The global surgical package, also called global surgery, includes all the necessary services normally furnished by a surgeon before, during, and after a procedure. Medicare payment for a surgical procedure includes the preoperative, intra-operative, and post-operative services routinely performed by the surgeon or by members of the same group with the same specialty. Physicians in the […]
The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the RT and LT modifier for certain HCPCS codes, and that the modifiers be used when billing two of the same item or accessory on the same date of service and the items are being used bilaterally. […]
There are many services and products that may be billed when a patient presents with chronic asthma or other serious respiratory conditions or acute exacerbation of related symptoms. Physicians must capture all pertinent information in their documentation and, in turn, coders (or those who validate pre-coded electronic health record charges) must account for all related […]
Nebulizers can be covered if the member’s ability to breathe is severely impaired. Lung diseases such as chronic obstructive pulmonary disease (COPD) and asthma are characterized by airflow limitation that may be partially or completely reversible. Pharmacologic treatment with bronchodilators is used to prevent and/or control daily symptoms that may cause disability for persons with […]
An Advance Beneficiary Notice (ABN) is a waiver of responsibility that is issued to a patient to make sure you receive payment for services and items that are usually covered by Medicare but are not expected to be covered on this occasion. When completed properly, you should be able to recover the cost of the […]
Regulatory burdens on small practices and solo providers have never been greater, including MIPS/MACRA, HIPAA, patient-centric engagement, as well as the need to comply with fee-for-service and value-based care contract requirements. In this blog, we will focus on the reduced regulatory burden for MIPS and how a systematic approach will help you to reduce HIPAA […]
Therapy Practice Accelerator is a proven, empowering system that gives therapists the missing pieces that let you build the full practice you envision. The schedules of physical therapists tend to be extremely busy. With the digital age being in full swing, your attention and focus can be pulled in many different directions affecting overall productivity. […]
According to research published in 2016 from the Ponemon Institute, criminal attacks have increased by 125% since 2010 and now represent the leading cause of healthcare data breaches. What’s more, healthcare organizations are largely unprepared to protect patient data against an ever-changing landscape of security threats. To adequately protect data from cybercriminals, healthcare organizations and […]
Health care providers are relying on medical billing companies to a greater degree in assisting them in processing claims in accordance with applicable statutes and regulations. Additionally, health care professionals are consulting with billing companies to provide timely and accurate advice with regard to reimbursement matters, as well as overall business decision-making. Compliance program guidance […]
Chronic Care Management (CCM) services are generally non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient. Medical Billers and Coders (MBC) have received multiple questions regarding “How to code CPT 99490”. To assist you in determining […]
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