Month: May 2018

Proception
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Proception

Products Proception ProceptionTM assesses how an individual solves problems and meets challenges, goes about influencing other people, and how he or she responds to the pace of the environment and rules and regulations set by others. Staff members respond to the Style Analysis questionnaire; then ProceptionTM interprets these results through a detailed individual report. The report has broad applications for...

E/M Profile Analyzer
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E/M Profile Analyzer

Products E/M Profile Analyzer Identify Audit Risk and Revenue Opportunity KZA’s E/M Profile Analyzer uses CMS’ most recently published claims database to compare E/M coding patterns against state and national figures for a number of specialties. In addition to the easy-to-use graphical output, the product boasts a Dollar Risk/Opportunity worksheet using your specific locality and carrier...

Select
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Select

Products Select Pre-Employment Screening Can Improve Decision-Making Select is an efficient, cost-effective screening tool that provides objective information about a potential employee, and can also create an objective comparison between candidates during the hiring process. Select measures:  Productive Attitude: a positive expectation about people, the company and work-related outcomes. Energy: activity level and stamina. Frustration...

Soft Tissue Tumors
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Soft Tissue Tumors

May 17, 2018 Question: I performed a soft tissue tumor of the neck 5cm with an intermediate repair on a Medicare patient.  I coded 21552 and 12042 for the repair. The claim for the repair was denied.  I am not certain why the repair was not paid.  I performed the procedure. Can I file an...

Carotid Stenting and Diagnostic Angiograms
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Carotid Stenting and Diagnostic Angiograms

May 17, 2018 Question: I was told that no diagnostic angiogram can be billed with a carotid stent. Is this true? Answer: Not exactly! Any carotid angiograms on the ipsilateral (same) side are included in a carotid stent procedure. Medically necessary diagnostic carotid stenting on the contralateral side and vertebral angiography on either side are...

Post-op T&A / Path Report Review
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Post-op T&A / Path Report Review

May 17, 2018 Question: I saw a patient 6 weeks post-op T&A and went over the path report with mom – it showed “acute on chronic tonsillitis”. Can I bill for the visit with modifier 24 because we discussed the path report? Answer: No. This service would be considered related to the procedure and not...

Reimbursement Effect of Modifier 79?
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Reimbursement Effect of Modifier 79?

May 17, 2018  Question: If I do a lesion excision with intermediate repair and the patient returns one week later for another lesion excision with repair, my staff tells me I need modifier 79 on the codes to get paid?  Is this true, and will it affect my payment? Answer: You do need to append...

Thoracolumbar Spinal Abscess
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Thoracolumbar Spinal Abscess

May 17, 2018 Question: Our surgeon returned a patient to the OR for an I&D of a subfascial abscess after a spinal fusion from T2-S1; the abscess involved T10-L5. Our question is do we report CPT code 22010 and 22015? Answer: Thanks for your inquiry. The correct code is CPT code is CPT code 22015...

Steroid Injection
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Steroid Injection

May 17, 2018 Question: How do I code a left hip intraarticular steroid injection under fluoroscopic guidance? Answer: You would report CPT 20610 (Arthrocentesis, aspiration and/or injection, major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa); without ultrasound guidance) for the injection and CPT 77002 for the fluoroscopic guidance which can be reported in...

Billing Vertebral Angiograms
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Billing Vertebral Angiograms

May 17, 2018 Question: Do I have to have the catheter is the vertebral artery to bill a vertebral angiogram? Answer: Not necessarily.  See the code descriptions below for vertebral imaging.  If the catheter is selectively placed in the subclavian or innominate artery and vertebral circulation is imaged and documented, code 36225 is reported. If...

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