Medicare Coverage for Vagus Nerve Stimulation (VNS)

Vagus Nerve Stimulation (VNS) is a pulse generator, similar to a pacemaker, that is surgically implanted under the skin of the left chest and an electrical lead (wire) is connected from the generator to the left vagus nerve. Electrical signals are sent from the battery-powered generator to the vagus nerve via the lead. These signals […]


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Chemotherapy Administration Coding Guidelines 2022

The Centers for Medicare & Medicaid Services (CMS) recently published revised coding guidelines for CPT codes 90000 – 99999. In this Blog, we shared CPT codes applicable for Chemotherapy Administration Coding and minor updates in guidelines.  Chemotherapy Administration Coding Guidelines 2022 Reporting Initial Service Code The CPT codes 96360, 96365, 96374, 96409, and 96413 describe […]


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E&M Billing for Interventional Radiology

A radiology practice that includes interventional procedures has to be up to date on the use of documentation and coding techniques for Evaluation and Management (E&M) services. Since these CPT codes in the 99xxx range are less commonly utilized in many radiology practices, identifying circumstances where E&M services are billable, and then properly documenting and […]


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Medicare requirements for ambulance transport medical billing

Today various private and public ambulance transport services are operating in a huge number for servicing critical patients at crucial moments. These players are getting reimbursed under Medicare Part B which covers ambulance transport medical billing with certain limitations. Let’s understand Medicare Part B in more details: Medicare Part B Medicare Part B covers emergency […]


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Medicare billing for Cataract Post-Op Co-Management

Co-management compliance is tracking down by the U.S. Department of Health and Human Services OIG (Office of Inspector General). You should manage the patient’s transfer of care correctly as well as it must be medically acceptable (determination is made by the surgeon and the patient). Transfer of care is defined as a transfer of responsibility […]


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What Is The Prior Authorization Process?

The prior authorization process is seeking “approval from a health plan that may be required before you get a service or fill a prescription for the service or prescription to be covered by your plan”. Most often prior authorization (PA) and pre-authorization are used interchange However, most insurance companies will use the term “prior authorization” instead […]


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Chiropractic billing tips in 2021

Current Procedural Terminology codes are a set of codes published and maintained by the American Medical Association (AMA) for chiropractors and chiropractic billing specialists. Mistakes such as incorrect chiropractic CPT codes can lead to claim rejections and delays in payments and put your practice at risk for failure. Hence to avoid errors you should consider […]


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Oncologists should be prepared for E&M service changes in 2021

It is important for all oncologists to be prepared as significant changes to the Evaluation and Management (E&M) codes E/M are into effect from January 1, 2021. Components for code selection were narrowed down to make them more clinically intuitive and to reduce variation among contractors and payers. Elements of MDM affecting coding for an […]


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Improve Optometry Medical Billing Collections

An optometry practice has also the same agenda as other small businesses – you want to succeed. To achieve success in business is one that focuses on growing revenue while providing excellent experiences to their customers. Here, customers are patients. Improving optometry medical billing collections is a vital strategy to achieve financial stability. Suggestions to […]


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