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ER Visit Coding
May 5, 2022 Question: What code do use when our pain doctor sees a patient in the emergency department for…
Spinal Wound Closure with Flaps
May 5, 2022 Question: One of our spine surgeons has asked me to help with an upcoming case. The patient…
LCDs and Vein Procedures: Should We Know About These?
May 5, 2022 Question: We have an office-based vein center and have heard that something called LCDs should be followed…
Grafts/Implants
May 5, 2022 Question: I know in years past from attending KZA/ AAOS workshops that the instructors taught that bone…
Vocal Fold Augmentation Injections in the Office
May 5, 2022 Question: What code do I use for a vocal fold injection for augmentation in the office? Can…
Acute Versus Chronic Conditions for Office E/M Services
May 5, 2022 Question: When determining if an illness is chronic versus acute is it based on how long the…
Abdominal Fat Pad Core Biopsy
May 5, 2022 Question: We did an abdominal fat pad biopsy for primary cutaneous Amyloidosis. Would 49180 or 11104 be…
ER Visit Coding
May 5, 2022 Question: What code do we charge for an ER visit when our physician was called to the…
Gender Reassignment “Top” Surgery Coding
April 21, 2022 Question: We are having a debate on whether to use a mastectomy code or breast reduction code…
Inpatient E/M Coding
April 21, 2022 Question: I did an inpatient consultation and coded 99253 (non-Medicare). I did not need to follow the…
Coding a Hand Assisted Laparoscopy
April 21, 2022 Question: The surgeon described the procedure as a ‘hand assisted laparoscopy”. He brought part of the bowel…
Cerebellopontine Angle Surgery
April 21, 2022 Question: I did a posterior fossa craniectomy for resection of a cerebellopontine angle tumor requiring the dura…
Intraoperative ICG Dye Angiography
April 21, 2022 Question: Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion…
Tendon Repair
April 21, 2022 Question: I am new to orthopaedic hand coding. I have a case where the surgeon repaired two…
Billing for a Neurostimulator Implant
April 7, 2022 Question: My physician billed implanted a neurostimulator into the sacral nerve for urinary incontinence. We billed CPT…
Level 5 Office E/M Code
April 7, 2022 Question: I was told that if I recommend surgery then I can automatically bill 99205 or 99215.…
Wound Vac Billing
April 7, 2022 Question: I’m a general surgeon. Some of my team are reporting the negative pressure wound therapy codes…
Prolotherapy
April 7, 2022 Question: Our sports medicine physician is planning to perform a Prolotherapy procedure on a patient who has…
Adjacent Tissue Transfer
April 7, 2022 Question: A few years ago I was at your coding workshop in Chicago – you were great,…
New Patient Visit Denied, What Should I Do?
April 7, 2022 Question: One of our dermatologists saw a patient the first time in our office. We billed 99204.…
2021 EM Guidelines: Only for Medicare?
April 7, 2022 Question: I work with a surgeon and we see just a few Medicare patients. The surgeon believes…
PA Billing ED Consult
April 7, 2022 Question: Can a PA bill a consult if going to the ED at the request of the…
Acute versus Chronic Conditions for Office E/M Services
March 24, 2022 Question: When determining if an illness is chronic versus acute is it based on how long the…
Capsulectomy with Breast Reconstruction Implant Exchange
March 24, 2022 Question: We billed 19371 (capsulectomy) with a breast reconstruction implant exchange (19342 – larger to smaller). We…
Catheterization Codes in Vascular Coding
March 24, 2022 Question: Are there any vascular CPT codes that still allow separate reporting of selective and non-selective catheterization…
Interposition Arthroplasty CMC Joint Denial
March 24, 2022 Question: Our surgeon documented an interposition arthroplasty and removal of both the trapezoid and trapezium bones. I…
ER Visit Coding
March 24, 2022 Question: What code do we charge for an ER visit when our physician was called to the…
Counting Problems Addressed for Medical Decision Making
March 24, 2022 Question: If a patient has one stable chronic illness and one acute uncomplicated illness without systemic symptoms,…
Hartmann or Partial Colectomy
March 24, 2022 Question: My surgeon performed all the components of a Hartmann procedure 44143 but did not create a…
High Intensity Focused Ultrasound (MRgFUS)
March 24, 2022 Question: We are going to start doing this new procedure called High Intensity Focused Ultrasound to treat…
Articles
Three Ways to Increase Employee Engagement in a Remote Workplace
Three Ways to Increase Employee Engagement in a Remote Workplace Physicians Practice – April 2020 by Amy Anderson Engaged employees…
Five Mistakes Doctors Make that Can Cause Big Problems
Five Mistakes Doctors Make that Can Cause Big Problems Physicians Practice – February 2020 by Karen Zupko and Logan Lutton…
Tips for Delivering Feedback Based on Brain Science
Tips for Delivering Feedback Based on Brain Science Physicians Practice – February 2020 by Cheryl Toth Giving staff feedback can…
5 Questions Every Older Physician Should Ask Themselves
5 Questions Every Older Physician Should Ask Themselves Physicians Practice – November 2019 by Karen Zupko Realistically, how long can…
What I Learned in Miami at The Aesthetic Meeting 2021: News You Can Use
Aesthetic Society News – Summer 2021 by Karen Zupko In 2020, 40 years of traveling weekly came to an abrupt halt…
Touchpoints of Impression—Seven Areas to Sweat the Small Stuff
Aesthetic Society News – Winter 2021 by Karen Zupko and Isabel Bolt What keeps plastic surgeons up at night? Most would…
Leasing 101 for 2021
Aesthetic Society News – Spring 2021 by Karen Zupko The environment in which you practice is part of your brand.…
Five Stages of Patient Interaction - Are You Making the Most of Each?
