CPT Defines critical care as the direct delivery, by a physician(s) or other qualified health care professional, of medical care for a critically...
Coding Articles
CPT 2016 Updates Recap
New Year, New CPT Codes! CPT’s New Year's Resolution isn't to trim the fat, in fact, it's expanding! New codes are being added for a variety of...
The 5 Most Common HEDIS Hurdles
Health plans that want to "do" HEDIS should anticipate its common stumbling blocks — and take steps to overcome them. The following are some key...
Auditing Claims Data: What Can The Data Tell You?
There are many techniques to extracting data that can range from reviewing claim line billing data to actual medical record reviews. Relying...
How to Use Taxonomy Code Correctly
Providers with a Primary and Secondary Specialty National Government Services Every healthcare provider has at least one taxonomy code that...
The Top 3 Things to Remember When Coding for Wound Repairs
Wound repairs require determining three separate components before selecting the appropriate CPT code: Layer – What is the depth/complexity of the...
Top 5 Reasons Practicing Yoga Helps Coders to be More Successful
As we all know, medical coding can be a fast-paced, high-intensity job, and with that comes high stress. A typical coder has a bulky workload and...
CMS Proposed Rule: New Reporting Requirements for Labs
The Centers for Medicare & Medicaid Services (CMS) released, Sept. 25, a proposed rule that will significantly revise the Medicare payment...
New Patient or Not?
Your group just merged with another practice, are these considered patient’s new or established? With mergers and acquisitions so frequent in the...
Enlight-10-ment: November
Reasons (other than disease) for Services Chapter 18 Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified...
Importance and Usage of Modifier 25
Modifier 25 Appropriate Use Modifier 25 indicates a “significant, separately identifiable evaluation & management (E&M) service by the...
ER Upcoding Rules & Regulations To Be Aware Of
Does documentation of more than 50% of time spent counseling or coordinating care suffice for time documentation, and therefore E/M code level...
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