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“Counting” Levels for Posterior Spinal Instrumentation
June 25, 2020 Question: When placing pedicle screws, do I bill per pedicle screw or per level? For example, pedicle…
Billing E/M Visits During the Global Period
June 25, 2020 Question: Can I bill for different diagnosis codes for conditions/problems when seeing a patient in the hospital…
Biopsy Diagnosis
June 25, 2020 Question: What is the appropriate diagnosis code to submit when I do a skin biopsy of the…
Blood Patch with Epidural
June 25, 2020 Question: My anesthesiologist had to perform a blood patch on a patient who received an epidural the…
Co-Surgery Due to Complex Procedure
June 25, 2020 Question: I have 2 vascular surgeons from the same practice that want to bill co-surgery for a…
Excision External Ear
June 25, 2020 Question: I did a partial excision of the left ear wedge with a layered closure. Can I…
Cosmetic Procedures in a Functional World
June 25, 2020 Question: We are starting to do cosmetic facial plastic procedures in our ENT practice. How do I…
2021 MDM Credit for Taking a History!
June 25, 2020 Question: I am a pediatric orthopaedic surgeon and many of my patients are too young to give…
Bilateral Posterolateral Fusion
June 11, 2020 Question: I did a posterior lumbar fusion bilaterally. Can I bill 22612 with modifier 50 for bilateral…
Malignant Lesions on Lip
June 11, 2020 Question: What diagnosis code should I use for a patient treated for two malignant lesions, one in…
Intraoperative Laryngeal Nerve Monitoring with Thyroidectomy Procedures
June 11, 2020 Question: Are we able to bill for laryngeal nerve monitoring with thyroidectomy procedure? Answer: No – CPT…
Coding a Diverting Ileostomy with a Low Anterior Resection/Low Pelvic Anastomosis Partial Colectomy
June 11, 2020 Question: Instead of a colostomy as described in the laparoscopic CPT codes 44208 or the open code,…
Established Patient New Problem
June 11, 2020 Question: I saw an established patient for her last lumbar epidural in the series and she now…
Seroma after Breast Reconstruction
June 11, 2020 Question: During the post-operative global period following breast reconstruction the patient presents with a seroma. Can I…
Tarsal Tunnel Injection
June 11, 2020 Question: I am writing on behalf of myself and my other Orthopedic coding colleagues regarding tarsal tunnel…
Payment and Coding Changes you need to know with Open Exposure in EVAR
June 11, 2020 Question: Does it matter that the open exposure codes are now add-on codes? Does that change payment…
Repair of a Semi-Circular Canal Dehiscence with ENT
May 28, 2020 Question: We are doing a combined case with ENT and are not sure how to code it.…
Intraoperative ICG Dye Angiography
May 28, 2020 Question: Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion…
AK’s with Biopsy on the Same Date
May 28, 2020 Question: We had a Medicare patient who came in with AKs and a lesion on the eyelid.…
Genicular Nerve RFA
May 29, 2020 Question: I’m new to coding. What code would I use for radiofrequency ablation of the genicular nerve?…
Billing code 34713, using a 12 French or larger catheter with EVAR
May 28, 2020 Question: I almost always use a 12 French or larger catheter for placing the main body for…
DIEP Co-Surgery
May 28, 2020 Question: Hello! I have a plastic surgery question. I perform DIEP surgeries and when I do a…
Nasal Endoscopy and Epistaxis Control
May 28, 2020 Question: Can we charge a 31231 and a 30901, 30903, or 30905 if the scope is withdrawn…
VEPTR Insertion and Lengthening
May 28, 2020 Question: What is the correct code to report for the insertion and subsequent lengthening of the VEPTR…
Billing Additional Pre-op Visit
May 14, 2020 Question: Since we have to bring the patients back in for COVID testing and H&P for Joint Commission,…
Billing Additional Pre-op Visit
May 14, 2020 Question: Since we have to bring the patients back in for COVID testing and H&P for Joint Commission,…
Telemedicine and “Incident to”
May 14, 2020 Question: Can a nurse bill a 99211 as “incident to” for a telemedicine visit? Answer: If all…
Billing Additional Pre-Op Visit
May 14, 2020 Question: Since we have to bring the patients back in for COVID testing and H&P for Joint Commission,…
Phone Call Documentation
May 14, 2020 Question: What documentation is needed to bill for a phone only visit besides time? Answer: There aren’t…
Virtual Supervision and Allergy Serum Mixing
May 14, 2020 Question: In an effort to phase our office “re-opening” to patients during the COVID pandemic, allergy serum…
Articles
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…
Develop a Data and Device Destruction Policy in Five Easy Steps
Develop a Data and Device Destruction Policy in Five Easy Steps American Association for Physician Leadership – June 2019 by…
Tips and Best Practices for Using Code-X
Tips and Best Practices for Using Code-X AAOS Now – June 2019 by Cheryl Toth After speaking with Michael Marks,…
Get Your House in Order: Prepare for Private Equity Acquisition
Orthopaedics Today – May 2019 by Wathen Strong With ever-increasing amounts of private equity flowing into health care, orthopedic surgeons are…
Clean Up the A/R Before Putting the Practice on the Market
Clean Up the A/R Before Putting the Practice on the Market Physicians Practice – May 2019 by Cheyenne Brinson Thinking…
Coding Experts Weigh in on the Value of Code-X
Coding Experts Weigh in on the Value of Code-X AAOS Now – May 2019 by Cheryl Toth If you are…
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…
