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Podiatry Coding Alert
Podiatry Coding Alert
Podiatry Coding Alert - 2013; Volume 5, number 12
Wound Care:
4 FAQs to Help Your Foot Wound Care Bottom Line
Watch your traumatic care, compression therapy, ulcer and Dermagraft codes for clear cla...
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HIPAA:
Solidify Your HIPAA Policies and Practices Before the Auditors Come Knocking
All covered entities and business associates are on the audit list, HHS says. HIPAA is...
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ICD-10 Update:
Don't Get Sidelined By These 3 ICD-10 Myths
Don’t assume that ICD-10 will allow you to use the same code twice. With the hea...
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Compliance:
Bust These 5 Common Compliance Myths
Tip: Make a good faith effort to comply with the spirit of the law. Don’t get wa...
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Reader Question:
Look to Unlisted Code for Cuboid Syndrome Treatment
Question: How should I code for cuboid syndrome and its treatment through manipulation? ...
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Reader Question:
MSP Doesn't Change Medicare Consultation Pay
Question: I know Medicare doesn’t reimburse consults anymore, but a new coder we h...
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You Be the Coder:
Casting for Club Feet Correction
Question: When correcting club feet by releasing the Achilles and then applying the cast...
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Podiatry Coding Alert - 2013; Volume 5, number 11
Surgical Repair:
Understanding Repair Complexity Is a Simple Key to Coding Success
Knowing the difference between complex and simple repair can be worth $300 to your pract...
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Advance Beneficiary Notices:
Adding 'G' Modifiers on Your Medicare Claims? Expect Extra Scrutiny
The OIG report puts GA, GZ, GY, and GX in the hot seat. When your practice is billing ...
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Compliance:
E/M Errors Top Medicare's List of Improperly Billed Codes in 2012
CERT results reveal $29.6 billion in improper Medicare payments — $1.1 billion of ...
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Incident-to Billing:
Adding NPP Can Boost Productivity and Income -- But Know the Risks
Be sure you consult your state laws and NPP scope of practice rules before hiring. Hir...
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Reader Question:
Ensure That Your Appeals Have a Chance at Success
Question: When we know that the carrier has made a mistake in denying one of our cl...
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Reader Question:
Get Patient Okay Before Disclosing PHI
Question: Who’s authorized to make a request to review a patient’s medi...
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You Be the Coder:
Crescentic Osteotomy
Question: How should I code a crescent shelf osteotomy for a hallux valgus case? ...
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Podiatry Coding Alert - 2013; Volume 5, number 10
Fracture Care Coding:
Make Sure Improper Coding Doesn't Fracture Your Reimbursement
Don’t forget to include E/M, casting and strapping where appropriate with your foo...
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ICD-10:
Conversion to ICD-10 Won't Be a Huge Financial Burden, CMS Reps Say
Plus: ICD-10 claims will allow you to submit the letters as either upper or lowercase, C...
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Practice Management:
Breeze Through HIPAA Audit With 5 Protocol Tips
Try your hand at internal audits first. Random and targeted HIPAA audits are making th...
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Reader Question:
28296 and 64450 Are Inseparable
Question: I billed 28296 for a bunion correction with metatarsal osteotomy, and 64...
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Reader Question:
Calculate the Sequestration Cut Effects
Question: Does the 2 percent sequestration cut apply to claims with dates of servi...
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Reader Question:
Identify Ulcers by Type, Not Depth
Question: Is there a method of correlating Wagner’s ulcer classification to ...
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Reader Question:
Report 11740 for Draining Toenail Hematoma
Question: A patient visited our office because of a hematoma under her toenail. The podi...
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Reader Question:
Billing 2 MD Visits on Same Day Is OK if Specialties Differ
Question: Can a patient be seen by two different providers in a billing group on the sam...
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You Be the Coder:
Non-Displaced Tarsal Bone Fracture Without Manipulation
Question: Our physician saw a patient for a non-displaced tarsal bone fracture, which di...
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Podiatry Coding Alert - 2013; Volume 5, number 9
Diagnosis Coding:
Brush Up on Foot Anatomy to Step Toward Coding Success
Tip: Keep modifiers LT, RT, TA-T9 handy to specify work on different areas of feet and t...
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ICD-10 Crosswalk
Once ICD-10 is implemented, the diagnosis codes in the above story will be different. Ch...
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Part B Payment:
Proposed 2014 Fee Schedule Suggests Steep Cuts
But in 2015, practitioners could finally see bonuses for non-face-to-face services admin...
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ICD-10 Prep:
Let 4 FAQs Help Guide Your ICD-10 Focus
Don’t limit your training to code selection alone. The ICD-10 implementation de...
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Reader Question:
Submit One Cast Supply Code Unit Per Cast
Question: Should we use supply code Q4010 as one unit, or can we report multiple units? ...
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Reader Question:
E/M Might Move from Office to ER
Question: The podiatric surgeon saw a patient in the office (99214), but later in the sa...
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You Be the Coder:
Rigid Mallet Toe Treatment
Question: A patient came into the office with a rigid mallet toe. How will my physician ...
