Compliance: 3 Recent Cases Show Pulmonology Fraud Vulnerabilities

Secure your practice’s compliance plan to ensure audit success. Between Medicare, Medicaid, and HIPAA, auditors are stepping up their reviews of medical practices nationwide, prompting pulmonology practices [...]

Posted on: 20 July 2017 | 1:07 am

You Be the Coder: Get the 411 on V/Q Study Coding

Question: Our physician documented a “V/Q study.” What is this and which code applies to it? We didn’t see anything in CPT® about it. Supercoder.com Subscriber

Posted on: 20 July 2017 | 1:07 am

Reader Question: Know How Many Dx Codes to Bill

Question: Must we report the ICD-10 codes for all the current conditions that the patient has regardless of whether they are managed or treated during the observation stay? Do we only [...]

Posted on: 20 July 2017 | 1:07 am

Reader Question: Get the Scoop on Pulmonary Rehab Coding

Question: We reported G0424 (Pulmonary rehabilitation, including exercise [includes monitoring], one hour, per session, up to two sessions per day) for a COPD patient and it got denied. The patient’s COPD [...]

Posted on: 20 July 2017 | 1:07 am

ICD-10-CM: Breaking: You'll Find Updates for COPD, Asthma Coding on Oct. 1

CMS has released the finalized list of 2018 diagnosis codes. Pulmonology coders hoping to benefit from new ICD-10 codes this fall will be pleased to see that [...]

Posted on: 20 July 2017 | 1:07 am

Advance Beneficiary Notices: CMS's Recent ABN Update Makes This A Good Time to Brush up on Skills

The new form went into effect June 21 — how is your ABN IQ? With CMS updating the Advanced Beneficiary Notice (ABN) forms recently, it’s an excellent [...]

Posted on: 20 July 2017 | 1:07 am

Reader Question: Nail Down Chest PT Codes

Question: A patient with cystic fibrosis received chest physical therapy in the office, and the pulmonologist demonstrated breathing control, percussion, and vibration techniques to the patient. The patient’s mother performed the [...]

Posted on: 21 June 2017 | 5:06 am

Reader Question: Spirometry Must Be Supported With Specific ICD-10 Codes

Question: We performed spirometry and the doctor wrote that it was for “chronic bronchitis,” but we don’t see that listed on our payer’s local coverage determination. Can you advise what we [...]

Posted on: 21 June 2017 | 5:06 am

Reader Question: Be Ready to Answer EOB Questions

Question: One of our patients called the other day and asked us several questions about an explanation of benefits (EOB) she had recently received. She said it “looks like a bill.” [...]

Posted on: 21 June 2017 | 5:06 am

Reader Question: Some Payers Will Reimburse Consults

Question: We saw a 55-year-old new patient who has been smoking for 30 years. She was referred for consult by her GP after experiencing frequent shortness of breath. The pulmonologist performed [...]

Posted on: 21 June 2017 | 5:06 am