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Inpatient VS Outpatient Medical Coding

07th February 2012
Medical coding professionals form an important link between healthcare practitioners and health insurance carriers like Medicaid and Medicare. Part of the health information management team in a healthcare establishment, medical coders assign standardized... Read >
Author: Marie Durham

The Electronic Health Record Gives Accurate Medical Billing for Dialysis Patients

18th October 2011
Electronic health record (EHR) legislation has an impact on everyday life of Americans. The Health Information Technology for Economic and Clinical Health (HITECH) Act under the American Recovery and Reinvestment Act (ARRA) of 2009 established requirement... Read >
Author: Art Jones

Gasteroenterology coding:74270 is for barium enema as well as water-soluble contrast

04th May 2011
Recently, my gastroenterologist ordered barium enema for a four-year old male patient with a history of encopresis and constipation. Therefore, I am billing the procedure for my radiologist. How should you report the procedure if the radiologist writes ... Read >
Author: Erin Lang Masercola

Neurosurgery Coding: Pin Down Headache Dx Choice with These Tips

30th March 2011
Does your neurosurgery practice provide greater occipital nerve blocks? If so, don't let your neurosurgery coding turn into a headache. Confirm specifics about the patient's headache and the service your provider offered to pinpoint the proper diagnosi... Read >
Author: Erin Lang Masercola

Rectal exam with anesthesia? Consider 45990

16th March 2011
In a particular coding scenario, the surgeon used a bivalve, suctioned the old blood from where a hemorrhoid had necrosed and fallen off; however the large vessel underneath was continuing to bleed (all carried out under anesthesia). Subsequent to this he... Read >
Author: Erin Lang Masercola

Ophthalmoscopy for Flashers & Floaters

14th March 2011
A patient reports flashes & floaters; however the ophthalmologist doesn't find evidence of retinal pathology on routine ophthalmoscopy. Considering this, are we justified in billing for extended ophthalmoscopy (EO)? Answer: If the ophthalmoscopy is a r... Read >
Author: Erin Lang Masercola

Coding 96372 with 90471

22nd February 2011
During an office visit, our nurse administered a B12 injection and a flu shot to an established patient. Can we code for both injections apart from the office visit? Well, it all depends on the circumstances. First report the proper code for the flu vac... Read >
Author: James Smith

99441- 99443: The Harsh Reality about Telephone Calling Codes

01st February 2011
In a certain situation, another physician told my surgeon that he is receiving payment for his contractor for telephone calling codes. My surgeon would like to begin using these codes as well. So does Medicare pay for telephone calls? Medicare takes tel... Read >
Author: James Smith

Anticipate 4th and 5th digit changes for ICD-10

26th October 2010
CMS has pointed out that the need to change from ICD 9 to ICD 10 will be effective from October 1, 2013. When that takes place, you will have to get used to selecting codes with definitions that may differ from what you are used to. Start researching an... Read >
Author: James Smith

Rid your Ovarian Cyst CPT Confusion

12th October 2010
Coding for the removal/excision, aspiration or drainage of an ovarian cyst does not have to be that difficult. We have broken down each approach to provide you all the tools you need to get your claim right every time. Vital concept: When you are gearin... Read >
Author: James Smith

16 New Specific Codes for Lab Test in CPT 2011

23rd September 2010
Whether it's the three new influenza tests or a specific test for tuberculosis, read on for the inside scoop on upcoming lab code changes. Recently, CMS provided a sneak peak at new lab test codes for 2011. The listing covers CPT codes that the AMA mad... Read >
Author: James Smith

Watch out when using E-Codes

17th September 2010
Do you report injuries or poisonings? If so, you should be familiar with E codes. But prior to turning to these codes, see to it that you remember these three warnings that will prevent your claim from getting tripped by a denial. 1.Do not lose the purpo... Read >
Author: James Smith

ICD-9 2011 Solves Partial Removal Stumper

08th September 2010
When you cannot get all of a splinter out, there will be a new diagnosis code series that'll tell you the story. Family Physicians are familiar with foreign body removal that gets only a part of the object - and come this fall, they will have a diagnosis ... Read >
Author: James Smith

ICD 9 Codes Online: for 425.8 Clues, Check ICD-9 Guide

01st September 2010
If you are a cardiology coder, you may often be bowled over by questions such as this. "While glancing through the ICD-9 manual, I wanted to have a look at the ICD-9 codes for sarcoidosis with cardiomyopathy. In the index, under 'sarcoidosis, cardiac', th... Read >
Author: James Smith

Tips to help you Code 31626 with Confidence

24th August 2010
Often radiation oncologists use markers to ensure they are pinpointing the right anatomic area. This means you have to be able to pinpoint the right marker placement code. Keep a look out on: You have one more code to select from CPT 2010's introduction ... Read >
Author: James Smith
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