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Pediatric Coding Alert

Prolonged Service Coding:

New Prolonged Service Codes Look Great--But Can You Collect for Them?

Published on Thu Mar 03, 2016

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Pediatric Coding Alert

E/M Coding:
No Patient in the Room? No Problem
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Confirm These 3 Elements Are in the Documentation for Time-Based coding
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Prolonged Service Coding:
New Prolonged Service Codes Look Great--But Can You Collect for Them?
Some payers are reimbursing 99415-99416, while others have balked. When CPT® 2016 took effect on [...]

Billing:
Slightly Tweaking Your Patient Registration Questions Could Increase Your A/R
Ask pointed questions to get better information from patients, this billing expert says. Although you’re [...]

ICD-10:
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Pediatricians frequently order tests on newborns, often requiring your office to provide the proper diagnosis [...]

Reader Question:
Avoid 87502 for Most Office Flu Tests
Question: We are very confused about how to code for influenza tests. When billing Medicaid or [...]

Reader Question:
Some Payers May Want Modifier 25 Despite Add-on Nature
Question: United Healthcare recently denied a claim, saying that we should have added modifier 25 to [...]

Reader Question:
Look to 'H' Series for Eustachian Tube Dx
Question: Eustachian tube dysfunction had a specific code in ICD-9 (381.81), but in ICD-10 it does [...]

Reader Question:
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Question: If a patient comes in twice in one day because he feels worse later on [...]

You Be the Coder:
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Question: We are planning to start performing postpartum screenings on the mothers of the newborns that [...]

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