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Billing for an iatrogenic injury, not my patient. (Stage 1)
June 20, 2019 Question: My surgeon was called to the OR by an OB-GYN who accidently lacerated the the small…
Subscapularis and Supraspinatus Repair
June 20, 2019 Question: I perform an arthroscopic repair of the supraspinatus and subscapularis tendons through separate incisions/portals. May I…
Post Op Hemorrhage Repair: Is it Billable?
June 20, 2019 Question: Can I bill for taking the patient back to the OR to explore and repair post-op…
Prescription Refill Visits
June 20, 2019 Question: We get calls from patients to renew their medications. When the patient comes to office to…
Coding TCAR
June 20, 2019 Question: What is TCAR and how is it coded? Answer: TCAR stands for Transcarotid Artery Revascularization. It…
Pilonidal Cyst Removal and Repair
June 20, 2019 Question: If one of our doctors removes a complex pilonidal cyst that requires a rhomboid flap repair,…
E/M with Procedure
June 20, 2019 Question: Can you provide the CPT code for this procedure? Also can I report an E/M service…
Modifier 59
June 20, 2019 Question: I destroyed 8 AKs and 3 SKs on a patient and also took a shave biopsy…
SI and Trigger Point Injections
June 6, 2019 Question: A patient comes to our office for a sacroiliac joint injection and is also requesting a…
Modifier 50 for ATT?
June 6, 2019 Question: My doctor did two adjacent tissue transfers, on the each leg of the patient. The ATT…
Documenting Codes in the Operative Note
June 6, 2019 Question: I’ve been dictating CPT codes in the operative note so that my coder knows what to…
Documenting Codes in the Operative Note
June 6, 2019 Question: I’ve been dictating CPT codes in the operative note so that my coder knows what to…
Diagnosis Code
June 6, 2019 Question: A pathology report came back from a skin biopsy stating “compound dysplastic lesion with severe atypia. …
Should we be reporting CPT code 99024?
June 6, 2019 Question: We are in a state that must report CPT code 99024 to Medicare for the defined…
Intraoperative Ultrasound for Tumor Removal
June 6, 2019 Question: My surgeon uses the intraoperative ultrasound to assist with a brain tumor removal. I am billing…
Billing for an iatrogenic injury, my patient.
June 6, 2019 Question: The surgeon reported an intestinal perforation caused by a trocar during a laparoscopic cholecystectomy due to…
Ear Biopsy
May 23, 2019 Question: What is the correct code for a tangential biopsy of the antihelical fold? I was going…
30140 (Submucous Resection) vs 30130 (Excision)
May 23, 2019 Question: My work RVUs are down this year. I do a lot of inferior turbinate submucous resection…
OOOPs. I nicked a vessel. Can I bill for repairing it?
May 23, 2019 Question: The surgeon accidentally nicked a vessel not involved in the bypass being performed, can he bill…
Endoscopic Cubital Tunnel Release
May 23, 2019 Question: If a cubital tunnel release is performed by endoscopy how should it be reported? We report…
Nerve Repair
May 23, 2019 Question: I know that CPT code 64910 is the code I report for a nerve repair of…
E-Consults?
May 23, 2019 Question: One of my colleagues told me that she was doing e-consults with other physicians for Medicare…
Use of a Scribe
May 23, 2019 Question: We are hiring a scribe for the doctor because it will help improve his documentation. Is…
Coding for Platelet-Rich Plasma Injections in the Spine
May 23, 2019 Question: We are starting to do platelet-rich plasma injections in the spine. Would we bill 64483? Answer:…
Co-surgery or assistant surgery? Which is it?
