Tuesday, March 28, 2017
Reimbursement Coding Articles

Coding Articles

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Billing ACP FAQ

Frequently Asked Questions about Billing the Physician Fee Schedule for Advance Care Planning Services

Coding changes for 2015: New evaluation and management codes explained

The new year brings changes to many evaluation and management codes physicians use, including chronic care management and advanced planning. What are the 2015 Current Procedural Terminology (CPT) updates that will affect our primary care practice next year?

Second pneumococcal vaccination covered by Medicare

Second pneumococcal vaccination covered by Medicare

ICD-10 Training: A Physician's Guide to Coding for Heart Disease

This article is published by Medical Economics (http://medicaleconomics.modernmedicine.com)

Incident-To Billing

Services and supplies properly provided and billed incident-to a physician’s or non-physician practitioner’s services are reimbursed at 100 percent of the Medicare fee schedule amount for Medicare beneficiaries. This provides an opportunity for practices to make the most of their auxiliary staff—but only if they adhere to the Center for Medicare & Medicaid Services’ (CMS) strict incident to requirements. The following quick tips help you cover the basics.

Coding and Billing Maternity Care When Patients Change Insurance

There is a common maternity care coding and billing scenario that CPT® guidelines do not address...

Modifiers 25 and 59

This article, published in the March 2012 CPT Assistant, provides examples of proper and improper reporting when the E/M service is not distinct and is included as a component of the common pre-and post service elements of the service rendered.

Coding Update: Auditory System (69210)

Coding-Update-Auditory-System-69210 A major element in determining whether code 69210 should be reported is based upon an understanding of the definition of impacted cerumen.

Document Preventive and Sick Visit Properly

Often, a patient who arrives for a “preventive” service (i.e., a well patient exam) will also mention a problem or other health issue that he or she is experiencing. Whether you separately report a problem-focused service or {“sick visit”} – in addition to the preventive service – depends on the nature of the patient’s problem(s), the payer, and your documentation.

Wound Care

For surgical prep of acute wounds, consider using codes 15002-15005

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