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Latest articles

Don't Let Your QPro Certification(s) Expire! Your Certifications Matter!
June 20th, 2019 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Hello QPro Members, Just a friendly reminder!                                                                                        ...
How to Properly Report Monitoring Patients Taking Blood-thinning Medications
June 18th, 2019 - Wyn Staheli, Director of Research
Codes 93792 and 93792, which were added effective January 1, 2019, have specific guidelines that need to be followed. This article provides some guidance and tips on properly reporting these services.
A United Approach
June 14th, 2019 - Namas
A United Approach As auditors, we all have a different perspective when evaluating documentation. It would be unreasonable to think that we all view things the same way. In my opinion, differing perspectives are what makes a great team because you can coalesce on a particular chart, work it through and ...
Documentation of E/M services for Neurology (Don't Forget the Cardiology Element)
June 13th, 2019 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
According to Neurology Clinical Practice and NBIC, the neurologic exam is commonly lacking in documentation due to the extensive requirements needed to capture the appropriate revenue. With the lack of precise documentation, it results in a lower level of E/M than that which is more appropriate, which can cost a physician a lot ...
Medicare Now Reimburses for Remote Monitoring Services (G2010)
June 13th, 2019 - Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
Medicare's 2019 Final Rule approved HCPCS code G2010 for reimbursement, which allows providers to be paid for remote evaluation of images or recorded video submitted to the provider (also known as "store and forward") to establish whether or not a visit is required. This allows providers to get paid for ...

Editors choice articles

A United Approach
June 14th, 2019 - Namas
A United Approach As auditors, we all have a different perspective when evaluating documentation. It would be unreasonable to think that we all view things the same way. In my opinion, differing perspectives are what makes a great team because you can coalesce on a particular chart, work it through and ...
Now is Your Chance to Speak Up! Tell CMS What You Think!
June 13th, 2019 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
CMS is asking for your input, we all have ideas on how we would change healthcare documentation requirements and get rid of the burdensome requirements and regulations if it were up to us, so go ahead, speak up! Patients over Paperwork Initiative is being looked at to help significantly cut ...
Auditing Hospitalist Services
May 31st, 2019 - Namas
Auditing Hospitalist Services The inpatient side of coding and auditing can be enormously complex, with many more moving parts than are typically found in the outpatient setting. In this audit tip, we will discuss a few of the challenges that come with auditing one of the most important players in the ...
Your New Patient Exam Code Could Determine How Many Visits You Get
May 27th, 2019 - Evan M. Gwilliam DC MBA BS CPC CCPC QCC CPC-I MCS-P CPMA CMHP
The initial exam is where the provider gathers the information to determine the need for all the care that follows. It is billed most often as an office or outpatient evaluation and management (E/M) code from the 4th edition of the AMA’s Current Procedural Terminology book. There are actually five ...
Do You Understand Medicare
May 21st, 2019 - Christine Taxin
Even though we may think we truly understand what it means to be a participating provider, Medicare doesn’t quite work the way that other insurance plans do. Far too many providers do not understand the difference and get into hot water. To further complicate matters, the rules are different for ...

Latest questions/posts

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starches to begin their day
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CPT Code for Repositioning of endothelial keratoplasty
   Jun 12th, 2019 - yml3768 31 

CPT for Long Term Acute Care Hospital
1st    Jun 11th, 2019 - nwettach

51701
   Jun 10th, 2019 - AMat    2 

UnitedHealthcare to Discontinue Coverage of Consultations
   May 28th, 2019 - msimmons11   

MDM in Table B
   May 17th, 2019 - damills    3 

Level 3 & Level 4 Hospital Consults
   May 15th, 2019 - nate0922 7 

Bone Stimulator Billable Amount
1st    May 8th, 2019 - pattybth

Podiatry - CPT codes 99222 & 99223
   May 1st, 2019 - daystarjj 4 

Coding for respiratory tract infections and other conditions during pregnancy
1st    Apr 25th, 2019 - Paramesh

Medicare Annual Wellness Visit in the Nursing Home Setting
1st    Apr 22nd, 2019 - staracres

96372 Billing
   Apr 18th, 2019 - dlstoner512 1 

Appropriate Modifier for 83615 @ 2 Units for CMS?
1st    Apr 11th, 2019 - RNokes

43249 with 43236
   Apr 2nd, 2019 - AMat    2 


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