What is a medical coding and billing audit?
What is the purpose of an audit and how can that help our medical practice?
Physician documentation audits: Can 1995 and 1997 E/M Guidelines be combined?
Our office is starting to do a monthly audit of our physician charts. We’re going to be looking at documentation and coding to make sure they are on the right track. When we’re conducting these audits, do we have to use either 1995 or 1997 guidelines or can we combine the two?
Preparing your practice for ICD-10
So you’ve decided to get your practice ready to use ICD-10-CM coding. Where do you begin? Our experts recommend these steps.
Modifier needed for services performed before hospital admission
This month's question asks about the use of modifiers for services performed before a hospital admission. Find out the answer to this pressing coding question.
How to code correctly for tuberculosis skin test
This month's questions ask about coding for tuberculosis skin tests and noncoverage notice updates. Find out the answers to these pressing coding questions.
Update vaccine code before flu arrives
This month's question asks about coding for vaccines. Find out the answer to this pressing coding question.
Use new code for obesity counseling
What must intensive behavioral counseling for obesity include to be reimbursed by Medicare? Find out the answer to this pressing coding question.
Screening for mental health at wellness visits
If you're performing routine physicals for patients with Medicare, you may wonder how you'll be compensated for cognitive functioning or depression screening. Find out the answer to this pressing coding question.
Clarifying consultation code confusion
Understanding the status of consultation codes
Preventive care coding for smoking cessation explained
Various areas of coding, including preventive care, smoking cessation, are addressed
Coding the day prior to hospital discharge, dialysis and discharge on same date
Allowing a doctor to bill for a discharge the night before it occurs prevents a situation in which patients are occupying hospital beds solely in wait of a physician.
Coding for a primary care preoperative exam
Can I bill for a preoperative visit, and if so, what CPT code should be used?
Coding for ring entrapment, removal
Unfortunately, even though there are CPT codes for simpler procedures, there is currently no code for ring removal or entrapment.
Coding for vaccinations without counseling
Our physicians don't want to report code 90465 when children under 8 years of age are vaccinated, because they do not provide any counseling.
When Medicare pays for the H1N1 test
Medicare will cover an H1N1 test if it is not covered by a state or local health department.
New CPT codes for iron injections
There is a new, specific code to use when primary care physicians administer an injection of iron.
Insurers slow to reimburse for group visits
Third-party payers have been slow to adapt to group medical visits, meaning billing can be difficult.
Coding for a nurse-patient encounter
A patient encounter with a nurse does not mean you can automatically bill using code 99211.
How to code sports physicals
The sports physicals you'll perform for many of your young patients before they go back to school can be done at the same time you do regular well visits.
Q&A: Charging a call fee to Medicare patients
Is it legal to charge a modest amount to each Medicare patient that is provided 24-hour coverage?
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