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September 16, 2021 Question: When are diagnostic angiograms and an intervention (angioplasty, stent, etc.) both billable? Answer: Diagnostic angiograms are…
September 2, 2021 Question: What is TCAR and how is it coded? Answer: TCAR stands for Transcarotid Artery Revascularization. It…
August 19, 2021 Question: I’ve been dictating CPT codes in the operative note so that my coder knows what to…
August 5, 2021 Question: The surgeon accidentally nicked a vessel not involved in the bypass being performed, can he bill…
July 22, 2021 Question: One of my colleagues told me that she was doing e-consults with other physicians for Medicare…
July 8, 2021 Question: What modifier do we use if a patient is returned to the OR the same day…
June 24, 2021 Question: I thought the global period of debridement of muscle or bone was 10 days. Is that…
June 10, 2021 Question: If 10 sq. cm subcutaneous tissue is debrided from the right leg and 20 sq. cm…
May 27, 2021 Question: What does “separate procedure” mean when it follows a CPT code description? Answer: Per CPT :…
May 13, 2021 Question: A vascular surgeon is requested to come to the OR to repair a blood vessel that…
April 29, 2021 Question: How is a left femoral to right femoral artery bypass with PTFE reported? Answer: Report code…
April 15, 2021 Question: I was told catheterization is included in the embolization codes, 37241-37244. Is that correct? Answer: No,…
April 1, 2021 Question: Our vascular surgeon did a single intervention on a lesion that was at the juncture of…
March 18, 2021 Question: During a catheterization the surgeon performed a venogram. I don’t see that these procedures are bundled,…
March 4, 2021 Question: Does TEVAR allow for billing of catheterization and intervention? Would a 59 modifier be needed? Answer:…
February 18, 2021 Question: When does a nonselective catheterization become a selective catheterization? Answer: If the catheter (not just the…
February 4, 2021 Question: We are confused about the difference between modifier 52 and 53. What is the difference? Answer:…
January 21, 2021 Question: I’ve heard that all you need to document for family history is the word “none”, and…
December 17, 2020 Question: In the new guidelines, how does Time affect billing for a teaching physician’s E/M service when…
December 3, 2020 Question: If the surgeon uses a covered stent and performs an embolization on a patient with a…
November 12, 2020 Question: I heard that the E/M code guidelines are changing in 2021. Will this apply to all…
October 29, 2020 Question: My vascular surgeon performed a dialysis circuit open revision, and had to remove subcutaneous fat during…
October 15, 2020 Question: Our surgeon performed an aortogram with run-off to bilateral lower extremities. He then performed interventions in…
October 1, 2020 Question: The new guidelines that are coming out in 2021 for all types of E/M services, right?…
September 17, 2020 Question: I sent a patient out to the hospital for a CTA and the patient brought in…
September 3, 2020 Question: I work with a surgeon and we see just a few Medicare patients. The surgeon believes…
August 20, 2020 Question: The surgeon used a stent and then inserted an embolization coil for an aneurysm. Are both…
August 6, 2020 Question: Our vascular surgeon documented a single intervention for a lesion that crosses the margin between the…
July 23, 2020 Question: Can we bill for all vessels mentioned if they are documented within the angiogram? Answer: No.…
July 9, 2020 Question: I’m new to vascular coding, can we bill for vascular access for a catheterization? The provider…
Articles
Does My Documentation Tell the Story in Critical Care? SCCM Critical Connections – August 2019 by Deborah Grider The initial and…
AAOSNow – July 2017 by Michael R. Marks, MD, MBA, and Cheryl Toth, MBA Coding May Not Be the Reason…
Liability Management 101 – August 2016 by Michael R. Marks, MD, MBA Why Malpractice Insurance Is Not Enough Today’s orthopaedic practices…
AAOS Now – July 2016 by Cheryl Toth, MBA New announcements and guidance push providers toward an active program If your…
Greenbranch – May/June 2013 Kim Pollock, RN, MBA, CPC Many physicians continue to wrestle with an economy-in-recovery and declining reimbursements. In…
Physicians Practice – 2016 by Karen Zupko What has your billing service done for you lately? A good vendor does more than just…
Mystery Shopping Results Indicate a Need for Improvement – April 2016 by Karen Zupko and Samantha Lappe After the news of a…
by Kyle M. Lee Survey finds a smooth road so far On Oct. 1, 2015, the 10th revision of the…
by Deborah Grider, CPC, COC, CPC-I, CPC-P, CEMC, CPMA, CCS-P, CDIP Certified AHIMA Clinical Documentation Improvement Practitioner AHIMA-Approved ICD-10-CM/PCS Trainer…
The American Journal of Orthopedics – December 2015 by Karen Zupko, BSJ If you are a solo orthopedic surgeon or…
Greenbranch – Nov/Dec 2015 by Cheryl Toth, MBA, and Michael J. Sacopulos, JD Many physicians and practice staff use short messaging…
Physicians Practice – September 2013 by Karen Zupko and Cheryl Toth, MBA Several years ago, we visited a practice in…
The American Journal of Orthopedics – May 2015 by Cheryl Toth, MBA An 8-surgeon group in the Southeast had a…
The Journal of Medical Practice Management – January/February 2015 by Cheryl Toth, MBA With the proper planning and preparation, nonphysician…
The American Journal of Orthopedics – January 2015 by Jennifer A. O’Brien, MSOD Tearful breakdowns and loud outbursts—they happen with…
The American Journal of Orthopedics – September 2014 by Jennifer A. O’Brien, MSOD On initial consideration, the patient portal portion…
Journal of Medical Practice Management – May/June 2014 by Jennifer A. O’Brien, MSOD, and Sherry DeJarnette, CPA There are many reasons to…
AAOS Now – April 2014 by Jennifer A. O’Brien, MSOD In addition to the compliance and security issues highlighted in…
AAOS Now – April 2014 by Jennifer A. O’Brien, MSOD When a physician gives an order to a nurse, technician,…
AAOS Now – February 2014 by Cheryl L. Toth, MBA Recently, an orthopaedic surgeon remarked that he was thinking about…
Plastic Surgery News Connection – 2013 by Karen Zupko If you’ve been “too busy” to update your Business Associate Agreements…
Journal of Practice Management – May/June 2000; July/August 2000; September/October 2000 by James G. Stuart J.D. This is the first…
