by Advize Admin | Nov 19, 2015 | Coding
The Centers for Medicare & Medicaid Services (CMS) released, Sept. 25, a proposed rule that will significantly revise the Medicare payment system for clinical diagnostic laboratory tests (CDLTs) and advanced diagnostic laboratory tests (ADLTs) paid under the...
by Advize Admin | Nov 5, 2015 | Coding
Your group just merged with another practice, are these considered patient’s new or established? With mergers and acquisitions so frequent in the healthcare industry, it’s important to be aware when faced with these issues and knowing what to do with your patients...
by Advize Admin | Oct 29, 2015 | Coding
Reasons (other than disease) for Services Chapter 18 Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) Patients often present with signs or symptoms that may point to several “working” diagnoses. These conditions are the...
by Advize Admin | Oct 27, 2015 | Coding, Healthcare
Modifier 25 Appropriate Use Modifier 25 indicates a “significant, separately identifiable evaluation & management (E&M) service by the same physician on the same day of the procedure or other therapeutic service.” Both services rendered must be significant,...
by Advize Admin | Oct 27, 2015 | Coding, Compliance
Does documentation of more than 50% of time spent counseling or coordinating care suffice for time documentation, and therefore E/M code level selection? Many will answer: YES Let’s take a peek at an often forgotten CMS rule “In general, to bill an E/M code, the...
by Advize Admin | Oct 13, 2015 | Coding, ICD-10
Although the transition to ICD-10 has been difficult, due to the large amount of codes that have been added with the implementation, coders are beginning to see how beneficial this transition will be in the future. Now that ICD-10 has officially been implemented for...
by Advize Admin | Oct 6, 2015 | Coding, ICD-10
ICD-10 is officially here and Advize Health has provided you with the top 10 ICD-10 tips when going through this transition! Be sure to keep these tips in mind when facing this implementation and learning to transition from ICD-9 to ICD-10. Download...
by Advize Admin | Oct 2, 2015 | Coding, Healthcare, ICD-10
This is an actual experience from one of our Advize Health employees. This morning I went to the doctor’s office and the entire mood of the office was different. The staff including the nurses, doctors, and PA’s was panicking and many of them appeared to be upset. Why...
by Advize Admin | Sep 28, 2015 | Coding, Healthcare
How are eye exam codes defined? CPT includes four codes that specifically describe eye exams: 92002: Medical exam and evaluation with initiation of diagnostic and treatment program; intermediate, new patient. 92004: Medical exam and evaluation with initiation of...
by Advize Admin | Sep 17, 2015 | Coding, ICD-10
On July 31st, 2014, the U.S. Department of Health and Human Services (HHS) issued a rule finalizing Oct.1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the...
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