Month: March 2018

Incident-to Billing
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Incident-to Billing

March 29, 2018 Question: We have added a PA to the practice and want to make sure we are using him to the fullest capacity.  We were told that he can see Medicare patients and we can bill it under our physician and get paid at the full fee schedule rate.  Is this true? Answer:...

Vertical Electrodes Denials
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Vertical Electrodes Denials

March 29, 2018 Question: We are getting denials of 92547 (Use of vertical electrodes (List separately in addition to code for primary procedure)) when we bill it with 92585 (Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive).  What can we do to get paid on the electrodes? Answer:...

Coding for Paravertebral Blocks
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Coding for Paravertebral Blocks

March 29, 2018 Question: What are the codes 64461-64463 used for? Answer: These codes are used to treat acute and chronic pain which includes thoracic pain after mastectomy or multiple rib fractures.  The block (paravertebral or paraspinous) targets the intercostal and spinal nerves and branches.  CPT 64461 is used for a single injection and 64462...

Right Colectomy and Small Bowel Resection
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Right Colectomy and Small Bowel Resection

March 29, 2018 Question: The surgeon did a right colectomy and also documented a resection of the ileum. Is this billed separately as a small bowel resection? Answer: No. The resection of the ileum and anastomosis of the new end of the ileum (the neoterminal ileum) to the remaining colon (an ileocolostomy) is included in...

Anesthesia Related Codes in Orthopaedics
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Anesthesia Related Codes in Orthopaedics

March 29, 2018 Question: We have a question about codes in orthopaedics that include references about anesthesia.  Specifically, we are asking about CPT codes, 27093 and 27095.   If our surgeon injects a local anesthetic subcutaneously and into the hip joint prior to a hip arthrogram, is this with or without anesthesia?” Answer: Thanks for your...

Removal of Halo
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Removal of Halo

March 29, 2018 Question: One of my neurosurgeons saw a new patient in the office for evaluation of neck pain after an MVA.  The patient had a type III odontoid fracture and another provider, in a different state, placed a halo 2½ months ago.  My provider decided to remove the halo.  Can he bill for...

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Evidence Based Pricing Strategy for Plastic Surgeons — Winning the Price Wars

Aesthetic Society News – March 2018 by Karen Zupko, President One area of practice administration where most plastic surgery practices make poor decisions is in how and when to disconnect their fees. Surgeons make responsible decisions caring for patients using evidence-based medicine ― yet fail to apply evidence-based management principles when it comes pricing their...

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Workshop Attendees Share Best Practices to Increase Patient Collections

Articles Workshop Attendees Share Best Practices to Increase Patient Collections Amy Boyer AAOS Now – March 2018 Leverage technology and implement time-saving protocols After your employees, an orthopaedic surgery practice’s two most valuable resources are time and money. In the United States, nearly 40 percent of insured adults are on a high-deductible health plan (HDHP)....

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