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...
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