MEDICAL BLOG

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Check Out Our NEW CDI Improvement Guides!

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2020-01-28

Take the guesswork out of documentation using Find-A-Code's Provider Documentation Guides (PDGs)! Provider Documentation Guides, or PDGs, are designed to provide a quick reference for all aspects of diagnosing a particular condition so that the highest specificity code can be easily determined by a coder. Proper documentation is the foundation of CDI. These PDGs are ...

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Billing for Telemedicine in Chiropractic

Evan M. Gwilliam DC MBA BS CPC CCPC QCC CPC-I MCS-P CPMA CMHP
2020-01-14

Many large private payers recognize the potential cost savings and improved health outcomes that telemedicine can help achieve, therefore they are often willing to cover it. While there are several considerations, there could be certain circumstances where telemedicine might apply to chiropractic care.

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Non-Surgical Periodontal Treatment

Christine Taxin
2020-01-14

AAP treatment guidelines stress that periodontal health should be achieved in the least invasive and most cost-effective manner. This is often accomplished through non-surgical periodontal treatment.Non-surgical periodontal treatment does have its limitations. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health.SCALING AND ROOT PLANINGScaling ...

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Who Knew? There are Three Types of Add-On Codes

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2020-01-09

Using add-on codes with HCPCS/CPT is not as simple as 123! Although there are three different groups of add-on codes assigned by CMS, these are used to identify code edits. It is easy to see the add-on code with some codes; we can see the instructional notes and phrases such ...

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Denials due to MUE Usage - This May be Why!

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2020-01-07

CMS assigns Medically Unlikely Edits (MUE's) for HCPCS/CPT codes, although not every code has an MUE. MUE edits are used to limit tests and treatments provided to a Medicare patient for a single date of service or for a single line item on a claim form. It is important to understand MUE's are ...

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CMS Report on QPP Shows Increasing Involvement

Wyn Staheli, Director of Research
2020-01-06

MIPS 2018 participation increased according to the final report issued by CMS on January 6, 2020.

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CPT 2020 Changes to Psychiatry Services

Namas
2020-01-03

As of January 1, 2020, CPT made changes to the health and behavior assessment and intervention codes (96150-96155) and therapeutic interventions that focus on cognitive function (97127). If you code and audit services in this category, you must pay close attention to the changes as they include the removal and ...

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Medicare Changes Bilateral Reporting Rules for Certain Supplies

Wyn Staheli, Director of Research
2019-12-30

DME suppliers must bill bilateral supplies with modifiers RT and LT on separate claim lines or they are being rejected.

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Time Is Up! Jan 1 2020 Claims Will be Denied Without MBIs

Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
2019-12-23

New Medicare Card Transition Ends Next Week: Claim Reject Codes Beginning January 1 If you want to get paid you should be reporting MBIs on all of your Medicare claims. The deadline is here: if you are not using Medicare Beneficiary Identifiers (MBIs) on claims (with a few exceptions) after January 1, ...

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What to look for when auditing moderate sedation codes 99151-99153

Namas
2019-12-20

What to look for when auditing moderate sedation codes 99151-99153 Physicians performing diagnostic and therapeutic procedures can now separately bill for the provision of moderate sedation services, but there are some interesting wrinkles to be looking for when auditing these services. Starting in 2017, moderate sedation codes 99151-99157 were created to address ...

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