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Excision External Ear
June 25, 2020 Question: I did a partial excision of the left ear wedge with a layered closure. Can I…
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…
DIEP Co-Surgery
May 28, 2020 Question: Hello! I have a plastic surgery question. I perform DIEP surgeries and when I do a…
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…
Billing Telephone Calls Longer than 30 Minutes
April 30, 2020 Question: We cannot locate a response from any reliable coding resource about how to bill telephone calls…
Place of Service For Telehealth Visits
April 16, 2020 Question: What is the place of service for telehealth visits? Answer: For Medicare, on all claims for…
Documenting Time for Telehealth
April 2, 2020 Question: Do we have to use start and stop times or can we use minutes when billing…
Breast Biopsy
March 19, 2020 Question: I did a biopsy of the breast defect before doing the reconstruction. Can I also code…
Modifier 58 and Fat Grafting
March 5, 2020 Question: We have a patient who is a year status post breast reconstruction and not we are…
Are Pre-Op Visits Billable?
February 20, 2020 Question: For patients that are having surgery that day, I’ve been doing pre-op visits that morning (coming…
Overreading a Diagnostic Imaging Study
February 6, 2020 Question: I sent a patient out to the hospital for a CT scan and the patient brought…
Laceration and Fracture Repair
January 23, 2020 Question: My physician is utilizing an open laceration on the patient’s chin for open reduction of a…
Unspecified vs. Uncertain Behavior Skin Lesion Diagnosis Code
January 9, 2020 Question: Can you refresh my memory on when to use the diagnosis code for skin lesion “uncertain…
Implantation of Biologic Implants
December 19, 2019 Question: Can we use 15777 Implantation of biologic implant (e.g. acellular dermal matrix) for soft tissue reinforcement…
Tattoo Redo After Reconstruction
December 5, 2019 Question: A patient came to us for a redo of nipple micropigmentation, as she was not pleased…
Modifiers for Free Flap Breast Reconstruction
November 14, 2019 Question: Do the free flap breast reconstruction codes, 19364 and S2068, allow billing for surgeon, co-surgeon and…
Postoperative Incision Drainage
October 31, 2019 Question: A patient had bilateral breast augmentation 5 weeks ago. She developed some drainage out of…
Removal of Breast Implant with Capsulectomy
October 17, 2019 Question: My doctor specializes in breast reconstruction and has been asking me to bill 19328 (removal of…
Nerve Block for Postoperative Pain Management
October 3, 2019 Question: My doctor has introduced us to a code he would like to bill. I have researched…
Muscle Transfer Coding with DIEP Flap
September 19, 2019 Question: Someone told me we can bill CPT 23395 (Muscle transfer, any type, shoulder or upper arm;…
Coding Debridement with Grafts
September 5, 2019 Question: When can I report a debridement in addition to a graft? I performed a simple debridement…
Chemical Peel
August 22, 2019 Question: What code should we use for a chemical peel of less than the entire face? Answer:…
Microdermabrasion
August 8, 2019 Question: Is the correct code for microdermabrasion 15780 or some other code? Answer: CPT code 15780 (Dermabrasion;…
Division and Inset of Flap
July 25, 2019 Question: A patient presents for division and inset of a neck-to-ear pedicle flap. Should we report 15620…
Adjacent Tissue Transfer
July 11, 2019 Question: If our docs perform two adjacent tissue transfers on two separate lesions in the same anatomic…
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,…
Modifier 50 for ATT?
June 6, 2019 Question: My doctor did two adjacent tissue transfers, on the each leg of the patient. The ATT…
Use of a Scribe
May 23, 2019 Question: We are hiring a scribe for the doctor because it will help improve his documentation. Is…
Billing for Hospital NP/PA Consults
May 9, 2019 Question: The plastic surgeon I work with has a question regarding billing. Some of the hospitals in…
Prescription Refill Visits
April 25, 2019 Question: We get calls from patients to renew their medications. When the patient comes to office to…
Articles
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…
Evidence Based Pricing Strategy for Plastic Surgeons — Winning the Price Wars
Aesthetic Society News – March 2018 by Karen Zupko, President One area of practice administration where most plastic surgery practices…
Put Your Best Face (and Breasts and Body) Forward How to Showcase Your Surgical Results with Clinical Photography
Aesthetic Society News – Winter 2018 by Amy Boyer, MBA Every plastic surgeon knows that photography is an essential part…
High Deductible Health Plans: Take Accounts Receivable Action Now
High Deductible Health Plans: Take Accounts Receivable Action Now The American Journal of Orthopedics® – November/December 2017 by Karen Zupko,…
Going From Free to Fee Consultations. Yes, You Can. Here's How.