May 9, 2019 Question: The vascular surgeon is called to the OR to repair a blood vessel that was inadvertently…
Modifier 78 vs 59
May 9, 2019 Question: What modifier do we use if a patient is returned to the OR the same day…
Diagnosis Coding for Foraminal Stenosis
May 9, 2019 Question: I have a question regarding one of your previous Coding Coach Q&As that I recently saw.…
Reading an X-ray the Patient Brought In
May 9, 2019 Question: A patient presents with a CD of an X-Ray that was performed at another institution that…
Skin Tag Removal by Shave
May 9, 2019 Question: If I remove 3 small skin tags (less than 0.5cm) by shave technique from a patient’s…
Lumbar Sympathetic Plexus Block
May 9, 2019 Question: I am new to pain management and am trying to find the correct CPT code for…
Articles
NEW: Solve Your Practice Pain Points with Practice Solutions Online
NEW: Solve Your Practice Pain Points with Practice Solutions Online Aesthetic Society News – Spring 2019 by Cheryl Toth Is…
Strategies and Scripts for 4 Common Objections
Strategies and Scripts for 4 Common Objections Aesthetic Society News – Spring 2019 by Karen Zupko After decades of educating…
Cost Saving Strategies to Save Your Practice Money
Cost Saving Strategies to Save Your Practice Money Doctors Direct Insurance – Winter 2013 by Cheyenne Brinson Like most practices,…
7 Ways to Modernize Business Writing Mechanics
7 Ways to Modernize Business Writing Mechanics Medical Office Manager – 2019 by Cheryl Toth You don’t need a degree…
Four Tips for Avoiding Data Breaches
Four Tips for Avoiding Data Breaches AAOSNow – April 2019 by Michael R. Marks, MD According to a new report by Radware,…
Selling your practice? Clean up the coding first.
Selling your practice? Clean up the coding first. Physicians Practice Pearls – March 2019 by Karen Zupko As more and…
Anatomy of a Lessons Learned Summary
Anatomy of a Lessons Learned Summary Medical Office Manager – March 2019 by Cheryl Toth What do you call the…
Do Your Cybersecurity Policies Need a Checkup?
Do Your Cybersecurity Polices Need a Checkup? AAOSNow – March 2019 by Michael R. Marks, MD When was the last time…
5 Tips to Boost Efficiency for the Front Office
5 Tips to Boost Efficiency for the Front Office Medical Office Manager – March 2019 by Cheyenne Brinson The front office is…
Thumbs Up to Jeffrey Gorke's New Book
Thumbs Up to Jeffrey Gorke’s New Book: The Employed Physician: Your Essential Guide to the Business Side of Medicine Greenbranch Publishing February…
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…
5 Tips for Analyzing Practice Profitability
5 Tips for Analyzing Practice Profitability Aesthetic Society News – Winter 2019 by Cheyenne Brinson Download Article
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…
Revisiting Neonatal and Pediatric Critical Care Services
Revisiting Neonatal and Pediatric Critical Care Services SCCM Critical Connections – February 2019 by Deborah Grider Neonatal and pediatric critical…
2019 Billing and Coding Changes for Peripherally Inserted Venous Catheters
2019 Billing and Coding Changes for Peripherally Inserted Venous Catheters SCCM Critical Connections – February 2019 by Deborah Grider Central…
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…
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,…
Major Challenges Face Coders in 2019 and Beyond
Major Challenges Face Coders in 2019 and Beyond ICD-10 Monitor – December 10, 2018 by Deborah Grider CPC, COC, CPC-I,…
Highlights of the Medicare Physician Fee Schedule Final Rule
Highlights of the Medicare Physician Fee Schedule Final Rule RAC Monitor – November 14, 2018 by Deborah Grider CPC, COC,…
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…
Is ‘Insurance Only’ Billing Advisable?
Is ‘Insurance Only’ Billing Advisable? AAOSNow – January 2019 by Cheyenne Brinson and Patricia Hofstra Surgeons instructing billing staff to bill…
Medicare’s New Documentation Rules Impact Practices
Medicare’s New Documentation Rules Impact Practices AAOSNow – April 2019 by Margaret M. Maley Surgeons instructing billing staff to bill “insurance…
Consider These Questions About Mergers Before You Jump
Consider These Questions About Mergers Before You Jump Orthopaedics Today – January 2019 by Wathen Strong The shift toward hospital or…
Six Fundamental Revenue Cycle Management Metrics
Six Fundamental Revenue Cycle Management Metrics Physicians Practice – December 2018 by Cheyenne Brinson Monitoring standard revenue cycle management metrics is…
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…
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…
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,…
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…
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…
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…
