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MEDICAL BLOG

Understanding How Place of Service Codes Work

Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
2021-08-04

The Place of service (POS) codes are used by CMS, Medicaid, and other private insurance to indicate where medically related items and services are sold or dispensed for a patient. POS codes are used for professional billing and are required to be reported on each claim submitted on a CMS-1500 ...

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Billing Dental Implants under Medical Coverage

Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
2021-08-02

Implants can be costly to the patient and the provider, and it is crucial to understand how to bill a patient’s medical insurance to ensure there is adequate coverage for the best treatment. Implants are commonly billed in a dental office under a patient’s medical benefits.    Implants could be considered ...

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Chronic Pain Coding Today & in the Future

Wyn Staheli, Director of Research
2021-07-19

Properly documenting and coding chronic pain can be challenging. As is commonly the case with many conditions, over the years, there has been a shift in the identification of different types of pain, including chronic pain. Understanding where we are now and where we are going will help your organization prepare for the future by changing documentation patterns now.

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How to Properly Assign ICD-10-CM Codes for Pain

Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
2021-07-14

Pain is a common diagnosis among all specialties so it should not be surprising to find there are 162 ICD-10-CM codes for reporting it and over 80 mentions in the ICD-10-CM Official Guidelines for Coding and Reporting which describe when certain types of pain should be reported and how the codes should be sequenced.

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Compliance in the Dental Office or Small Practice

Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
2021-06-29

If your practice does not already have a compliance program in place, you will want to get started after reading this article. We have uncovered some important findings with the Office of Inspector General (OIG) in dental practices you need to be aware of. A compliance program offers standard procedures to follow, ...

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Important Changes to Shared/Split Services

Aimee Wilcox CPMA, CCS-P, CST, MA, MT and Wyn Staheli, Director of Content Research
2021-06-16

Reporting of split (or shared) services has always been wrought with the potential for incorrect reporting when the fundamental principles of the service are not understood. A recent CMS publication about these services further complicates the matter.

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Understanding Non-face-to-face Prolonged Services (99358-99359) in 2021

Aimee Wilcox CPMA, CCS-P, CST, MA, MT and Wyn Staheli, Director of Content Research
2021-06-03

Due to the extensive changes in office or other outpatient services (99202-99215), there are many questions which still need to be answered, one of which is related to the prolonged services without face-to-face contact. This article explores the question regarding the appropriate use of codes 99358/99359 and how to report it.

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PCS Coding for Ankle Fracture - Look Deeper Into the Codes!

Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
2021-05-25

If you're looking for ankle fractures in ICD-10-PCS, you may need to look a little deeper. Let's take a look at coding an ankle fracture such as a trimalleolar fracture. PCS coding can be confusing as it is nothing like CPT coding; with CPT we can simply code an ankle ...

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Intersegmental Traction — What’s Happening with Roller Tables?

Wyn Staheli, Director of Research
2021-05-20

Intersegmental traction therapy via the use of roller tables has been used by doctors of chiropractic for many years. Recently, questions have arisen regarding the appropriate billing of roller tables. This is largely due to the statement published in the July 2020 CPT Assistant published by the American Medical Association (AMA). Which code should you really be using?

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Since When did Dental Claims Require Diagnosis Codes?

Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
2021-05-12

The objective of the Accountable Care organization is to integrate and consolidate patient care management to improve patient outcomes. Changes and coordination of dental and medical care are already becoming more apparent when dental offices are being required to bill a patient's medical plan for dental visits due to an ...

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