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Category Archives: Coding
Medicare Overpayments for Part B Claims with G Modifiers
Office of Inspector General (OIG) announced they recently finished a study on all Part B claims billed with G modifiers that the providers expect to be denied as either not “reasonable and necessary” (GA and GZ modifiers) or because they … Continue reading
Ready or not…ICD 10 is coming
CMS has announced that there will be no more delays in ICD 10. Come October 1, 2014, ready or not everyone will be required to use ICD 10 diagnosis codes in order to get reimbursed for services performed on or … Continue reading
Posted in Coding, compliance, documentation, EHR, guidelines, Healthcare, ICD-10, Uncategorized
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Interactive Complexity 90785 – Clarification
As most of us are still learning about the 2013 Psychiatry coding changes, we know that the Interactive Complexity 90785 is used in reporting communication factors that complicate the delivery of psychiatric services. Interactive Complexity represents the difference in intensity … Continue reading
AMA Errata Revised 01/25/2013 – Changes in Psychotherapy and Prolonged Services
AMA released a revision to the 2013 CPT Manual Errata dated: 1/25/2013 – 2:03:37 PM. The changes for Psychotherapy is with CPT Code 90837 Psychotherapy, 60 minutes; the parenthetical that states to use of the Prolonged Services for psychotherapy services … Continue reading
Posted in Coding, CPT, documentation, E/M, Uncategorized
Tagged AMA, errata, prolonged, psychotherapy
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How to Get Paid More for Patient Visits
Most physicians often go the extra mile for patients — perhaps even if they don’t get paid for those added efforts. However, sometimes you can reap financial as well as professional satisfaction for giving patients additional attention. Reprinted from Medscape … Continue reading
Posted in Coding, CPT, E/M, Healthcare, Uncategorized
Tagged Medscape, modifiers, OIG
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Improving Clinical Documentation for ICD-10
CMS recently sent out a news release on Simple Steps to Improve Clinical Documentation. These steps will assist the clinicians in providing the documentation required to selected the appropriate diagnosis code to the highest level of specificity come October 2014 … Continue reading
AMA Suggesting You Report Payers
Are any of your payers not accepting the 2013 CPT codes? Some payers may not be prepared to accept the new CPT codes. We have noticed this with payers dealing with psychiatric codes because the AMA deleted all the old … Continue reading
MACs May Possibly Determine Primary Codes
CMS released a transmittal on December 7, 2012 that communicated that add-on codes may only be used with the appropriate primary code. ON the surface, this isn’t really news. We all know that add-on codes are to be added to … Continue reading
Posted in CMS, Coding, CPT, guidelines, Medicare, Uncategorized
Tagged HCPCS, IOM, LCD, MAC, transmittal
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CMS Cuts 88305 Global Payment by 33%
CMS announced a series of physician pay cuts impacting pathologists in the final 2013 Physician Fee Schedule (PFS), advancing its commitment to contain health care delivery costs. Most notably, the agency lowered the technical component (TC) of the surgical pathology … Continue reading
CMS Updates Amending & Correcting Medical Record Documentation
Medicare principles have been updated on how to amend or correct entries in patient medical records. CMS has directed contractors to give these changes added scrutiny.
Posted in Coding, documentation, Documentation, EHR, Medicare, Miscellaneous, Uncategorized
Tagged CMS, medical records, recordkeeping, transmittal
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