Overview of Colonoscopy Coding

by | Dec 20, 2016 | Coding, Medical Record Auditing

Diagnostic Colonoscopy A diagnostic colonoscopy is a test performed as a result of an abnormal finding, sign, or symptom (such as diarrhea, abdominal pain, etc.). Factors for Consideration: Symptoms before the procedure such as a change in bowel habits, rectal...

Teaching Physician Guidelines

by | Dec 9, 2016 | Coding, Healthcare

Billing and documentation guidelines are not the same in all 50 states. A statement such as, “I saw and evaluated the patient. I agree with the resident’s documentation,” may be acceptable in some states, but in other states, the Medicare Administrative Contractor...

‘Tis the Season…For Proper Coding

by | Nov 21, 2016 | Coding

We’ve all seen cute memes on Facebook as we scroll through our timeline; “Bitten by A Vampire? There’s a code for that!” ICD-10 S10.87XA. “Overdose on turkey? There’s a code for that!” ICD-10 E70.5 or R63.2. “Grandma got run over by a reindeer? There’s a code for...

Ambulance and EMS Transport Coding

by | Nov 8, 2016 | Coding

The need for ambulatory services has seen an increase in recent years, and as a result ambulance transport claims have also risen. Payers generally cover ambulance services for patients whose medical condition is such that air transport is medically necessary. EMS...

ICD-10 Codes That Will Haunt You

by | Oct 31, 2016 | Coding, ICD-10

For a long time, ICD-10 was regarded as a nightmare for healthcare providers and their billing teams. The healthcare industry “woke up” and eventually embraced the reality of ICD-10, only to be faced with another monster; MACRA. This Halloween, we’re...

Chiropractic Billing Red Flags

by | Sep 30, 2016 | Coding, Fraud

All insurance payers are obligated to perform routine reviews of claims submitted by providers who operate under their plans. In recent years these claims examinations have gotten more rigorous, with antifraud initiatives being pushed by private health plans and those...