MEDICAL BLOG

More COVID-19 Codes Added as of September 8, 2020

Wyn Staheli, Director of Research
2020-09-15

The American Medical Association (AMA) recently announced the addition of two more CPT codes in relation to COVID and the Public Health Emergency (PHE). Codes 99702 and 86413 were posted to the AMA website on Tuesday, September 8, 2020 and new guidelines have been added as well.

Read More

Not Following the Rules Costs Chiropractor $5 Million

Wyn Staheli, Director of Research
2020-09-01

Every healthcare office needs to know and understand the rules that apply to billing services and supplies. What lessons can we learn from the mistakes of others? What if we have made the same mistake?

Read More

New Value-Based Payment Models for Primary Care (Primary Care First and Direct Contracting)

Jared Staheli
2020-08-28

This article summarizes the new Medicare value-based payment models: Primary Care First and Direct Contracting.

Read More

Podcast - Do you have all the right Dental resources needed to succeed in Dental Medical Billing and Coding?

Innoventrum
2020-08-27

Discussion between innoviHealth CEO, LaMont Leavitt and Guest speaker, Christine Taxin who is an Adjunct professor at New York University, and President of Dental Medical Billing and Links2Success about making sure you have all the right Dental resources needed to succeed in Dental Medical Billing and Coding. ...

Read More

Is COVID-19 Causing Risk Adjustment “Gotcha’s”?

Wyn Staheli, Director of Research
2020-08-27

The COVID-19 public health emergency (PHE) has created some possible problems when it comes to risk adjustment. Be sure your organization has implemented policies and procedures to try and overcome these new hurdles.

Read More

New and Exciting Changes in the Dental Industry

Christine Taxin - Links 2 Success
2020-08-26

My colleagues and I are nerds for information on all things billable—or not billable—in the worlds of dental and medical insurance. One of the most puzzling challenges for me over the past 15 years of teaching has been to understand why we on the dental side are segregated out of ...

Read More

Coding Injections for Pain Management

Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
2020-08-10

Coding for pain management can get confusing. How many injections, the location, and when to use a modifier are all common questions. This article will cover some of the most common injections used in pain management. Trigger Point Injections Trigger point injections are reported by how many muscles are treated using an ...

Read More

Coding with PCS When There is No Code

Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
2020-08-05

ICD-10-PCS covers ALMOST everything! But not quite! What if a body system does not contain a body part for toes or fingers? What about an elbow? When it does not cover what you are looking for, where do you turn?  To the guidelines, of course! There are ICD-10-PCS guidelines just as ...

Read More

OIG Report Highlights Need to Understand Guidelines

Wyn Staheli, Director of Research
2020-07-28

A new OIG report once again highlights the necessity for organizations to fully understand requirements for reporting services and having proper documentation. The types of problems addressed in this report are ongoing issues for multiple types of services and specialties and for many different payers.

Read More

Office of Inspector General Says Medicare Advantage Organizations are Denying Services Inappropriately

Aimee Wilcox
2020-07-21

We attended the recent virtual RISE National Conference and had the opportunity to listen to presenters share their knowledge about risk adjustment and HCC reporting and data validation. Among the presenters were representatives from the Office of Inspector General (OIG), who presented findings from encounter data from 2012-2016. They began ...

Read More
Show All