Month: September 2016


Is It Co-surgery or Not?

I was asked by a urologist to clear a vena cava thrombus during his patient’s nephrectomy for a malignancy. I was able to dissect the malignancy from the vena cava without any reconstruction. I think I should bill for my work separately from the urologist. My coders disagree. How is this billed?


11 Ways to Reduce Employee Embezzlement

Aesthetic Society News – Fall 2016 by Karen Zupko Physicians are easy targets for employee theft. A Medical Group Management Association (MGMA) survey revealed that 83 percent of practices have experienced from $250 – $250,000 in employee theft. Given the cash-based nature of aestheticsurgery, your practice is at even great risk than other specialties. Use these...


Are CMS and Other Payers Requiring –X{EPSU} Modifiers?

Commonly Asked Coding Questions – September 2016 by Sarah Wiskerchen, MBA, CPC  Q: Are the Centers for Medicare & Medicaid Services (CMS) and other payers requiring use of –X{EPSU} modifiers? A: Although the four –X{EPSU} modifiers were initiated by CMS, they have also been part of the Common Procedural Terminology (CPT) manual since 2015. These four...


Setting Up Your New Physician for Success

The American Journal of Orthopedics – September/October 2016 by Cheryl Toth, MBA Practices and hospitals invest significant time and money in recruiting a new physician. From phone interviews to site visits to contract negotiations, it’s a long and involved process. Beyond setting up a new physician’s office and appointment schedule, completing human resources paperwork, and...

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