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Latest articles

Scanning the Unscannable: Improving Patient Flow in MRI
January 14th, 2019 - BC Advantage
Stay Ahead of your CEUs in 2019Get the latest webinars and earn over 24 CEUs each year included with your BC Advantage Magazine subscription. Latest Webinar: Scanning the Unscannable: Improving Patient Flow in MRI Presenter: Wendy Stirnkorb, President & CEO Stirnkorb Consulting, LLC Time: 46 Minutes Cost: $0.00 to all BC Advantage Magazine Subscribers CEUs: 1.0 On-demand: Watch 24/7 from work or ...
What is Virtual Communication (G0071)?
January 14th, 2019 - NAMAS
Beginning January 1st, 2019 all of our RHC and FQHC organizations have a new CPT code to consider implementing for their Medicare populous (check per Advantage Plan Administration for coverage). In its current form, this code is not reportable by organizations not meeting the RHC/FQHC designation. The code isG0071 and is termed ...
AMA Issues new CMT Information
January 14th, 2019 - Wyn Staheli, Director of Research
As many of you may already be keenly aware, there have been ongoing problems with many payers (e.g., BCBS of Ohio) regarding the appropriateness of reporting an E/M visit on the same day as CMT (CLICK HERE to read article). The AMA recently released an FAQ which renders their opinion ...
Nine New Codes for Fine Needle Aspirations (FNA)
January 4th, 2019 - Aimee Wilcox, CPMA, CCS-P, CMHP, CST, MA, MT
If your practice performs a lot of fine needle aspirations (FNA), you probably have the code options memorized (10021 without image guidance and 10022 with image guidance). However, the 2019 CPT codes now include nine (9) new FNA codes (10004-10012), one deleted FNA code (10022) and one revised FNA code ...
Dry Needling
January 3rd, 2019 - Wyn Staheli, Director of Research
The correct coding of dry needling, also known as trigger point needling, has been a subject of confusion for quite some time. The American Chiropractic Association (ACA) and the American Physical Therapy Association (APTA) have been working together for several years to obtain appropriate codes to describe this service. In ...

Editors choice articles

Dry Needling
January 3rd, 2019 - Wyn Staheli, Director of Research
The correct coding of dry needling, also known as trigger point needling, has been a subject of confusion for quite some time. The American Chiropractic Association (ACA) and the American Physical Therapy Association (APTA) have been working together for several years to obtain appropriate codes to describe this service. In ...
Billing 99211 Its not a freebie
November 9th, 2018 - BC Advantage
It seems like a simple code to bill, but CPT 99211 (established patient office visit) is by no means a freebie when it comes to documentation and compliance. This lowest level office visit code is sometimes called a "nurse visit" because CPT does not require that a physician be present...
Are you Ready for CMS' 2019 Medicare Physician Fee Schedule Final Rule?
November 7th, 2018 - Wyn Staheli, Director of Research
The waiting is over, the Final Rule for CMS' 2019 Medicare Physician Fee Schedule (MPFS) is available - all 2,379 pages for those looking for a little light reading. As anticipated, there are some pretty significant changes. Most of us were carefully watching the proposed changes to the Evaluation and ...
We've Always Done It This Way and Other Challenges in Education
October 19th, 2018 - BC Advantage
As coders, auditors, and compliance professionals, we are the provider's advocates in closing the gap between what is medically necessary and what is required for documentation. Sometimes that places us in the role where we need to save our clinicians from themselves, and the patterns they have fallen into...
HCC - Acceptable Provider Interpretation for Diagnostic Testing
October 1st, 2018 - Wyn Staheli, Director of Research
The following table is taken from the Contract-Level Risk Adjustment Data Validation Medical Record Reviewer Guidance dated 2017-09-27 (see References). It is a listing of acceptable provider interpretation of diagnostic testing. Acceptable Examples include: Cardiology and Vascular Surgeons Echocardiogram (including Doppler, Duplex, Color flow of the heart vessels) EKG (electrocardiogram) – Stress test, Cardiac ...

Latest questions/posts

PCS code help
   Jan 18th, 2019 - Csara19

PCS code
1st    Jan 18th, 2019 - Csara19

Neo coding
1st    Jan 17th, 2019 - Telle

Critical Care vs. Split Shared Services
   Jan 15th, 2019 - Andrea58

leuprolide acetate Lupron/Eligard J1950 versus J9217
   Jan 14th, 2019 - bets14687    1 

Hospitalist and specialist billing E/M on same day
   Dec 11th, 2018 - rdinaso    12  1 

93351 in office Stress Echo billing question
1st    Dec 6th, 2018 - JL81

Ordering and obtaining precert/prior auth for Motility Studies @ the hospital
1st    Dec 5th, 2018 - Denise J   

Attempted ERCP
1st    Nov 16th, 2018 - Emmi

Z code
   Nov 16th, 2018 - rdinaso    12  1 

Cannabis oil as an alternative medicine
1st    Oct 31st, 2018 - Kirsti090

Chopart Amputation Revision
1st    Oct 30th, 2018 - Hgorby

J0171 - Epinephrine Epi Pen - Help please
   Oct 19th, 2018 - Mand0984 11 

CPT code for nephrology capitation billing to arkansas Medicaid
   Oct 17th, 2018 - anitac

Outcome Assessment Tools
1st    Sep 14th, 2018 - DrEd

NHP-RI CPT 64450-XS denied as non coverd
   Sep 11th, 2018 - austin

Diabetic Foot Care
   Aug 28th, 2018 - alleegator13

Hiv - 2
1st    Aug 21st, 2018 - Jstew

MDM credit in Table B
   Aug 17th, 2018 - damills 1 

Grouping of mutually exclusive CPt4 in IR DRG
1st    Aug 17th, 2018 - Hhiba


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