Medical Coding Pro - Global Billing: Document ‘Unrelated’ for Modifier 79 Services

Published: Mon, 01/11/10


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Global Billing: Document ‘Unrelated’ for Modifier 79 Services - 2010-01-07 16:09:53-05
MACs are looking for ‘red flags’ to halt additional global period pay Billing for additional services during a global surgery period is always tricky, but now you can expect special scrutiny for modifier 79 claims. After the OIG got wind of fraudulent surgery billing with modifier 79 (Unrelated procedure or service by the same physician during the postoperative period), CMS contractors have been on the hunt [...] Related articles:
  1. These 8 Services Are Not Part Of The Global Surgical PackageIf you’re not reporting these services separately, you’re losing money....
  2. Modifier Cheat Sheet: Banish Your E/M Modifier Phobias ForeverOnce you have this tool, you’ll never again wonder which...
  3. Bone Up On ASC Orthopedic Coding With These Global Period, Modifier Tips 3 ways your physician claim better look different than...


Read more: http://medicalcodingpro.com/wordpress/522/global-billing-document-%e2%80%98unrelated%e2%80%99-for-modifier-79-services/



Oncology Billing Toolkit: Factor 8 HCPCS Changes Into Your Superbill - 2010-01-07 16:51:12-05
Watch those Taxotere units, or kiss 95 percent of your reimbursement goodbye. A brand new list of HCPCS codes — including docetaxel and bevacizumab updates — goes into effect Jan. 1 and our 8-step superbill maintenance plan will stop denials in their tracks for 2010. Not using the proper codes will lead to claim rejection, which means “not receiving the proper [...] Related articles:
  1. 2 New HCPCS Codes for H1N1 Vaccine AdministrationPlus: New Bevacizumab code is effective Oct. 1. If you’re...
  2. Check New HCPCS Codes to Keep Pain Management Claims on TrackCatch the changes to botulinum toxin and neurostimulator electrode codes....
  3. Which HCPCS Code Should I Use for Eovist MRI contrast? Question: Which HCPCS code should I use to report...


Read more: http://medicalcodingpro.com/wordpress/524/oncology-billing-toolkit-factor-8-hcpcs-changes-into-your-superbill/



Keep All the Urodynamics Codes Straight With This Handy Cheat Sheet - 2010-01-08 15:21:24-05
Knowing the differences between the tests is your key to proper code choice. When your urologist says he performed urodynamics tests, you need to dig deeper into his documentation for clues about which code to report. Tack this overview up by your computer to help you quickly choose the right code every time. • In a simple [...] Related articles:
  1. Urology CPT 2010: 3 New Codes, 2 Deletions Change Your Urodynamics CodingUrodynamics income will go down by half, experts calculate. You will...
  2. CPT 2010 Update: Urogynecology CodingRemember, supervision requirements still apply to new codes. CPT 2010...
  3. Urology Coding: TURP, Urodynamics and Stone RemovalTURP 101: Use This Comprehensive Guide to Master TURP Coding...


Read more: http://medicalcodingpro.com/wordpress/528/keep-all-the-urodynamics-codes-straight-with-this-handy-cheat-sheet/



PQRI 2010: Tips That Boost Your Practice’s Revenue - 2010-01-10 01:00:49-05
Follow our links and advice to put more plusses in your claims column Back again for 2010 is Medicare’s incentive-driven physician quality reporting initiative (PQRI), aimed at tracking quality metric or patient care services that physicians provide. When the practice treats enough patients in the same category, some PQRI dollars might be only a few codes [...] Related articles:
  1. PQRI: No Coumadin Due to Fall RiskPlus, experts at the AMA meeting in Chicago tell you...
  2. Smokin’ PQRI Pointers We’ve got the G codes you need to score...
  3. Accurate Diabetes ICD-9 Coding = PQRI BonusInternal medicine providers interested in a year-end bonus from Medicare...


Read more: http://medicalcodingpro.com/wordpress/530/pqri-2010-tips-that-boost-your-practice%e2%80%99s-revenue/



Radiology Coding Challenge: Why is Medicare Denying a 38792, 78195 Claim - 2010-01-10 17:05:09-05
Tip: Discover true meaning of 38792 note Question: The physician performed a sentinel node injection with lymphoscintigraphy. A note with 38792 states to report 78195 for imaging. So why did Medicare deny a claim that included both codes? Answer: You should report 78195 (Lymphatic and lymph nodes imaging) for this service and leave 38792 (Injection procedure; for [...] Related articles:
  1. CCI 15.0 Update for Radiology Coders 76942 and 78808 on a single claim needs a...
  2. Radiology Coding Challenge: Total Spine MRI Without Contrast Question: Which CPT code should I use for a...
  3. Radiology Coding Challenge: Rate Your Reformatting SkillsQuestion: My radiology report documents axial CT slices from the...


Read more: http://medicalcodingpro.com/wordpress/531/radiology-coding-challenge-why-is-medicare-denying-a-38792-78195-claim/