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| Articles by Gau Gan |
71. Answer Five Questions to Determine the Appropriate Trach Code
April 25, 2012
To alleviate confusion concerning coding for tracheostomies, answer the following questions to guide you to the correct procedural code.
(For tips on reporting related post-tracheostomy procedures and services, see Resolve Post-Tracheostomy Billing Issues With Three Questions"" in next mon...
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72. Acceptance of New Endoscopy Codes Will Increase Reimbursement
April 25, 2012
"CPT 2001 includes 14 new gastrointestinal endoscopy codes and several code revisions. The new code additions primarily reflect current endoscopic ultrasound (EUS) examination procedures, ultrasound-guided intramural or transmural fine needle aspiration (FNA)/biopsy procedures and stent ...
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73. A Surefire Strategy for Male Mammogram Claims
April 25, 2012
Hint: Don't rely on your diagnosis codes
While Medicare often covers diagnostic mammography for male patients with symptoms of breast cancer screening mammograms are another story. Your best bet is to have male patients sign an ABN before you perform a screening mammogram.
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74. 97014 vs 97032: Make Sure You Know How to Code Electrical Stimulation and Avoid Triggering an Audit
April 24, 2012
Tip: Report G0281-G0283 to Medicare for unattended stimulation
If your physiatrist performs attended electrical stimulation (97032) but you're reporting unattended electrical stimulation (97014) because you don’t want to attract the OIG’s attention your carrier may notice you bill d...
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75. 7 Tips to Boost ECG Payments
April 24, 2012
"Getting paid for electrocardiogram (ECG) interpretations can be challenging. Cardiologists should make sure they are using covered diagnosis codes and make separate billing arrangements with hospitals for the interpretations they perform to maximize reimbursement for the services provided, coding e...
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76. 6 Guidelines Point You to the Correct Complicated Ear Diagnoses
April 23, 2012
Report otomycosis' underlying disease, ICD-9 instructions indicate
When chart notes contain elusive terms, such as ear effusions"" and ""fungal otitis externa" " following ICD-9 Coding Conventions will keep you coding like an otolaryngology expert.
To submit th...
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77. 5 Examples Tie Diabetes Complications to ICD-9 Codes
April 23, 2012
Don't let coding for multiple conditions trip you up
Each time you choose a fourth digit for diabetes diagnosis code 250.xx you also need to select the appropriate code to identify the specific diabetic manifestation.
Although the ICD-9 manual lists several pos...
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78. 43235 Is the Key to EGD ‘Family' Coding Success
April 19, 2012
CMS has upped RVUs for several EGD codes
Do you know how frequently biopsies are performed with upper EGDs? Can you list all of the procedures included in the upper EGD family""? Become familiar with these common gastro codes to set your office up for future success.
CMS ...
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79. 3 Surefire Steps You Need to Avoid Tonsil/Adenoid Removal Miscodes
April 19, 2012
Secret: You can use 42820, 42821 as universal T&A codes
If you don't know when a patient's age and prior surgery status affect tonsillectomy and adenoidectomy coding, you could be choosing the wrong code or even unbundling procedures.
Step 1: Check the Patient's Age<...
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80. 3 Strategies Guide Your ‘Late Effects' Coding
April 19, 2012
If you're overlooking late effects when assigning ICD-9 codes you're providing incomplete information and possibly compromising your surgeon's reimbursement. Fortunately recognizing and reporting late effects can be simple when you know what to look for.
1. Link the Past an...
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Author: Gau Gan
