Category: Articles

Post

How to Avoid Common Mistakes When Coding Hand Procedures

How to Avoid Common Mistakes When Coding Hand Procedures AAOSNow – March 2019  by Sarah Wiskerchen and Raymond Janevicius, MD Billing for hand procedures is among the most complex types of orthopaedic coding. Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. Lack of specificity in documentation of tendon...

Post

Assess Whether Acquisition Makes Sense for Your Practice

Assess Whether Acquisition Makes Sense for Your Practice Physicians Practice – February 2019  by Karen Zupko “We said yes because the hospital offered us a ‘sweet deal.'” This was said by a senior surgeon and long-time client who called to report that operational integration had taken a nosedive just a few short months after his practice...

Post

Understand CMS Advanced Billing Practitioner Professional Billing

Understand CMS Advanced Billing Practitioner Professional Billing ICD-10 Monitor – January 2019  by Deb­o­rah Grider Not billing the APP service can result in serious revenue cycle errors. Many providers are still struggling with the non-physician practitioner (NPP) billing rules from the Centers for Medicare & Medicaid Services (CMS). Most facilities are now referring to NPPs as...

Post

Medical Necessity Monopoly: How to Avoid “Chance” and Advanced to “Go”

Medical Necessity Monopoly: How to Avoid “Chance” and Advanced to “Go” AAOSNow – November 2018 by Karen Zupko and Michael Marks, MD, MBA A three-step medical necessity action plan can help ensure payment Consider the following: A patient presents to your office complaining of symptoms that indicate a possible herniated disk. A history notes symptoms following...

Post

The Value of Claims ‘Signal’ Data in Orthopaedic Surgery

The Value of Claims ‘Signal’ Data in Orthopaedic Surgery AAOSNow – January 2019  by Michael Marks, MD, MBA In last month’s article, “Scientific Analysis for Medical Liability Claims,” Coverys’ Robert Hanscom, vice president of business analytics, and Lisa Simm, manager of risk management, presented the methodology the insurer utilizes to analyze medical professional liability (MPL) claims....

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches