Month: October 2018

Use These Tips for Team Bonuses
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Use These Tips for Team Bonuses

October 25, 2018 Everyone in an aesthetic practice plays an essential role in the sales process. A successful consultation process and outstanding patient experience require effort and the synchronization of your entire practice team. No one can “win” alone. We believe team bonuses are more effective at improving collaboration and performance than role-based bonuses. When...

9 Best Practices for Point of Service Collections
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9 Best Practices for Point of Service Collections

October 24, 2018 “Don’t worry, we’ll bill you after insurance pays.” For decades this mantra has summarized the collections culture in most practices. But, with high deductibles becoming more common, patient A/R is growing. And the longer it ages, the harder it is to collect. That’s why modern practices ask patients to pay their full...

Billing a Doppler with Carotid Endarterectomy
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Billing a Doppler with Carotid Endarterectomy

October 18, 2018 Question: I routinely do a Doppler ultrasound to assess flow after a carotid endarterectomy, code 35301 Can I bill for that study? Answer: No, checking to make sure blood flow has been adequately restored, is part of the procedure and not separately reported. *This response is based on the best information available...

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Femoral Nerve Block

October 18, 2018 Question: My physician has just started performing adductor canal continuous infusion pain blocks?  How do I code it? Answer: The correct CPT code is 64448 (Injection, anesthetic agent; femoral nerve, continuous infusion by catheter (including catheter placement) when a catheter is placed and infusion performed. *This response is based on the best...

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Trauma Laparotomy

October 18, 2018 Question: Is there a specific CPT code for trauma laparotomy? Answer: No. if an exploratory laparotomy is performed and no injuries are detected and repaired, Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) is coded. If the retroperitoneum is also explores code 49010 Exploration, retroperitoneal area with or without biopsy(s)...

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Vasospasm Treatment with Aneurysm Coiling

October 18, 2018 Question: Can you bill for treatment of vasospasm (61650) when also treating the same vascular territory you are doing an aneurysm coiling? Answer: It depends on why the vasospasm occurred and the length of time the medication was delivered.  If the vasospasm was an intraoperative complication and a bolus of medication was...

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Intralesional Injection

October 18, 2018 Question: If intralesional injections are performed multiple times to multiple lesions, are CPT codes 11900 and 11901 reported more than once?  Answer: No.  CPT codes 11900 (Intralesional injection up to and including 7 lesions) and 11901 (Intralesional injection more than 7 lesions) are reported by the number of lesions treated, not the...

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Maxillary “Enterostomies”

October 18, 2018 Question: I’m trying to find a code – can you help me please? I see this a lot – the note says “bilateral maxillary enterostomies” were performed.  What is the code? Answer: Oh good grief!  This is a transcription error. Please instruct the transcriptionist to use the term “antrostomy” instead. *This response...

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Indications for Surgery Paragraph

October 18, 2018 Question: I recently attended a coding course you taught and learned a lot – thank you! I will say though that I am slightly confused by one thing you said… a history in the op note? I have never put any history in an op note.   Where do you put any kind...

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New patient or not?

October 18, 2018 Question: One of our providers serves as a team physician for a local high school. I was wondering how to report services if he sees an athlete on the sideline for an injury and then the athlete is seen later for the same or a new problem by him or another member...

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