by heeding these advice:
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92. What type of encounter qualifies for shared visit?
May 04, 2011
Emergency department coders that do not recognize every shared visit that the physician and qualified non-physician practitioner (NPP) provide are costing their emergency department a lot of money. If you are wondering what type of encounter qualifies for shared visit, read on and figure it out f...
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93. Strategies to Wrap up Your Orthopedic Coding Payments Every Time
May 04, 2011
An orthopedist carries out several procedures during a knee arthroscopy on the same patient on the same day. Here, you will need to understand the multiple-scope rule to determine which procedures you can actually claim -- and get the payments for.
Remember:
In the orthopedic p...
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94. Separate education? Wind it off with modifier 59
May 03, 2011
Here's a scenario: During an outpatient visit, an asthmatic patient is wheezing and having difficulty breathing, which requires one or more bronchodilator treatments for intervention: 493.01, 493.02, 493.21 or 493.22. The patient did not use his MDI devide, nebulizer and the like properly prior to...
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95. Faqs to Bring You the Rightful Reimbursements for Your Hammertoe Coding
May 03, 2011
Question: My payer does not recognize modifiers. What can I use in its place?
You might require modifiers to help differentiate work on different areas of the feet or toes. But then it is not normal to have a carrier prohibit the use of toe modifiers, which run sequentially from T...
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96. Easy bruising with no identifiable cause? Report 782.7
May 02, 2011
If you are wondering what the ICD-9 code for easy bruising is, read on and find out for yourself.
What's easy bruising?
Easy bruising is a symptom of another condition rather than a standalone diagnosis. As such, the ICD-9 code depends on whether or not the family physici...
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97. Learn Constitutes an Acceptable Signature
May 02, 2011
If you want to get paid correctly, you'll need to ensure physicians and non-physician practitioners (NPP) sign your paper lab requisitions. But what exactly what does that require?
The agency provides specific guidance on what constitutes an acceptable "signature" for documents subject to...
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98. New modifiers? Stay alert!
April 29, 2011
Modifiers play a key role in your day to day coding life. As such, you stand a better chance of getting the payments if you are well-versed with everything relating to modifiers. As an orthopedic coder, you need to stay on top of all modifier changes which in turn will have an impact on you...
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99. Report Appendectomy Separately Depending On What The Situation Demands
April 29, 2011
So you think appendectomy always comes bundled with other procedures. If so, you need to think again. You can report appendectomy separately depending on what the situation demands. If you miss your appendectomy codes, you could be losing your deserved payments.
Many people are of the fa...
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100. 93970: Global Period A Factor for Evaluation & Management Coding
April 28, 2011
The question here is whether you can bill a bilateral scan (93970) along with an office visit and get paid for both. Also, would you need to use modifier 25 on the office visit?
Well, you may report an evaluation & management service and 93970 (Duplex scan of extremity veins to...
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Author: Erin Articles
