Mythbusters: Bust These 4 Myths for Flawless E/M Reporting

Get philosophical with these HPI pointers. The guidelines are both lengthy and complex. So, it's no wonder that there are plenty of myths surrounding HPI and the [...]

Posted on: 20 December 2017 | 4:12 am

Reader Question: Code Routine Exam Based on Dx When Definitive

Question: When is it appropriate to code a routine child health exam “with abnormal findings?” For example, if our provider examines a patient with a pre-existing condition, can we document [...]

Posted on: 20 December 2017 | 4:12 am

You Be the Coder: Know These Numbers to Add Up Vaccine Reimbursement

Question: We have been getting numerous National Drug Code (NDC) denials for administering Fluzone®. I have double-checked that the NDC code on the side of the vials — 49281-417-88 — [...]

Posted on: 20 December 2017 | 4:12 am

Reader Question: Unbundle Separate Service During Global With This Modifier

Question: Our pediatrician recently removed a number of skin tags from one of our adolescent patients. Exactly a week later, the patient came back for an evaluation and management (E/M) [...]

Posted on: 20 December 2017 | 4:12 am

ICD-10-CM Coding: Ask These Questions for Clear Pink Eye Coding

Know cause, location to find the specific Dx. You know it as conjunctivitis, though it's more commonly known as pink eye. But it also goes by other [...]

Posted on: 20 December 2017 | 4:12 am

News You Can Use: Know How the 2018 PFS Will Impact Your Practice's Bottom Line

Your most-used codes and location could spell lower revenues. In November, the Centers for Medicare and Medicaid Services (CMS) released its annual revision of the Medicare physician [...]

Posted on: 20 December 2017 | 3:12 am

Procedure Coding: Follow This St(r)ep by Step Guide for Accurate Sore Throat Reporting

Go from test to dx to know your -itis. Sore throat. Strep throat. Pharyngitis. The terms are often confused and substituted for each other. But ICD-10-CM creates [...]

Posted on: 28 November 2017 | 2:11 am

Reader Question: Code These Rapid Tests Together? Not So Fast

Question: Our payer recently denied payment when we billed 87880 and 87804 for the same visit. We ran both codes through Correct Coding Initiative (CCI) edits but found no conflict. [...]

Posted on: 28 November 2017 | 2:11 am

You Be the Coder: Choreograph These Codes Correctly to Document Dance Injury

Question: A 15-year-old female patient came to our office after rolling her right foot during dance class. A prior visit to the emergency department (ED) confirmed that she had a [...]

Posted on: 28 November 2017 | 2:11 am

Coding Quiz Answers: Check Your Responses to Our Admissions Coding Quiz

Compare your answers to those of our experts. Answer 1: In this scenario, you can only bill for the hospital admission. So, you would bill [...]

Posted on: 28 November 2017 | 2:11 am