Aesthetic Society News – Fall 2017 by Karen Zupko, President To charge or not to charge? That is the question…
Practice Management: Unique Selling Points
Practice Management: Unique Selling Points MedEsthetics – October 2017 by Karen Zupko, President Help your practice stand out by recognizing…
Profiles in Plastic Surgeons' Practice Transitions
Aesthetic Society News – Spring 2017 by Karen Zupko, President “Sorry, I didn’t call you back last week, Karen. I…
10 Things a Billing Service Should Provide Your Practice
Aesthetic Society News – Summer 2016 by Karen Zupko, President Last week, a plastic surgeon from Tennessee called. He outsources…
Maximize Your Practice Management System
We frequently visit practices that have spent the equivalent of a Mercedes convertible on a practice management system (PMS).
10 Non-Financial Reasons Patients Don't Schedule
There is a common perception among aesthetic surgeons that the primary reason a patient doesn’t schedule surgery is because of…
Dropped Leads, Why They Happen and What to Do About Them
Aesthetic Society News – Winter 2016 by Karen Zupko, President After mystery shopping over 150 aesthetic plastic surgery practices through…
The 5th P: "Personnel" is Essential to Your Practice's Marketing Mix
Price. Product (or Service). Promotion. Place. These "4 Ps" comprise the classic Marketing Mix and are foundational components of any…
Financial Reports and Data Aesthetic Surgeons Need to See
Aesthetic Society News – Winter 2015 by Cheryl Toth, MBA We frequently find that aesthetic surgeons make expensive business decisions…
Rewarding Everyone: Creating Team Bonuses That Work
Aesthetic Society News – Summer 2015 by Glenn Morley Rewarding a Patient Care Coordinator (PPC) with a financial bonus can…
Going Cosmetic? Part 1
The Association of Dermatology Administrators & Managers Newsletter by Glenn Morley If you’ve decided to make the strategic change toward…
Managing Cash Flow
MedEsthetics Magazine – March 2015 Cheyenne Brinson, MBA, CPA It’s not enough to make more than you spend practices must…
Going Cosmetic? Part 2
The Association of Dermatology Administrators & Managers Newsletter by Glenn Morley For physicians who have decided to incorporate cosmetic services…
Going Cosmetic: Keep Patients for Life!
The Association of Dermatology Administrators & Managers Newsletter by Glenn Morley You’ve made the strategic shift toward increasing cosmetic lines…
Employee Verification
MedEsthetics – November/December 2014 by Karen Zupko Because employees of medical practices and medspas have easy access to patient information,…
Build Better Patient Relationships, Faster, Using the FORD Method
Aesthetic Society News – Fall 2014 by Karen Zupko, President “How long will I have to stop running after surgery?”…
Tighten Cash Handling & Audit Controls: 9 Best Practices That Reduce Embezzlement Risk
Aesthetic Society News – Summer 2014 by Karen Zupko, President A few years ago, we worked with an aesthetic practice…
Make Your Last Impression as Good as Your First: Fine-Tune the Fee Quote
Aesthetic Society News – Spring 2014 by Karen Zupko, President You’ve spent thousands on attractive branding and Web design. You’ve…
Don't Get Burned by the Billing Company: Avoid These Revenue, Reputation, & Regulatory Risks
Plastic Surgery News Connection – October 2013 by Cheryl Toth, MBA “It’s a total nightmare!” The physician’s voice was a…
Hiring Right Makes Your Practice More Profitable and Pleasant
Aesthetic Society News – Winter 2011 by Karen Zupko, President When Lucy showed up for the interview, you thought your…
Practice Tips: Why Patients Don't Schedule Surgery - Try These Reasons On For Size and Take Action
Facial Plastic Times – May/June 2011 by Karen Zupko Potential patients don’t schedule surgery for dozens of reasons. You’ll find…
