Urology Coding Alert
No Need to Resubmit Early 2006 Claims
Question: Will I need to resubmit the claims I submitted in January 2006 to claim the corrected physician fee schedule rate? Answer: No, you don't have to take any action to receive the adjusted monies. Carriers will be able to speed the transition to the new fees within two business days after the legislation is enacted, CMS says. Answers to Reader Questions and You Be the Coder contributed by Michael A. Ferragamo, MD, FACS, clinical assistant professor of urology, State University of New York, Stony Brook; and Morgan Hause, CCS, CCS-P, privacy and compliance officer for Urology of Indiana LLC, a 31-urologist practice in Indianapolis.
New Hampshire Subscriber
Medicare carriers will calculate the additional amount you'll be due and pay it to you as a lump sum no later than July 1. The exact date may vary depending on the number of claims a carrier must reprocess.
How it works: Once the president signed the budget bill that the House passed on Feb. 1, the conversion factor reverted back to the 2005 rate of 37.8975. The change is retroactive to Jan. 1, 2006.
Urology Coding Alert
- Avoid the Stress of Coding Surgical Procedures For Female Urinary Incontinence
Tip: If your physician uses a sling, you only have 1 code to represent the [...] - Clip and Save:
Chart a Clear Course for Selecting the Best Incontinence Surgery Code
Link the appropriate diagnosis to the procedure to support your [...] - NCCI 12.1 Update:
Expect Denials if You Report 50650 With 50220 and Others
Heads up: You won’t be able to use a modifier to break the bundles The [...] - You Be the Coder:
Lithotripsy Changes Your Cysto Code Choice
Question: Should I report 52352 for "breaking up of a renal stone in the kidney [...] - Reader Questions:
Urodynamic Test Reporting Varies by Payer
Question: Our payers often say we should add modifier 51 to 51726, 51784, 51795, 51797, [...] - Clip and Save:
Solidify Your Consultation Documentation With This Fax Form
Being proactive now can help you avoid denials Documentation--or lack thereof--can determine whether you'll see [...] - Reader Questions:
You Can Get Paid for Nurse Catheter Placement
Question: Can we bill CPT 51701 if a nurse is catheterizing a patient?
Michigan [...] - Reader Questions:
Report Both Lead, Generator Removal
Question: What code should I use for the removal of interstim?
Mississippi Subscriber
Answer: If your [...] - Reader Questions:
No Need to Resubmit Early 2006 Claims
Question: Will I need to resubmit the claims I submitted in January 2006 to claim [...] - Denial Management Toolkit:
Turn Your Denials Into Dollars With 6 Quick Tips
Share your top denial reasons with office staff and watch future denials disappear If you're [...] - Manage Your Urology Claim Denials in Half the Time
Our experts show you how 4 billing reports can help jump-start collections You review your [...] - Do These Top-10 Denials Look Familiar? Check Your List
Good news: The most common rejection reasons are also some of the easiest to prevent [...]
