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Latest articles

Escharotomy Procedural Cross-Walking CPT to ICD-10-PCS
November 10th, 2017 - Brandon Dee Leavitt CPC, QCC
An Escharotomy is used for "local treatment of burned surface" per the AMA Guidelines, when incisions are performed on the burn site. Notice, when cross-walking 16035 or 16036 to inpatient codes, Find-A-Code crosswalks lead to Body System H, Operation 8 - Division of the skin, and Operation N -...
Four Final Rules Affecting CMS Payments for 2018
November 7th, 2017 - Wyn Staheli
It’s a season for changes. CMS just finalized four rules which directly impact the following payment systems: Physician Fee Schedule Final Policy, Payment, and Quality Provisions for CY 2018 Hospital OPPS and ASC Payment System and Quality Reporting Programs Changes for 2018 HHAs: Payment Changes for 2018 Quality Payment Program Rule for Year 2 This ...
CMS Proposes to Revise Evaluation & Management Guidelines
October 26th, 2017 - BC Advantage
According to the recently released 2018 Physician Fee Schedule Proposed Rule, published in the Federal Register, dated July 21, 2017, the Centers for Medicare & Medicaid Services (CMS) acknowledges that the current Evaluation and Management (E/M) documentation guidelines create an administrative burden and increased audit risk for providers. In response, ...
Summary of OIG Reports for Chiropractic
October 23rd, 2017 - Evan M. Gwilliam DC MBA BS CPC CCPC QCC CPC-I MCS-P CPMA CMHP
The Office of the Inspector General was created to protect the integrity of the U.S. Department of Health and Human Services. They investigate fraud, waste, and abuse in HHS programs and make recommendations to various enforcement agencies. Every few years they investigate chiropractic services. Here is a summary of the reports the ...
Physicians Reciprocal Billing Arrangements
October 18th, 2017 - Chris Woolstenhulme, CPC, CMRS
A reciprocal billing arrangement is when there is an agreement between physicians to cover each others practice. A physician or his practice may set up reciprocal billing arrangements with one or more physicians to cover another practice or their own practice. There is certain criteria that must...

Editors choice articles

Health Care Fraud - Don’t Do It!
July 31st, 2017 - Chris Woolstenhulme, CPC, CMRS
If you wonder if what you are doing is fraud, DON’T DO IT! The government takes this extremely serious. I don't need to tell you this.  I have often been apprehensive about making a mistake and I wonder, will it be fraud? Will I spend time in jail for accidentally sending in a duplicate ...
Pre-op visits: True or False?
December 29th, 2015 - Codapedia Editor
Are the following statements true or false? • The PCP cannot be paid to do a pre-op assessment of a Medicare patient prior to surgery because of the new consult rules. • The surgeon can never be paid to do a pre-op visit if s/he is going to take the patient to surgery. • The...
Billing Incident to Services-Whose Number Should Be Used?
December 29th, 2015 - Seth Canterbury, CPC, ACS-EM
Should You Bill Incident to Services for a Medicare Patient Under The Number of the “Supervising Physician” or the “Ordering Physician”? This issue was first clarified in the preamble of the 11/1/01 Federal Register (available here on p. 23 of the file, p. 55267 of the...
Cloned E/M notes
December 29th, 2015 - Codapedia Editor
Have you ever read a physician office note and thought it was strangely familiar? Or, not just familiar but identical to another note? Well, Medicare contractors have noticed the same thing, and the Office of Inspector General has included this on their 2011 Work Plan. Medicare contractors have...
Cardiology Coding Unmasked - Part 2 Therapeutic Cardiology Procedures, CPT Codes (92980-92982; 92984; 92995-92996), Medical Necessity Issues (ICD-9-CM)
December 29th, 2015 - Nancy Maguire
92980 Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; single vessel 92981 Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; each additional...

Latest questions/posts

Procedure code 99222
1st    Dec 14th, 2017 - sghant01

code rejection
1st    Dec 8th, 2017 - docterry

Modifier for the Medicare AWV screening questions
   Dec 5th, 2017 - ltingley 2 

Bone Marrow Aspiration/Biopsy
   Dec 5th, 2017 - CODER218

Substance-Use Disorders tx
1st    Nov 28th, 2017 - tahneeluvisi

Harmonic Scapel
   Nov 21st, 2017 - Streeter 1 

Pathology billing
   Nov 15th, 2017 - npott1 9 

Physical Exam for Military (specifically Feet)
   Nov 7th, 2017 - alleegator13

Diagnosis Code
   Nov 1st, 2017 - rdinaso    11 

Use of Ophthalmology CPT Codes
1st    Nov 1st, 2017 - MM

Phlebectomy Procedure
   Oct 30th, 2017 - shoppe 1 

Skull Based Coding Help
   Oct 27th, 2017 - rdinaso    11 

Coding for CKD stage and Kidney transplant
1st    Oct 26th, 2017 - ssingh17

1st    Oct 25th, 2017 - alleegator13

Subsequent Inpatient Visits
1st    Oct 24th, 2017 - Smichael

Surgery coding
   Oct 24th, 2017 - Streeter 1 

E&M with CPT 20610
   Oct 20th, 2017 - sschwartz 3 

CPT Code for Transcatheter Balloon Angioplasty of all four pulmonary veins
   Oct 16th, 2017 - jmoon 2 

E/M on the same day AFTER a 0 day global procedure
   Oct 16th, 2017 - rdinaso    11 

Pterional Craniotomy Resection of Clinoidal Meningioma
   Oct 13th, 2017 - rdinaso    11 


New Codapediasts

Dec 14th, 2017:  sghant01
Dec 13th, 2017:  SRosa
Dec 13th, 2017:  Maha
Dec 11th, 2017:  MelissaP
Dec 10th, 2017:  kkdawnette

New Profiles

Nov 22nd, 2017:  Sumitp   
Oct 17th, 2017:  rdinaso    11 
Sep 17th, 2017:  sesagarra    2 
Sep 14th, 2017:  LilRed0301   
Sep 14th, 2017:  SUBBIAH   

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