At issue: Whether to report intravitreal injections with E/M services. Some eye care practices are so accustomed to tacking modifier 25 onto their E/M services that they don’t always stop to check whether their documentation supports its use. But appending [...]
The 1.4-percent cut means you’ll have to make do with less. Experts fear that many home health agencies (HHAs) might have to shut down, thereby significantly reducing access to home-based healthcare for many patients who need it, thanks to the [...]
At least the cut is improved from proposal. Prepare to do more with less for yet another year. The bad news: The Centers for Medicare & Medicaid Services issued its 2016 Home Health Prospective Payment System final rule Oct. 29, [...]
Hint: Use different ICD-10 code for herpetic stomatitis. If your oral surgeon diagnoses recurrent oral aphthous ulcer, you will report the condition in ICD-10 in a similar fashion in which you reported this in ICD-9. Even the list of inclusions [...]
Key terms such as "metatarsal osteotomy" and "distal Aiken" can make all the difference.Podiatrists usually perform double osteotomies to correct a patient's hallux valgus or bunion. Reporting them could result to a double whammy if you failed to recognize the [...]
Also, watch for a swapped modifier when reporting a GON block. Pain management coders won't be able to miss the new edits the Correct Coding Initiative (CCI) has included for fluoroscopic guidance. If you're not up on the changes in [...]
This deletion could add $69 to your practice's bottom line--but make sure you adhere to this criteria. If claims involving fluoroscopy, anesthesia, and disc procedures often land on your desk, then you should pay attention to the more than 200 [...]
The upside is that you'll be able to break some bundles with modifier 59. Just as you're getting used to using the revised 2010 hemorrhoidectomy codes, the Correct Coding Initiative (CCI) has something to say about when you can report [...]
Make sure you know when to put a modifier on +95920, starting now. Each time the Correct Coding Initiative (CCI) releases an update, new edits and deleted pairs get a lot of the attention. But if you ignore the swapped [...]
Pay attention to the edits that carry modifier indicator "0." The Correct Coding Initiative (CCI) Version 16.1 went into effect April 1, with almost 40 percent of 112 new mutually exclusive pairs applying to neurosurgeons. Non-mutually exclusive edits include 67 [...]