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Podiatry Coding Alert - 2013; Volume 5, number 8
CCI 19.2:
Edits Direct You to Steer Clear of Reporting E/M With Many Procedures
CCI implements bundles for podiatric procedures already covered by global period guideli...
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E/M Coding:
Take Steps to MDM Determination Success -- Every Time
This system will help you correctly calculate each piece of the MDM puzzle. Are you in...
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Electronic Medical Records:
Look Before Jumping on the EMR Bandwagon
Picking the wrong EMR system could mean losing money and system blackouts. Electronic ...
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Reader Question:
Don't Automatically Combine ER and Office Visits
Question: If a patient was seen for an office visit (99214) first and then later on the ...
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Reader Question:
Mitigate Late Patient Costs With Block Scheduling
Question: Recently we have had a lot of patients showing up late for appointments. The p...
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You Be the Coder:
Achilles Lesion Excision
Question: Our podiatrist documented an excision for thickening of the Achilles tendon, a...
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Podiatry Coding Alert - 2013; Volume 5, number 7
Fractures:
Ankle Fractures: Avoid 27786-27814 Pitfalls
Know the 5 types of ankle fracture repairs, and save your practice $70. Mistaking bima...
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CCI Primer:
4 FAQs Spotlight Bundling Rules for Podiatrists
Know when modifiers, ABNs can’t override edit pairs. Keeping abreast of Medicare...
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Documentation:
Leave the HPI Details to the Provider
Identify which portions of the record ancillary staff can capture. Your podiatrist&rs...
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Reader Question:
Brush Up on ICD-10 Differences
Question: I’ve seen lots of specific examples of ICD-10 codes, but I think it woul...
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Reader Question:
Include Retained FB Code With Toe Blister, When Applicable
Question: I’m coding a case of treatment for an ischemic blister of the right grea...
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Reader Question:
Be Cautious With EMR Templates
Question: We are evaluating several EMR products and one company is touting the pros of ...
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Reader Question:
Diagnosing Initial Vs. Follow-Up Fracture Visit
Question: Our physician treated a patient for a fracture of the second metatarsal. A fol...
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You Be the Coder:
Excision for Osteomyelitis Foot
Question: In a patient diagnosed with osteomyelitis of left second metatarsal bone, our ...
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Podiatry Coding Alert - 2013; Volume 5, number 6
Casting and Strapping:
3 Coding Steps to Wrap Up Your Strapping Claims
Tip: Be sure to check your materials before you file the claim A simple treatment like...
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Practice Management:
Master X-Y-Zs of Global Period Indicators to Maximize E/M Pay
Make sure to count pre-op day, too. Procedures that your podiatrist performs can range...
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Part B Mythbuster:
Check Out These Top 5 ABN Myths
These surprising CMS rules on ABN use are straight from Medicare policy. You’ve ...
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Reader Question:
Amend Documentation With Care
Question: One of our podiatrists wants to amend documentation of a procedure, but we don...
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Reader Question:
Stick With Joint Codes for Sinus Tarsi Injection
Question: I recently received a denial for a cortisone injection to the sinus tarsi with...
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You Be the Coder:
Ankle Fracture With Internal Fixation
Question: Our podiatrist documented a diagnosis of left ankle Weber C fracture in latera...
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Podiatry Coding Alert - 2013; Volume 5, number 5
Nerve Surgery:
Follow 5 Tips to Protect Your Neuroplasty Claims
Don’t get frazzled by the large selection of peripheral nerve, tarsal tunnel and d...
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Cash Flow:
5 Hidden Income Opportunities Ease the Pain of Sequestration Cuts
Your Medicare pay was slashed by 2 percent on April 1 — these tips will help bring...
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Denials Management:
4 Tips Set You on Course for MUE Appeals Success
Don’t fall victim to the ABN myth. If you think medically unlikely edits (MUEs) ...
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Reader Question:
Look at 917.2 for Toe Blister
Question: What is the correct diagnosis for an ischemic blister of the right great toe? ...
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Reader Question:
Make Arrangements for Incident-to Under Locum Tenens
Question: One of the podiatrists in our practice will be traveling for two months and ha...
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You Be the Coder:
Second Ingrown Toenail
Question: During an appointment for an ingrown toenail surgery, the podiatrist finds tha...
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Podiatry Coding Alert - 2013; Volume 5, number 4
Fractures:
Heal the Cracks in Your Calcaneal Fracture Coding
Is treatment closed, open, or percutaneous? The answer can affect your code choice. Ca...
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Practice Management:
Learn the Basics Before Investing in Practice Management Software
The right tools can streamline your administrative and financial tasks. Medical practi...
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Don't Settle:
Perform an MPM Needs Analysis
Review these system features and decide which ones your practice needs. When your prac...
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News You Can Use:
You're Saved From 26.5 Percent Physician Pay Cut
But RVU changes still in effect. Podiatrists can expect a reprieve from the dreaded 20...
