Scenario: A patient comes into an orthopedic office for an injury that has persisted for 5 months. Should your claim
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Understand the Shoulder Joint Structure Concepts to Ace Surgical Coding
Making costly coding mistakes when reporting shoulder surgical procedures is, sadly, rather easy. After all, you have a whole host
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Use New ICD-10 & CPT Codes for Breast Procedures
From differentiating between biopsy and partial mastectomy to reporting image-guided biopsies, including placement of radiological markers, coding for breast procedures
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Understand the 3 Distinct Billing Options for NPP Services
The use of non-physician practitioners (NPPs) in all healthcare settings is rising rapidly. But, unfortunately, many providers are billing for
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How to Ease Your Out-of-Network Billing Headaches
Billing as an out-of-network provider poses unique challenges and obstacles to getting the reimbursement you deserve. Don’t let insurance companies
...Continue readingLocum Tenens: When You Can (And Cannot) Use Modifier Q6
If you’re not using modifier Q6 correctly, you could be leaving thousands of dollars or more on the table. This
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Beware of 3 Common E/M-Related Claims Denials in Urology
Whether you’re new at coding or an experienced coder, you face a great risk of falling into certain evaluation and
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Don’t Let 22853/22854 Coding Changes Throw a Wrench in Your Spinal Instrumentation Reporting
Coding spinal fusions is confusing enough, but coding them when the surgeon used spinal instrumentation is even more perplexing. And
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Look Closely: Tips & Tricks to Differentiate Between Gynecological Procedures
Think fast: how quickly can you name the different components of hysterectomy, hysteroscopy, and laparoscopy services? Chances are coding for
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The Centers for Medicare and Medicaid Services (CMS) recently issued a revision to the Medicare manual that everyone should be
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