Month: July 2019

Simple Tips for Taking Control of Patient Receivables - Blog
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Simple Tips for Taking Control of Patient Receivables

July 24, 2019 As a result of high deductible health plans, practices have seen their patient receivables skyrocket over the last few years. Collecting unmet deductibles, coinsurance, and non-covered services amounts at the end of each office visit and prior to surgery are essential steps to keeping patient receivable in check. Keeping on top of...

Make Sure Your Documentation Meets Guidelines
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Make Sure Your Documentation Meets Guidelines

July 17, 2019 I’m sure you’ve heard the saying, “if it isn’t documented, then it wasn’t done.” As a young graduate nurse, I learned this the hard way. I’ll never forget when a surgery intern complained to my Head Nurse (as they were called in those days), at 7:20 am after my shift started at...

Essential Elements of a Velvet Rope Event
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Essential Elements of a Velvet Rope Event

July 16, 2019 General information and “open house” events have become passé. Valentine’s Day and holiday parties are predictable. Your patients have been there, done that. We believe practices can stand out by hosting unique events that are offered to a small and select group of patients and their friends. These velvet rope events are...

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Seven Common Questions in Foot and Ankle Coding

AAOS Now – July 2019  by Sarah Wiskerchen A previous article published in AAOS Now (“How to Avoid Common Mistakes When Coding Hand Procedures,” March 2019) identified common coding issues for hand procedures. This article presents seven coding conundrums and frequently asked questions pertaining to foot and ankle procedures. Download Full Article

Incident-To Billing
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Incident-To Billing

July 11, 2019 Question: Our physicians have instructed us to bill under a physician’s NPI number for all Advanced Practitioners (PAs and NPs) for all patients for Medicare as we follow incident-to billing.  We have been submitting claims for all new and established patient visits regardless of whether there is a physician in the office. ...

Confirmation Pathology Report
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Confirmation Pathology Report

July 11, 2019 Question: Can we perform Mohs surgery without a pathology report? Answer: If you review CMS and other payor policies they all require a recent pathology report usually no more than 3 months old confirming the malignancy prior to performing Mohs surgery. *This response is based on the best information available as of...

Adjacent Tissue Transfer
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Adjacent Tissue Transfer

July 11, 2019 Question: If our docs perform two adjacent tissue transfers on two separate lesions in the same anatomic group by CPT standards, do we add the ATTs together and report one code like with the repair codes? Answer: No, if two lesions from the same anatomic group are removed and both require separate...

Billing Diagnostic Angiograms with an Intervention
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Billing Diagnostic Angiograms with an Intervention

July 11, 2019 Question: When are diagnostic angiograms and an intervention (angioplasty, stent, etc) both billable? Answer: Diagnostic angiograms are separately billable during an intervention if no adequate, prior adequate angiogram exists. Code diagnostic angiograms only if: no previous angiogram is available, the prior angiogram is not adequate to diagnose the disease, or the patient’s...

Billing for Hospital NP/PA Consults
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Billing for Hospital NP/PA Consults

July 11, 2019 Question: I heard you speak at the recent AANS coding course – you were awesome and the course was fantastic…everyone should go.  The surgeon I work with has a question regarding billing. Some of the hospitals in the area have a Nurse Practitioner or Physician Assistant on staff that see Neurosurgery consults...

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