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| Articles by James Smith |
531. Be Prepared To Code 'Other' and 'Unspecified' Hyperlipidemia Separately
March 18, 2011
There are chances that high cholesterol will still be a challenge for your patients in 2013 when ICD-10 goes into effect. Here's how coding for this and similar diagnoses compares between ICD-9 and ICD-10.
ICD-10 has a one-to-one match with ICD-9 for pure hypercholesterolemia (272.0, E78....
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532. 47490 Revision Shakes up Your Cholecystostomy Coding
March 18, 2011
47490 joined the ranks of "complete" interventional codes this year. This means the encounter requires just one code to represent the procedure and related radiology services. Read on for vital information on why CPT created this code and how you are expected to use it.
Take a look at ...
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533. You Should Know When You Can Use Modifier 62
March 17, 2011
Remember that all CPT code is not eligible for reimbursement with a co-surgeon. Find out when you can use modifier 62 (Two surgeons) by looking to column AB in the Excel version of the 2011 Fee Schedule database, available for download at www.cm...
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534. Mild Coding: Turning to 63030, 63047 Could Trip You Up
March 17, 2011
Properly reporting minimally invasive lumbar decompression (MILD) procedures with open and endoscopic techniques just got a bit easier. Follow this scenario and coding advice when your neurosurgeon performs a MILD.
Scenario: Through a small incision and using fluoroscopic guidance, the su...
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535. Simple Risk Analysis to Keep HIPAA Concerns at Bay
March 17, 2011
In today's hectic times, HIPAA compliance is certainly a priority. Take a look at the fines associated with ‘willful neglect' HIPAA violations, a category that went into effect on February 17 to gauge its importance.
If the Department of Health and Human Services determines a willful neg...
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536. Figure Out If Your Providers Meet Signature Requirements on Their Charts
March 17, 2011
Here are answers to two common questions to help ensure you're on the right track.
Handwritten & electronic could pass muster
Some of our doctors use handwritten signatures on their charts and others prefer electronic signatures. How do you go about in this situation...
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537. Eye Infection, Strep Diagnoses Post ICD-10
March 15, 2011
When ICD-10 goes into effect, you will have to gear up for changes across the board as far as diagnosis coding is concerned. Many a time, you will have more choices that may need changing the way you document services and a coder reports it. Take a look at the following examples of how ICD-10 wil...
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538. Hold vaccine claims or submit them now?
March 15, 2011
You should contact the provider relations department directly if your insurer has not said a peep about whether it'll accept the new vaccine administration codes 90460-90461.
If you want to find out which payers are reimbursing for vaccines, get in touch with all of the payers with whom y...
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539. Successful Internal Audits are Certainly Doable
March 15, 2011
What does proper scheduling and scrutinizing documentation have to do with your achievement?
Self audit's a process. Prior to jumping in and taking on the job, you need to gear yourself and your staff for it. As you most likely know, government payers are not the only insurers who carry o...
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540. Now Modifier GZ Denials Will Arrive Faster
March 14, 2011
Many a time, when Medicare payers process denials in a speedy manner, it's bad news for your practice. However, when you are using modifier GZ, you are already anticipating a denial. CMS has made that happen faster with a new regulation indicating that all claims with modifier GZ added will be denie...
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Author: James Smith
