Get quick tips on Part B drug modifier JZ, chronic pain management code G3002, and more. The 2023 Medicare Physician Fee Schedule (MPFS) final rule brought ups and downs for anesthesiologists and pain management specialists. Let’s jump in to discover [...]
You can’t ignore this trend. The Centers for Medicare & Medicaid Services believes so firmly in its accountable care organizations that the agency has added 121 new participants to the program, bringing the number of ACOs up to 477, according [...]
Plus: ACOs will treat 9 million people, thanks to addition of new organizations. A Virginia physician is in hot water after allegedly billing Medicare and Medicaid for cancer detection tests that were medically unnecessary, and offering inducements to other practitioners [...]
Question: My physicians have just started seeing patients for allergy shots. They want to bill an E/M service for the time they spend before the injection getting the patient to sign the consent form and the time they spend after the [...]
Question: A 14-year-old patient visited our clinic with an injured second toe of the right foot he suffered during a skiing accident. The physician diagnosed a closed phalangeal fracture, which he reset using manipulation and placed in a plaster cast. He [...]
Still search for a more specific code before resorting to ‘unlisted.’ Fall can bring new allergy symptoms for patients, which can lead to a diagnosis of allergic rhinitis without a pinpointed cause. With ICD-9, you’ve reported this situation with 477.9 [...]
You can now report vasomotor rhinitis with a specific diagnosis code. When reporting a diagnosis of allergic rhinitis with ICD-10 codes, you will have to base your reporting on the allergen that is causing the rhinitis as you did in [...]
Hint: Use size of the vial as the guiding factor to number of units to be billed. Do you think billing for preparation of antigens for allergen immunotherapy (95165) seems pretty straightforward? In actuality, you might be raising many red [...]
Vasomotor rhinitis can be reported with a specific code in ICD-10. When reporting a diagnosis of allergic rhinitis with ICD-10 codes, you will have to base your reporting on the allergen that is causing the rhinitis as you did in [...]
Hint: Use size of the vial as the guiding factor to number of units to be billed. Even though billing for preparation of antigens for allergen immunotherapy (95165) seems pretty straightforward, in actuality you might be raising many red flags [...]
