Within the guidelines of the CPT code book, CPT has stated; “When counseling and/or coordination of care dominates (more than 50%) the physician/patient and/or family encounter (face-to-face time in the office or other outpatient setting or floor/unit time in the hospital or nursing facility), then time may be considered the key or controlling factor to […]
Pre-operative evaluation and testing services may not be covered under Medicare. Primary care physicians are often asked to evaluate a patient prior to surgery at the request of the surgeon. Patients at an advanced age and those with significant medical problems face increased risk for surgical morbidity and mortality, and preoperative evaluation will depend on […]
Matching CPT code with an ICD 10 code, this would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc. Modifiers will clarify extenuating circumstances, which should allow for payment when they otherwise may not. […]
Osteoporosis is a bone disease that involves abnormal loss of bony tissue resulting in fragile or porous bones. Without appropriate treatment, osteoporosis can worsen. As bones get weaker and thinner, the potential risk for fractures increases. Documentation is very important and physicians must ensure timely medical documentation to ensure appropriate treatment for these patients. Medical […]
The modifier 58 is defined by CPT as “staged or related procedure or service by the same physician during the post-operative period.” It may be necessary to indicate that the performance of a procedure or service during the postoperative period was a) planned or anticipated (staged); b) more extensive than the original procedure, or c) […]
Patient no-show is a recurring problem for any medical practice or healthcare facility. As per the recent study, no-show rates in an outpatient setting can range between 22 percent and 35 percent, resulting in a loss of 15 percent of anticipated daily revenue. In terms of dollars, patient no-show can cost individual physicians as much […]
A modifier should never be used just to get higher reimbursement or to get paid for a procedure that will otherwise be bundled with another code. Modifier 59 describes a distinct procedural service and is used to identify procedures and services that are not normally reported together. For example, it should be used when coding […]
Medicare has come up with a new revelation this time. It is taking steps to remove Social Security numbers from Medicare cards. A health care providers also are any provider from whom the employee’s group health plan will accept medical certification to substantiate a claim for benefits. The initiative from Medicare, the Centers for Medicare […]
Optometric Practice in the nursing home setting is not always very glamorous; however, there are many reasons optometrists might want to consider adding this specialty to their practice arsenal due to tremendous need. This is a common question among new grads due to the changing landscape of healthcare along with the disruptive forces and entities […]
The basics of ASC Coding And Billing aren’t hard to master, but they do differ from physician and facility requirements. The following overview will help you know what’s most important in the ASC setting. ASCs use a combination of hospital and physician billing. Although ASCs use CPT and HCPCS Level II codes to bill most of […]
Connect with us by filling out this form. Let’s tailor a
solution that fits your needs perfectly.
Specialities
Services
Resource Center
Pricing
About
Contact
