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Latest articles

How to Report Imaging (X-Rays) of the Thumb
March 18th, 2019 - Aimee Wilcox, CPMA, CCS-P, CMHP, CST, MA, MT
If you've ever taken piano lessons, you know that the thumb is considered the first finger of the hand. Anatomically, it is also referred to as the first phalanx (finger). However, when you are coding an x-ray of the thumb, images are captured of the thumb, hand, wrist, and all ...
Revised ABN Requirements Still Fuzzy
March 18th, 2019 - Wyn Staheli, Director of Research
Although it has been quite some time since ChiroCode published an article about the revised instructions for non-participating providers who use the ABN, there are still some outstanding questions about this change. So far, Medicare has not provided additional guidance about this question despite requests by us for clarification. Medicare now requires non-participating providers to include the ...
Voluntary Repayments
March 8th, 2019 - Namas
Should you volunteer to repay money from Medicare or other federal healthcare programs if you believe they were the result of errors on your end? The penalties for not doing so could be severe. Under the Federal False Claims Act, if retained overpayments can be shown to be to false ...
Q/A: Can you Help me Understand the New Medicare Insurance Cards?
March 7th, 2019 - Wyn Staheli, Director of Research
As many of you are aware, CMS began issuing new Medicare identification cards last year which required the replacement of social security numbers with a new Medicare Beneficiary Identifier (MBI). All cards have now been mailed out and patient's should have the new cards when they come in. Currently, we are in the transition period until January 2020.
Date of Service Reporting for Radiology Services
March 7th, 2019 - Wyn Staheli, Director of Research
Providers need to ensure that they are reporting radiology dates of service the way the payer has requested. Unlike other many other professional services which only have one date of service (DOS), radiology services can span multiple dates. Medicare requirements may differ from professional organization recommendations.

Editors choice articles

Voluntary Repayments
March 8th, 2019 - Namas
Should you volunteer to repay money from Medicare or other federal healthcare programs if you believe they were the result of errors on your end? The penalties for not doing so could be severe. Under the Federal False Claims Act, if retained overpayments can be shown to be to false ...
Q/A: Can you Help me Understand the New Medicare Insurance Cards?
March 7th, 2019 - Wyn Staheli, Director of Research
As many of you are aware, CMS began issuing new Medicare identification cards last year which required the replacement of social security numbers with a new Medicare Beneficiary Identifier (MBI). All cards have now been mailed out and patient's should have the new cards when they come in. Currently, we are in the transition period until January 2020.
Medicare Physician Fee Schedule Indicators
March 4th, 2019 - Brittney Murdock, QCC, CMCS, CPC
Many denials can be avoided when you understand how a payer looks at a code. Find-A-Code puts a lot of this information all on one page. Under Additional Code Information on CPT codes you will find a lot of questions can be answered. In addition to the global policy, uniform...
UnitedHealthcare to Discontinue Coverage of Consultations
March 4th, 2019 - Wyn Staheli, Director of Research
In United Healthcare's March provider bulletin, they announced that beginning on June 1, 2019, they will be phasing out coverage of consultation services (99241-99255).
Billing Guidelines for Repositioning
March 4th, 2019 - Wyn Staheli, Director of Research
Code 95992 has some very limited payer payment guidelines which need to be understood for proper reimbursement. Many payer policies consider this service bundled with Evaluation and Management Services, therefore, it would not be separately payable if there was an E/M service performed on the same date. Some providers have reported having trouble ...

Latest questions/posts

nurse practitioner/hospital charges
   Mar 19th, 2019 - anitac

Gi
1st    Mar 14th, 2019 - AMat   

Codes effective 4/12019
1st    Mar 12th, 2019 - Haley33TK

Diagnostic Angiograms prior to Intervention
1st    Feb 28th, 2019 - Jodi

P59.9 (Neonatal jaundice)
1st    Feb 27th, 2019 - olerip

Brand new to ENT and I have a question
   Feb 17th, 2019 - rdinaso    12  1 

nephrology capitation codes
   Feb 11th, 2019 - anitac

27369 subsequent visit.
1st    Feb 8th, 2019 - StevenH

20610 & 27369 on the same day
   Feb 8th, 2019 - ranawaheed321 4 

MRI without contrast on Monday followed by an MRI with contrast on Tuesday.
   Jan 25th, 2019 - rdinaso    12  1 

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


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