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Articles by Gau Gan |
61. Optimize Billing for Aspiration and Bone or Bone-marrow Biopsy Services
April 30, 2012
"Some of the confusion regarding appropriate coding for various bone sampling and evaluation procedures is removed when coders understand the difference between bone-marrow aspiration, bone-marrow biopsy and bone biopsy in terms of indications, procedures and types of specimen procured. Additionally...
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62. Billing Tips for Non-Physician Surgical Assists
April 27, 2012
"As a follow-up to our March article on coding for more than one surgeon, this article will assist the growing number of ob/gyn practices using or contemplating the use of nurse practitioners (NP), certified nurse midwives (CNM) or physician assistants (PA) to provide first assists in surgery. First...
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63. Bill US Mammogram After Clip Placement Once in a Blue Moon
April 27, 2012
Confusion over the guidelines for coding mammograms following breast biopsies creates enough of a ruckus to make you think New Year's bells are still clanging in your ears.
If a breast biopsy was performed with US guidance, many people are unsure whether you will be allowed to code and bill...
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64. Bill Fluoroscopy for SI Injections With No Arthrography
April 27, 2012
Although many insurers argue that fluoroscopy should not be billed separately from injection procedures, there are circumstances when PM&R practices should appeal denials and fight for their rightful fluoroscopy reimbursement.
Fluoroscopic guidance (76000-76005) is a must for many pain mana...
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65. Bill 76872 With a Different Diagnosis Code When 76942 and 55700 are Performed on Same Day
April 27, 2012
"Some payers deny full reimbursement when a transrectal ultrasound is performed the same day as ultrasound for a needle biopsy and a biopsy of the prostate. Urologists are discovering that some carriers reject the transrectal ultrasound (76872, echography, transrectal) when billed with the other two...
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66. Best Ways To Coordinate Benefits From Multiple Insurers
April 26, 2012
" Practices can maximize reimbursement and reduce the costs of administering claims for patients covered by more than one insurer -- such as those whose employers and spouse's employers both provide health benefits -- if they understand coordination of benefits (COB) and how both insurers are suppos...
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67. Avoid Fraud Fundus Photography and Fluorescein Angiography Need Two Separate Reports
April 26, 2012
"Many ophthalmologists feel its necessary to perform 92250 (fundus photography with interpretation and report) and 92235 (fluorescein angiography [includes multiframe imaging] with interpretation and report) together. As the descriptors indicate, both codes include an interpretation and report. But ...
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68. Avert Improper Denials for Interpretation of Pap Smears
April 26, 2012
Some pathologists are getting claim denials for interpretation of abnormal Pap smears (e.g., 88141) when a physician does not bill Pap test (e.g., 88164) as well. Dennis Padget, CPA, FHFMA, president of Padget & Associates, a pathology and laboratory financial consulting firm in Simpsonville,...
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69. Auditor's Worksheet Designed to Help, Not Hamper E/M Coding
April 26, 2012
The Marshfield Clinic Auditor's Worksheet can help you avoid evaluation and management coding pitfalls, but you have to work around the worksheet's own hidden traps before E/M coding becomes just a walk in t...
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70. Are You Confused by Infectious Agent Antigen Coding?
April 25, 2012
With over 120 infectious agent antigen detection codes to choose from you need some guiding principles to help you select the right one. Listed from 87260 to 87904 of the microbiology section these codes describe lab tests that indicate patient infection with specific organism(s). To find the right ...
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