142016Jun

Spine Surgery Quandary: Posterior Lumbar Interbody Fusion

Healthcare Business Monthly – June 2016 by Kim Pollock, RN, MBA, CPC, CMDP When do you bill 63056-59 with 22633, rather than 63047-59? A common question among coders and spine surgeons is whether to bill 63056-59 with 22633, or 63047-59. The answer is complex, but CPT® and Medicare guidelines provide essential guidance. Read Full Article

12015Nov

Minor Procedure at the Time of Service Language

Explanation of billing when performing a minor surgical procedure in the office, e.g. fiberoptic flexible laryngoscopy, nasal endoscopy. This letter could be given to patients to explain that the AMA CPT coding rules requires the physician to report a CPT code that is defined by the payor and the AMA as a “surgical” procedure. Download…

12014Nov

6 Action Steps for Getting Documentation Ready for ICD-10

Doctors Direct Insurance Newsletter – Winter 2014 by Cheryl Toth, MBA We are less than a year away from the biggest change to healthcare administration in decades. Yet, many practices are woefully behind when it comes to their ICD-10 conversion planning. And some physicians still mistakenly believe that this is a job for their billing staff….

102014Sep

Follow an eight-step formula for correct spine coding

Spine Surgery Today, September/October 2014 Teri Romano, RN, MBA, CPC, and Kim Pollock, RN, MBA, CPC Reporting the “just right” CPT codes isn’t easy for spine surgeons and coders. In fact, it is complicated. If you under code, in effect, you “pick your own pocket” by losing revenue and/or relative value unit. Overcoding leads to…

12014Sep

Follow an Eight-Step Formula for Correct Spine Coding

Follow an Eight-Step Formula for Correct Spine Coding – September/October 2014 by Teri Romano, RN, MBA, CPC, CMDP and Kim Pollock, RN, MBA, CPC, CMDP As part of the new Spine Coding Source column, Spine Surgery Today will begin discussing relevant spine coding issues for surgeons. We hope this new feature will enhance your practice and…

12014Apr

Are Online Coding Discussions Putting Your Practice At Risk?

Medical Office Manager – April 2014 by Cheryl Toth, MBA Here’s an email we recently saw while monitoring a specialty coding listserv: We have a surgeon that says I am not an aggressive coder because I communicate to him when NCCI indicates that certain procedures are bundled, and now I am second-guessing myself. Can you…

262014Mar

Four Things to Know About ICD-10 and Prior Authorization

Physicians Practice – March 26, 2014 by Cheryl Toth, MBA When most practices think about the shift from ICD-9 to ICD-10, they think of changes to physician documentation, diagnosis code selection, and software upgrades. But ICD-10 is going to have a big impact on the pre-authorization process too. Here’s why, and what to do about…

12013Sep

Procedure Coding Made Simple: Five Principles Will Help You Capture Appropriate Charges for Spine Surgeries

Procedure Coding Made Simple: Five Principles Will Help You Capture Appropriate Charges for Spine Surgeries – September 2013 by Kim Pollock, RN, MBA, CPC, CMDP “It seems like coding spine cases is as complicated as doing the surgery,” said a spine surgeon at his first coding training session with me. Spine procedure coding can make even the…

12012Nov

Coding For Same Day Anterior-Posterior Spine Procedures: Four Myths Clarified

Coding For Same Day Anterior-Posterior Spine Procedures: Four Myths Clarified – November / December 2012 by Kim Pollock, RN, MBA, CPC, CMDP Coding and billing for anterior-posterior spine procedures can almost be as complex as performing the procedure, particularly if you aren’t familiar with the nuances of the American Medical Association’s Current Procedural Terminology® (CPT) codes. Many…