Coding Articles / References
Traumatic Complex Wound Repair
Instructions for listing wound repair
Commonly asked questions wound care
Nursing Facility Services - POS
Using CPT Codes 99050-99060 (Special Services, Procedures and Reports; Miscellaneous Services)
Mental Health Coding - Mini Mental Exam
Use E/M - not behavior code - for mini-mental exams
MedLearn Matters Article 5972
Non face-to-face codes
Billing MSP (Medicare Secondary Payer) Claims. Since Medicare Secondary Payer (MSP) will not pay for consults, how do you bill and get paid for the consult you billed to the patient’s primary carrier?
These codes are effective 10-1-2010 with no grace period.
Examples when to bill 99211.
The little code with the BIG headaches...
This E/M article shares helpful hints when submitting services to J1 Part B for processing.
A service or procedure can be further described by using 2-digit modifiers. The Modifier Reference Guide lists Level I (CPT-4), Level II (non-CPT-4 alpha numeric), and Level III (local) modifiers...
Using Modifier 58 & 78
ACTIVE WOUND CARE MANAGEMENT.pdf
In direct contradiction of your mother’s warning that it won’t heal if you keep picking at it,
active wound care procedures remove necrotic tissue from a wound...
A patient's relative makes an appointment to discuss the patient's condition and course of treatment. The doctor spends as much time with the relative as he would to provide care to a patient. Can this service be billed?
Questions abound about how to use 99363 and99364, the anticoagulant management codes for patients
on blood-thinning warfarin (Coumadin) treatment. Here are answers, provided by Coding Answers, to some "frequently asked questions" about these codes.
Primary care physicians can boost their revenue by billing some common procedures that are often thought of as dermatology services, though denial rates are often double the denial rates of dermatology practices for the same codes. Here are six dermatology services you are likely to encounter, including tips on how to bill them and avoid denials.
Strengthen your documentation article by Part B News.
ICD-10
Effective October 1, 2013
On January 16, 2009, the Department of Health and Human Services (HHS) published a regulation that: 1) requires the replacement of the ICD-9-CM code set with ICD-10 as of October 1, 2013; 2) does not allow for use of the ICD-10 codes prior to the compliance date. All encounters and discharges on or after October 1, 2013 must use the ICD-10 codes.
ICD-10 Resources
ICD-10 Implementation Guide for Small and Medium Practices. (October 2011)
- SmallandMediumPracticesICD10ProjectPlanTaskList
- SmallandMediumPracticesICD10RolesandResponsibilitiesRASCIMatrix
ICD-10 Implementation Guide for Large Practices. (October 2011)
- Resources to help you prepare for the U.S. health care industry's change from ICD-9 to ICD-10 for medical diagnosis and inpatient procedure coding
- Links to CMS Version 5010 information
www.sccma-mcms.org/Reimbursement/Downloads/
This fact sheet provides background on the ICD-10 transition, general guidance on how to prepare for it, and resources for more information.
Begin preparing now for the ICD-10 transition to make sure you are ready by the October 1, 2013, compliance deadline. The following quick checklist will assist you with preliminary planning steps.
ICD10 Medical Practices Basics
Your vendors can provide you with details about what you need to comply with Version 5010 standards, which replace the Version 4010/4010A standards currently used for electronic transactions. Unlike Version 4010/4010A standards, Version 5010 accommodates the ICD-10 code sets that become effective in 2013.
ICD10 Talking to Your Vendor: For Medical Practices
Preparing for the Conversion From ICD-9 to ICD-10. What You Need to Be Doing Today.
Icd10 Preparing for The Conversion
ICD10 Quick Reference Information
