Coding

Coding

By John Verhovshek
In Billing
Dec 8th, 2014
263 Views
You may claim unlisted procedure codes only if an existing CPT® Category I or Category III code does not describe the procedure you wish to report. Per Chapter 1 of the National Correct Coding Initiative Policy Manual for Medicare Services, “A physic...
By John Verhovshek
In CMS
Dec 8th, 2014
175 Views
In some cases, a provider may plan to provide a colonoscopy (screening or diagnostic) but, due to unforeseen circumstances, may not be able to complete the procedure. When reporting services to Medicare, if the provider advances the scope past the s...
By Michelle Dick
In Billing
Dec 3rd, 2014
347 Views
HCPCS Level II codes G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination and Q0091 Screening Papanicolaou smear have been added to the list of preventive services paid by the Centers for Medicare & Medicaid Services ...
By Rae Jimenez
In Audit
Dec 2nd, 2014
316 Views
By Jean Acevedo, LHRM, CPC, CHC, CENTC One trend that is inarguably growing is the use of Nonphysician Practitioners (Nurse Practitioners, Physician Assistants) in physician practices. In the inpatient setting, physicians often are billing the servic...
By Rae Jimenez
In Billing
Dec 2nd, 2014
593 Views
By: Jeanne Yoder, CPC, CPC-I ICD-9-CM code 078.89 Other specified diseases due to viruses is the only option, right now, to report Ebola: Follow the ICD-9-cm index from “Infection” to “Ebola.” If you follow the index from “Fever” to “Hemorragic” to “...
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