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Wound Care Coding

Wound Care Coding SCCM Critical Connections – December 2018  by Deborah Grider The wound care (97597-97598) and debridement codes (11042-11047) are used for debridement of wounds that are intended to heal by secondary intention. Some conditions that support medical necessity include infections, chronic venous ulcers, and diabetic ulcers, to name a few. Many insurance carriers, including...

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5 Tips for Analyzing if Ancillaries Yield Profits

5 Tips for Analyzing if Ancillaries Yield Profits Physicians Practice – Oct 10, 2018 by Cheyenne Brinson, MBA, CPA Many practices assume their ancillaries are profitable, yet often lack the systems needed to conduct a proper analysis. Here are five tips for analyzing if ancillaries are yielding promised profits. 1. Set up ancillaries as cost centers on...

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Scientific Analysis for Medical Liability Claims

Scientific Analysis for Medical Liability Claims AAOSNow – December 2018  by Michael Marks, MD In orthopaedics, as in much of medicine, improvements in patient care are achieved when processes are developed to analyze outcomes. Medical professional liability (MPL) claims can serve as lagging indicators or signals of serious problems in the delivery of care. Medical liability...

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Is Your Practice Optimizing Coding Resources?

Is Your Practice Optimizing Coding Resources? AAOSNow – December 2018  by Sarah Wiskerchen If not, you may be at risk for claim denials or lost revenue Is your billing team or third-party billing service using the right resources, rules, and guidelines when assembling claims and managing denials? When substantiating coding or appealing claims, you must base...

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Take A Bite Out of the No-Show Rate

Orthopaedics today — November 2018 by Karen Zupko, President More than half of the orthopedic practices that responded to the KarenZupko & Associates Inc. 2018 American Academy of Orthopaedic Surgeons coding and reimbursement workshop pre-course survey (54%) said that no-shows are a “problem” in their offices. That is up from 38% in 2017 and 43%...

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Answers to Five Common Coding Questions

Answers to Five Common Coding Questions AAOS Now – October 2018 by Margaret M. Maley, BSN, MS and Sarah Wiskerchen What orthopaedic surgeons, practice managers, and staff want to know In this article, we discuss five concerns from surgeons and their staff that are currently “trending.” 1. Vendor advice = a flashing yellow light Question: Our orthopaedic...

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Are Online Coding Discussions Putting Your Practice at Risk?

Are Online Coding Discussions Putting Your Practice at Risk? Medical Office Manager – October 2018 by Cheryl Toth, MBA Here’s an email we recently saw while monitoring a specialty coding listserv: Subject: Acromioplasty and hardware removal with total shoulder arthroplasty Hello All, We have a surgeon that says I am not an aggressive coder because I...

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2019 CPT® Coding for Skin Biopsies

2019 CPT® Coding for Skin Biopsies ICD10 Monitor – September 2018 by Deborah Grider, CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP Skin biopsy codes are changing. EDITOR’S NOTE: This is the second installment in a two-part series on the 2019 CPT® codes released recently by the American Medical Association. For many years we have used two...

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AMA Releases 2019 CPT® Code Set

AMA Releases 2019 CPT® Code Set ICD10 Monitor – September 2018 by Deborah Grider, CPC, COC, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP New code changes number 335. The new current procedural terminology (CPT®) codes have been released with 335 code changes in 2019.  There were many code revisions with guideline, description and instructional note changes.   Let’s look...

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