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2014-15 Flu Vaccine Payment Allowances

For administration of the influenza vaccine to Medicare beneficiaries, report HCPCS Level II code G0008 Administration of influenza virus vaccine. This code bypasses deductible and coinsurance amounts for beneficiaries. In an October 10 web post, Cahab... Read More >>

October 14th, 2014

Nearly 550 New, Changed, and Deleted codes for CPT in 2015 NCVHS Urges Burwell to Promote ICD-10


Take a Medicaid Moment: Use Proper Consent Forms

Know federal and state Medicaid policies for entitlement and their use. You shouldn’t expect your state Medicaid fund to pay or behave the same as other third-party payers, or even Medicare. Medicaid is a federal entitlement program incepted through... Read More >>

January 1st, 2014

“Convenient” Doesn’t Equal “Necessary” Back to Basic: All the Ways (Not) to Unbundle

Practice Management

CMS Wants You to Test ICD-10

The Centers for Medicare & Medicaid Services (CMS) seeks volunteer providers to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MAC)  and the Common Electronic Data Interchange (CEDI) contractor January  2015. A... Read More >>

September 22nd, 2014

Part B Premiums Not Changing Fingerprinting Required for High Risk Providers, Suppliers


Warning: Import Text Properly

[On the Cover] Ensure clinical documentation integrity in your electronic health records. By Michael Stearns, MD, CPC, CFPC There are advantages and disadvantages associated with the use of imported text in electronic healthcare records (EHRs). Let... Read More >>

June 1st, 2014

Proper Use of Modifier 91 OIG Proposes Safe Harbor and CMP Exception Expansion


Best Practice for Speeding Up Claims Payment

You can improve the turnaround time it takes to get claims paid by avoiding this common billing taboo: Don't report the same procedure code on multiple lines to account for units of service. There's a more efficient billing method that will help your... Read More >>

August 6th, 2014

The Right (and Left) Time to Bill Modifier 50 Post All Payments Quickly, Even Those Not Auto-posted


Differentiate Venous Injection from Blood Draw

Question: Is 36000 appropriate to report venous blood draw by butterfly catheter to obtain a lab specimen? Answer: According to the AMA’s CPT® Assistant (December 2008; volume 18: issue 12), the correct code in this case is not 36000, but 36415: Co... Read More >>

October 15th, 2014

ICD-10 Coding Tip: Atrial Septal Defect Coding Robot-assisted Surgery