MEDICAL BLOG

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Helping Others Understand How to Apply Incident to Guidelines

Namas
2019-07-05

Over the past few months, I have worked with different organizations that have been misinterpreting the "incident to" guidelines and, in return, have been billing for services rendered by staff that are not qualified to perform the services per AMA and CPT. What I found within the variances is that ...

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Don't Let Your QPro Certification(s) Expire! Your Certifications Matter!

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2019-06-20

Hello QPro Members, Just a friendly reminder!                                                                                        ...

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What Medical Necessity Tools Does Find-A-Code Offer?

Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
2019-06-13

Find-A-Code is a great resource for individuals working in all aspects of healthcare, from providers and ancillary staff to the attorneys and payers who assess and critique the documentation supporting the services performed. When recently asked what tools Find-A-Code has to help support medical necessity, our response was, "We provide many resources ...

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Spotlight: Printing Additional Code Information

Brittney Murdock, QCC, CMCS, CPC
2019-06-13

Did you know you can print the information from Find-A-Code's code information pages? Click the Printer icon on any code information page. You can check/unckeck the boxes at the top to select what information you want to print: It's that easy!

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Spotlight: Anatomy Images

Brittney Murdock, QCC, CMCS, CPC
2019-06-13

When viewing CPT codes, Find-A-Code offers detailed anatomy images and tables to help with coding. For example 28445 offers a table with information to assist classification of gustilo fractures: Click on the image preview from the code information page to expand the image.

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Documentation of E/M services for Neurology (Don't Forget the Cardiology Element)

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2019-06-13

According to Neurology Clinical Practice and NBIC, the neurologic exam is commonly lacking in documentation due to the extensive requirements needed to capture the appropriate revenue. With the lack of precise documentation, it results in a lower level of E/M than that which is more appropriate, which can cost a physician a lot ...

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Medicare Approves Reimbursement for Virtual Communication (G2012)

Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
2019-06-13

Medicare has taken a stand to recognize communication technology-based services by approving two newly defined physicians' services that will significantly help providers who deal with phone calls and patient triage. One of these services includes:  Virtual check-in (G2012), which allows the provider to be reimbursed for communicating with the patient via ...

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Medicare Now Reimburses for Remote Monitoring Services (G2010)

Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
2019-06-13

Medicare's 2019 Final Rule approved HCPCS code G2010 for reimbursement, which allows providers to be paid for remote evaluation of images or recorded video submitted to the provider (also known as "store and forward") to establish whether or not a visit is required. This allows providers to get paid for ...

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Now is Your Chance to Speak Up! Tell CMS What You Think!

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2019-06-13

CMS is asking for your input, we all have ideas on how we would change healthcare documentation requirements and get rid of the burdensome requirements and regulations if it were up to us, so go ahead, speak up! Patients over Paperwork Initiative is being looked at to help significantly cut ...

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How to Code Ophthalmologic Services Accurately

Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
2019-06-06

Have you ever tried to quickly recall the elements required to support a comprehensive ophthalmologic exam versus an intermediate one? Make coding decisions quickly by creating a cheat sheet containing vital information that allows you to quickly select the right code. According to Article A19881 which was published in 2004 and ...

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