Month: June 2016


Spine Surgery Quandary: Posterior Lumbar Interbody Fusion

Healthcare Business Monthly – June 2016 by Kim Pollock, RN, MBA, CPC, CMDP When do you bill 63056-59 with 22633, rather than 63047-59? A common question among coders and spine surgeons is whether to bill 63056-59 with 22633, or 63047-59. The answer is complex, but CPT® and Medicare guidelines provide essential guidance. Read Full Article


The Revenue Engine that Could “Think You Can” by Refining the Revenue Cycle with the Right People, Processes, and Tools

Greenbranch – May/June 2013 Kim Pollock, RN, MBA, CPC Many physicians continue to wrestle with an economy-in-recovery and declining reimbursements. In this business climate, practices can’t afford reimbursement process mistakes and inefficiencies; they’re simply too expensive. Just a few denied surgical claims can cost a practice thousands of dollars. That’s the cost of the annual electronic...


Modifier 57: Decision for Surgery

June 9, 2016 Question: I saw a patient on a Friday and scheduled elective surgery for the following Monday. Do I need a 57 modifier on the E/M code I did on Friday? Answer: Modifier 57 is required on an E/M code that is the decision for surgery visit if the visit occurs the day...

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