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Chemodenervation
September 16, 2021 Question: A patient with multiple sclerosis came into our pain clinic with spasms to the left and…
Complex Closure of Full Thickness Graft Site
September 16, 2021 Question: We billed 15260 (full thickness graft, ear) and 13132 (complex repair, ear) and were not paid…
Billing Diagnostic Angiograms with an Intervention
September 16, 2021 Question: When are diagnostic angiograms and an intervention (angioplasty, stent, etc.) both billable? Answer: Diagnostic angiograms are…
Dry Needling
September 16, 2021 Question: Our pain management physician stated he performed a trigger point injection into 1 muscle. In reviewing…
Topical Anesthesia for Nasal Endoscopy
September 16, 2021 Question: One of our doctors saw a patient and billed 31231 (nasal endoscopy). The doctor did not…
XTRAC Therapy
September 16, 2021 Question: We have recently begun treating our psoriasis patients using XTRAC laser therapy. I have looked extensively…
Laparoscopic or Open, How Can You Tell?
September 16, 2021 Question: If a code does not specify whether the procedure described is laparoscopic or open, is it…
Counting Problems Addressed for Medical Decision Making
September 16, 2021 Question: If a patient has one stable chronic illness and one acute uncomplicated illness without systemic symptoms,…
Nerve Block
September 2, 2021 Question: My doctor did a regional thoracic nerve block. He performed three injections at three intercostals levels.…
Employee Certification for EHR Entry
September 2, 2021 Question: I heard that a medical assistant who enters the patient’s medications into the electronic health record…
Coding TCAR
September 2, 2021 Question: What is TCAR and how is it coded? Answer: TCAR stands for Transcarotid Artery Revascularization. It…
Documenting Codes In the Procedure Report
September 2, 2021 Question: I’ve been dictating CPT and ICD-10-CM codes in my procedure note so that my coder knows…
Harvest of Graft for Repair of Nasal Vestibular Stenosis
September 2, 2021 Question: We did a septoplasty and repair of nasal vestibular stenosis with spreader grafts using septal cartilage.…
Treatment for Psoriasis
September 2, 2021 Question: I am new to Dermatology coding and need some help. My physician saw a patient with…
Coding for Non-Biological Mesh Placement
September 2, 2021 Question: How do I report placement of a mesh implant in the abdomen that is not a…
Harvest of Pericranial Graft
September 2, 2021 Question: Can we code separately for harvesting pericranial graft, such as temporalis fascia, when doing a craniotomy? Answer: CPT…
Dry Needling
August 19, 2021 Question: One of my pain management physicians performed a trigger point into the 1 muscle and the…
Denial of Breast Reconstruction
August 19, 2021 Question: We received a denial for 19357-50 (tissue expander reconstruction) and +15777 x 2 units. The denial…
Documenting Codes in the Operative Note
August 19, 2021 Question: I’ve been dictating CPT codes in the operative note so that my coder knows what to…
Barbotage Procedure
August 19, 2021 Question: We recently employed a new sports medicine physician and met with her about the type of…
Bronchoscopy with Direct Laryngoscopy
August 19, 2021 Question: I’m trying to figure out when I can bill for both a direct laryngoscopy and a…
Repair after Mohs Surgery
August 19, 2021 Question: I am trying to code a repair. My physician performed one stage of Mohs surgery and…
Documenting Codes In the Procedure Report
August 19, 2021 Question: I’ve been dictating CPT and ICD-10-CM codes in my procedure note so that my coder knows…
Turning Off/On a Vagus Nerve Stimulator (VNS)
August 19, 2021 Question: Is there a code for turning off a VNS so the patient can have an MRI?…
Oops. I nicked a vessel. Can I bill for repairing it?
August 5, 2021 Question: The surgeon accidentally nicked a vessel not involved in the bypass being performed, can he bill…
Parathyroid Imaging During Surgery
August 5, 2021 Question: I would like to know if there is a CPT code for parathyroid imaging. I use…
Steroid Injection
August 5, 2021 Question: What CPT code would you use for “anesthetic and steroid injection of the left posterior superior…
Coding for ICG Imaging
August 5, 2021 Question: Can you give guidance on CPT 15860 as it pertains to colorectal surgery? My surgeons have…
"Elbow Injection"
August 5, 2021 Question: Our sports medicine physician submitted an office note with documentation that he performed an “elbow injection.”…
Capsulotomy with Revision of Breast Reconstruction
August 5, 2021 Question: We are having trouble getting paid for the capsulotomy (19370) when billed with the revision code…
Articles
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…
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…
