ICD-10: Avoid These 3 Pulmonology Diagnosis Coding Myths

Myths lead to misdiagnoses — which can lead to chargebacks. You know that assigning the correct ICD-10 code is essential to your claim, but it’s possible that [...]

Posted on: 22 May 2017 | 4:05 am

Reader Question: This MAC Reveals How It Reviews Modifier 25 Claims

Question: Our office manager is always nervous when we submit a claim with modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care [...]

Posted on: 22 May 2017 | 4:05 am

Auditors Launch Nebulizer Claim Reviews

Follow these steps to stay on the right side of the auditors’ gaze. It’s never a pleasant notification when you hear that a RAC review is coming [...]

Posted on: 22 May 2017 | 4:05 am

The RACs Are Also Reviewing These Issues Applicable to Pulmonologists

Although nebulizers are the most pressing open RAC issues for pulmonology practices, these auditors have announced dozens of other review issues within the past two months as well, indicating that [...]

Posted on: 22 May 2017 | 4:05 am

Reader Question: Get the Lowdown for State Refund Amounts

Question: Two years ago, we saw a patient who came to our office for shortness of breath. Her insurer later wrote to us and said we had to refund an overpayment [...]

Posted on: 22 May 2017 | 4:05 am

Revenue Booster: Check These Tips for Reporting the 5 Most-Frequently Billed Pulmonology Codes

This lightning round will help you report these often-reported services. Many pulmonology practices are working to boost income at their offices, and one of the best ways [...]

Posted on: 22 May 2017 | 4:05 am

You Be the Coder: Tobacco Cessation Counseling Is Payable in Inpatient, Outpatient Settings

Question: Which Medicare patients qualify for tobacco cessation counseling? Supercoder.com Subscriber Answer: Medicare maintains very specific guidelines for codes 99406 (Smoking and tobacco use cessation counseling [...]

Posted on: 22 May 2017 | 4:05 am

Reader Question: Checking on Patient with Cancer Hx May not Qualify as Preventive

Question: We saw a 36-year-old female patient who had successful treatment of cancer of the right bronchus several years ago. She visited our office for testing to confirm that her lungs [...]

Posted on: 3 May 2017 | 12:05 am

Reader Question: Advance Care Planning Payment Has Strings Attached

Question: Our physician saw a patient for advance care planning and reported 99497 for the service. We waived the deductible and coinsurance per Medicare rules, but then our payer said that [...]

Posted on: 3 May 2017 | 12:05 am

Reader Question: Audits Go Far Beyond Medicare

Question: We recently got a letter asking us to submit some records for review. We don’t see Medicare patients and the letter is from Blue Cross Blue Shield. Is this a [...]

Posted on: 3 May 2017 | 12:05 am