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….

12014Jun

Three Scary Predictions About ICD-10’s Influence on the Revenue Cycle: What to Do Now to Mitigate Financial Risk

American Academy of Otolaryngology-Head and Neck Surgery – June 2014 by Cheryl Toth, MBA Practices have many competing, high priorities these days: dealing with Electronic Health Records (EHR) implementation, qualifying for Meaningful Use, conducting diligence on the hospital’s employment offer, and, of course, transitioning to ICD-10. Right now, everyone in the office is (rightfully so)…

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…

12013Apr

Coding and Reimbursement Strategies: Using an Unlisted Code for Endoscopic Skull Base Surgery

Coding and Reimbursement Strategies: Using an Unlisted Code for Endoscopic Skull Base Surgery – April 2013 by Kim Pollock, RN, MBA, CPC, CMDP and Mary LeGrand, RN, MA, CCS-P, CPC The American Medical Association’s Current Procedural Terminology® (CPT) codes for reporting medical services and procedures performed by physicians must be used to bill services to third party…

12012Feb

CPT 2012 Code Update for Otolaryngology: An Overview of Evaluation and Management Code Changes

CPT 2012 Code Update for Otolaryngology: An Overview of Evaluation and Management Code Changes – February 2012 by Kim Pollock, RN, MBA, CPC, CMDP and Mary LeGrand, RN, MA, CCS-P, CPC There are several Current Procedural Terminology® (CPT) code changes for 2012 applicable to otolaryngologists. This article provides a high-level overview of Evaluation and Management (ElM) code…