Heed These In-House Moderate Sedation Changes

What you need to know about tracking intraservice work. New moderate sedation codes have been effective since on Jan. 1, and unless you’re clear on what constitutes [...]

Posted on: 14 April 2017 | 4:04 am

You Be the Expert: Scrutinize Diagnosis for At-Home Spirometry

Question: One of our patients has unstable bronchospasms due to emphysema and therefore performs at-home spirometry once a month. The data is transmitted to our pulmonologist and he evaluates her condition. [...]

Posted on: 14 April 2017 | 4:04 am

Reader Question: Doctors, Billers Aren't Communicating? Make It Happen

Question: As the office manager in my practice, I am often stuck in the middle between the physicians and the billers, but I’m having trouble getting them to connect personally. For [...]

Posted on: 14 April 2017 | 4:04 am

Get the Most Out of MIPS in 2017 for Your Pulmonology Billing

This guide to MIPS reporting and pulmonology-specific Quality Measures will maximize your 2019 reimbursement bonus CMS’ Merit-based Incentive Payment System (MIPS) is one of the single largest [...]

Posted on: 14 April 2017 | 4:04 am

Reader Question: Don't Expect Bilateral Bronchosopy Payment

Question: Our pulmonologist performed bronchioloalveolar biopsy of the left upper lobe in the anterior subsegment and also in the left upper lobe in the posterior subsegment. He wants us to code [...]

Posted on: 14 April 2017 | 4:04 am

Reader Question: 99211 Isn't All-Encompassing

Question: A patient presented to our office for a chest x-ray, but before the doctor interpreted it and gave her the results, the patient got an urgent phone call and had [...]

Posted on: 14 April 2017 | 4:04 am

Want to Increase Your Profitability? How Benchmarks Can Help

Experts offer 9 benchmarks to measure your practice’s financial health. Is your physician practice as profitable as it can be? You can begin to answer this [...]

Posted on: 14 April 2017 | 4:04 am

Reader Question: Go By Documentation to Get Accurate Laryngoscopy Code

Question: The provider removed a foreign body in the throat using the laryngoscope. As there are different foreign body removal codes for services during a laryngoscopy, could you please guide which [...]

Posted on: 17 March 2017 | 2:03 am

Reader Question: Know Your Smoking Cessation Codes

Question: A smoker for 20 years, with breathing problems, came to the provider. The provider performed an E/M service, followed by which the NPP administered smoking cessation counseling to the patient [...]

Posted on: 17 March 2017 | 2:03 am

Reader Question: Can You Freeze the Code for Influenza Prior to Investigations?

Question: A 50-year-old female patient complains of flu-like symptoms. The provider examines her and suspects avian influenza. As the provider has not yet confirmed the diagnosis, is it possible to report [...]

Posted on: 17 March 2017 | 2:03 am