Month: October 2017

Billing “Incident-to”
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Billing “Incident-to”

October 5, 2017 Question: Whose NPI number do we bill under when a PA sees the patient in the office under the “Incident-to” rules for Medicare?  We bill under the NPI number of the physician who is assigned to the PA.  Is that correct? Answer: No, when billing “Incident-to,” bill under the NPI number of...

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Thrombectomy in the Dialysis Circuit

October 5, 2017 Question: If thrombectomy is performed once in the peripheral segment and once in the central segment of the dialysis circuit, can code 36904 be reported twice? Answer: Code 36904 is reported once, no matter how many times thrombectomy is performed in the peripheral and/or central segment. *This response is based on the...

Abdominal Fat Graft
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Abdominal Fat Graft

October 5, 2017 Question: I billed 15770 (Graft; derma-fat-fascia) for an abdominal fat graft.  After reviewing my operative report, the insurance company denied the code saying it was wrong.  What code should I use? Answer: CPT 15770 is a composite graft meaning more all layers – dermis, fat and fascia – are used to repair...

Billing for Pre-Op H&P Visit
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Billing for Pre-Op H&P Visit

October 5, 2017 Question: Hospitals require that we do an H&P within 30 days of taking a patient to the OR. If this visit is more than 48 hours prior to surgery, is that a billable visit? Answer: No, the H&P in this case is not a billable visit. This question comes up often and...

Abdominal Fat Graft
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Abdominal Fat Graft

October 5, 2017 Question: I billed 15770 (Graft; derma-fat-fascia) for an abdominal fat graft.  After reviewing my operative report, the insurance company denied the code saying it was wrong.  What code should I use? Answer: CPT 15770 is a composite graft meaning more all layers – dermis, fat and fascia – are used to repair...

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Medical Imaging and HIPAA Compliance

Medical Imaging and HIPAA Compliance  AAOS Now – October 2017 By: Michael R. Marks, MD, MBA What orthopaedic surgeons need to know Last month, I coauthored an article on Health Insurance Portability and Accountability Act (HIPAA) compliance that offered tips on how orthopaedic practices can keep their patients’ information safe (see “Top 10 HIPAA Mistakes...

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Going From Free to Fee Consultations. Yes, You Can. Here’s How.

Aesthetic Society News – Fall 2017 by Karen Zupko, President To charge or not to charge? That is the question many aesthetic surgeons and their staff ask about paid consultation fees. Some are concerned that if they charge, patients will schedule with a free “cosmetic surgeon” across town. Others use the excuse, “Everyone else is...

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Practice Management: Unique Selling Points

Practice Management: Unique Selling Points MedEsthetics – October 2017 by Karen Zupko, President Help your practice stand out by recognizing what makes it unique in the marketplace. “The doctor is board certified.” This is the answer I hear most often when I ask a new practice manager what makes her practice unique or special. While...

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Avoid These Five Reasons that Front-Desk Collections Fail

Avoid These Five Reasons that Front-Desk Collections Fail Healio ⋅ Orthopedics Today – October 2017 by Karen Zupko, President With the number of patients who have high-deductible health plans that are climbing even higher, many practices are moving toward an up-front, point-of-service collections model. Our firm has advocated this for decades. When front-desk collections are...

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