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Documentation:
Need to Amend a Patient Encounter? Better Check These Directions First
Heads up: Single-line corrections are fine. If you discover your podiatrist forgot to ...
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Reader Question:
Let Medical Necessity Rule Code Choice
Question: Our podiatrist is a very thorough documenter and treats very sick patien...
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Reader Question:
Keep a Record of Your Provider's Signature Variations
Question: We’re having trouble making sure our providers meet signature requiremen...
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You Be the Coder:
Toenail Excisions and Cauterizations
Question: A patient presents for a follow-up of an ingrown toenail. The physician finds ...
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Podiatry Coding Alert - 2013; Volume 5, number 3
Hallus Valgus:
Watch Out for Double Osteotomies
Tip: Don’t automatically jump to 28298 for Aiken procedures. Getting a lot of de...
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Coding Strategy:
Heed This Advice and Cross the Finish Line to Heel Spur Treatment Claims Success
Rule out fracture, check for casts and orthotic devices. If you’re reporting hee...
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Practice Management:
Get Ready For OIG Scrutiny of Modifiers and More
Audit yourself before the feds come calling. Your podiatry practice could come under t...
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E/M Coding:
Implement These 5 Simple Steps to Boost Your E/M Bottom Line
Heads up: Dig past ‘follow-up’ for acceptable chief complaint. E/M coding ...
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Reader Question:
Capture Margin Re-Excision
Question: The podiatrist performs a lesion re-excision for margin removal because the pa...
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Reader Question:
No New Code Describes Paperwork
Question: I’ve heard that CPT® has a new code for reviewing records separate f...
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Reader Question:
Inform Patients Before Collecting Co-Pays Up Front
Question: One of our providers returned from a meeting, saying he had talked to other pr...
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Reader Question:
Traumatic Amputation Equals 11044
Question: A patient presented in the emergency department with partial traumatic amputat...
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Reader Question:
Describe Follow-Up Visits Accurately With V Codes
Question: If a patient receives treatment and the condition was resolved, which ICD-9 co...
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You Be the Coder:
Brostrom Procedures
Question: My podiatrist gave me an op note for a "Brostrom procedure," and I h...
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Podiatry Coding Alert - 2013; Volume 5, number 2
Hammertoes:
28285: Including All Tenotomies in Hammertoe Corrections? Read This First
Also: Careful with your K-wire coding. Hammertoe surgery — 28285 (Correction, ha...
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Coding Strategies:
Count Your RVUs When Reporting Multiple Fractures
Apply this sequencing advice to ethically maximize reimbursement. Not paying attention...
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2013 Payment:
Last-Minute Congressional Vote Reverses Across-the-Board Pay Cuts
Medical societies still hopeful for new formula to halt this annual nail-biter. As man...
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Appeals:
Follow 4 Steps to Ensure You Are Properly Appealing Modifier 25 Denials
Hint: Pay attention to global period assignments. Denials are a part of every practice...
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EHR:
Does Your Electronic Prescription System Pass Muster?
Get started now to avoid further pay hits in 2014. Incentives for using electronic pre...
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Reader Question:
Turn to Unlisted Code for Contracture Procedure in Toe
Question: Our podiatrist documented the following: Diagnosis: 2nd Metatarsophalangeal ...
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Reader Question:
Legibility Matters, CMS Stresses
Question: I have heard payers are cracking down on illegible provider documentation. My ...
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You Be the Coder:
Lisfranc Injury
Question: In a patient diagnosed with Lisfranc injury in the left foot, the following pr...
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Podiatry Coding Alert - 2013; Volume 5, number 1
Case Study:
Watch for Lesion and Margin Measurements -- or Forfeit $35 Per Procedure
Learn what to do when the op note and pathology report say different things. Sometimes...
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CCI:
Modifiers 24 And 57 Will Soon Allow You to Bypass CCI Edits
Plus: You can also override bundles with modifiers LM and RI We’ve all heard the...
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CMS News:
Update Your Revalidation Plan With New CMS Instruction
Kinder, gentler process forestalls ‘revocation.’ Don’t lose your abi...
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Compliance:
Watch For Extra Scrutiny of Your Services
Incident-to billing, E/M coding, and more are on the OIG watch list in 2013. If you a...
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Billing Corner:
Locum Tenens Billing Doesn't Apply to New Docs Who Aren't Yet Credentialed
Uncredentialed physicians don’t fall into any ‘locum tenens loophole.’...
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Reader Question:
Append Correct Modifiers for Toe Osteotomy and Reconstruction
Question: Is it correct to code 28306-TA for left foot first metatarsal Mitchell osteoto...
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Reader Question:
New Year, New Insurance = New Verification
Question: How should I file a claim on a patient who has new coverage but has not receiv...
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Reader Question:
Get Patient's Signature on Records Transfers
Question: We were forced to discharge a patient. She paid for a copy of her medical reco...
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You Be the Coder:
Bone Marrow Aspiration With Subtalar Arthrodesis
Question: Our podiatrist is performing a subtalar arthrodesis (28725, Arthrodesis; subta...
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Available Years:
2013
2012
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2010
2009