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Practice Management
POP for Simplifying Documentation Requirements
Patient over Paperwork (PoP) Initiative Through ‘Patients over Paperwork,’ CMS established an internal process to evaluate and streamline regulations with a goal to reduce unnecessary burden, to increase efficiencies, and to improve the beneficiary experience. As part of Patients over Paperwork Initiative, Medicare is simplifying documentation requirements so that providers…
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Medical Billing Services
Modifier 50 Fact Sheet
Modifier 50 Modifier 50 applies to bilateral procedures performed on both sides of the body during the same operative session. When a procedure is identified by the terminology as bilateral or unilateral, the 50 modifier is not reported. If a procedure is authorized for the 150 percent payment adjustment for…
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Medical Billing Services
Moderate (Conscious) Sedation Coding Guidelines
Moderate sedation are services provided by the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports. They require the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status. The codes to…
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General Surgery Billing Services
Key Points for Assistant-at-Surgery Billing
Assistant surgeon billing can seem overwhelming, so it’s crucial to take it one step at a time. But there are several key points to remember that will make it much easier to understand. Assistant at Surgery: An assistant at surgery is a physician or non-physician practitioner who actively assists the…
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Practice Administration
Importance of Medical Audit
The medical audit is the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patient’.The audit is a continuous cycle, involving observing practice, setting standards, and comparing practice…
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General Surgery Billing Services
Global Surgery and Billing Guidelines
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…
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Medical Billing Services
Changes in RT and LT Modifier Usage
The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers 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…
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