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Device Value for Your ICD-10-PCS Code’s Sixth Character

If the procedure does not involve a device, then you will have to use the no device character value of “Z”. If you are to complete your 7th character ICD-10-PCS code, you have to know that your 6th...

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EM Compliance: Understand the Most Common Pitfalls Made in Tallying EM Levels

Clear all your EM doubts by joining an information-packed session – ‘Compliance Audit: 7 Top EM Errors That Trigger Paybacks’ by expert speaker Jennifer Godreau on July 24, 2014. Coding correctly for...

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Medicare Proposes to Reimburse for Chronic Care Management Services in 2015

The agency is proposing 41.92 payment rate for a CCM code that can be billed once a month for qualified patients while suggesting major global period changes. The 2015 Medicare Physician Fee Schedule...

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Modifier 22 Confusions? Learn Tips & Ways to Successfully Append the Modifier

The provider must put in at least 50 percent more time and effort than normal for you to append modifier 22. You might be right in appending modifier 22 (Increased procedural services) when your pain...

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Capture HPI Elements Correctly to Avoid Missing Out on High-Paying Opportunities

If the physician documents one of three HPI elements, then it’s taken as a brief HPI. If you are aware about the history of present illness (HPI) documented by your physician, you could miss out on...

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What Coding Changes to Expect in 2015 Physician Fee Schedule

Expect changes to Mammography, Behavior therapy, Epidurals, Colonoscopies, Prostate biopsies, Moderate sedation, and more. Blog.SuperCoder.com brings you the lowdown.   On July 7, 2014, CMS published...

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HCPCS 2014 Brings Two New Codes for Pain Management Effective July 1

The just-added HCPCS J and S codes will change the way you report some morphine and propofol administrations. The latest HCPCS code update that went into effect on July 1, 2014 is important for pain...

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Critical Burn Care Coding Guidance to Secure Correct Pay

For patients who present to the emergency department for burn treatment – in most cases you will need a separate E/M service over and above the treatment.   Burn coding and wound care coding is unique...

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OIG Targets Place of Service Errors – Yet Again!

Medicare audits have shown errors in place of service (POS) codes; so the OIG has placed it as a ‘Priority Area’ in its Work Plan once again. The place of service (POS) – also known as site of service...

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99407 with 99213 Requires Face-to-Face Counseling

Scenario: I’m getting denials while billing 99407 with 99213. Although I have used modifier 25 with 99213, it seems to be asking for a modifier for the 99407. How do I bill this? Moreover, I’m using...

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