Aesthetic Society News – Fall 2020 by Karen Zupko Suspects. Prospects. First-time patients. Repeat Patients. Advocates. Are your Suspects or…
Navigating the National Correct Coding Initiative
AAOSNow – July 2021 by Sarah Wiskerchen and Michelle Abraham For procedural coding in orthopaedic surgery, physicians, and their staff…
‘Technical Corrections’: CPT Evaluation and Management Publishes Additional Guideline Revisions
AAOSNow – June 2021 by Sarah Wiskerchen and Michelle Abraham Since the adoption of the CPT® Evaluation and Management (E/M)…
Hiring in 2021? – What to Expect and How to Navigate
Aesthetic Society News – Fall 2021 by Karen Zupko The cover of Barron’s said it best: “Help is NOT on…
New Procedures Added to Medicare’s Prior Authorization (PA) List Effective 7/1/21
May 26, 2021 Since 7/1/20, when CMS initiated a requirement for specific procedures to be prior authorized, we have sent…
Is Time on Your Side in 2021?
AAOSNow – November 2020 by Margaret M. Maley In 2021, medical decision making (MDM) or time can be used to select the…
Five Coding Tips for Dealing with Third-party Billing Entities
Five Coding Tips for Dealing with Third-party Billing Entities AAOSNow – February 2020 by Sarah Wiskerchen, MBA, CPC Whether due…
Prior Authorization Chaos is the New Normal for Spine Surgery
ORTHOWORLD – December 11, 2019 In 2017, the American Medical Association surveyed physicians across all specialties about the amount of…
All Work (RVUs) and No Pay?: Eight Questions to Ask the Hospital about Its Work RVU Compensation Formula
GreenBranch.Com – Jan/Feb 2013 by Sarah Wiskerchen As more surgeons and specialists are offered hospital employment, work RVU-based compensation agreements…
Therapy Billing: Be Sure Your Team Is Doing Things Right
Therapy Billing: Be Sure Your Team Is Doing Things Right AAOSNow – October 2019 by Sarah Wiskerchen, MBA, CPC Many…
Coding Errors Can Cost You Money and Potentially a Sale
Coding Errors Can Cost You Money and Potentially a Sale Healio Orthopedics – October 2019 by Karen Zupko As more…
4 Reasons You Should Prepare a Physician Rights and Responsibilities Document
4 Reasons You Should Prepare a Physician Rights and Responsibilities Document Physicians Practice – September 2019 by Karen Zupko It’s…
7 Things to Include in Your Practice's Governance Agreement
7 Things to Include in Your Practice’s Governance Agreement Physicians Practice – September 2019 by Karen Zupko and Michael R.…
How to Bill and Get Paid for Unlisted Procedures
How to Bill and Get Paid for Unlisted Procedures AAOSNow – September 2019 by Cheryl Toth Orthopaedic surgeons often perform…
5 Questions Every Older Physician Should Ask Themselves
5 Questions Every Older Physician Should Ask Themselves Physicians Practice – August 2019 by Karen Zupko 1. Realistically, how long…
Does My Documentation Tell the Story in Critical Care?
Does My Documentation Tell the Story in Critical Care? SCCM Critical Connections – August 2019 by Deborah Grider The initial and…
Does Your Practice Treat Pain?
Does Your Practice Treat Pain? AAOSNow – August 2019 by Cheryl Toth Interventional pain management is a growing specialty, and…
Practice Acquisition: How to be Easy to Do Business With
Practice Acquisition: How to be Easy to Do Business With Healio Orthopedics – August 2019 by Karen Zupko When was…
Seven Common Questions in Foot and Ankle Coding
AAOS Now – July 2019 by Sarah Wiskerchen A previous article published in AAOS Now (“How to Avoid Common Mistakes…
Four Proven Post-Consult Follow Up Techniques
Aesthetic Society News – Summer 2019 by Karen Zupko Turning callers and prospects into scheduled consults is a subject that…
5 Questions to Ask About wRVU Compensation
Physicians Practice – June 2019 by Amy Boyer, MBA Physicians employed by a medical group, hospital or academic institution are…
