THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC DRG Code 627

Heed another reminder of why you need to check the OIG exclusions list. Summit Management Group, doing business as Visiting Angels of Rhode Island in East Providence, has agreed to pay $158,627 to resolve allegations that it employed an individual [...]

Hint: Suggested E/M documentation changes could balance shortcomings. If a hefty portion of your Part B take-home pay is tied to E/M office visits, you may want to review recent Medicare proposals. However, depending on your specialty and the number [...]

Hint: Suggested E/M documentation changes could balance shortcomings. If a big part of your Medicare pay is tied to evaluation and management (E/M) office visits, you may be concerned about recent proposals from CMS. But depending on your specialty and [...]

Calculate your fees to know what is at risk. Multiple surgeons may be necessary because of the complexity of the procedure or because of the patient’s condition. When you are coding this type of situation, you need to work with [...]

Know when you can legitimately report 77080. The restrictions Medicare sets for bone density tests can keep even the most conscientious coders guessing about whether they’ve met the medical necessity and frequency guidelines. Our experts offer real-world advice that will [...]

Check your LCDs to see if coverage is once every 2 years. The restrictions Medicare sets for bone density tests can keep even the most conscientious coders guessing about whether they’ve met the medical necessity and frequency guidelines. Our experts [...]

Check your LCDs to see if coverage is once every 2 years. The restrictions Medicare sets for bone density tests can keep even the most conscientious coders guessing about whether they’ve met the medical necessity and frequency guidelines. Our experts [...]

Check your LCDs to see if coverage is once every 2 years.If you find tracking Medicare's DXA claim restrictions on medical necessity and frequency a real chore, you're not alone. But you can simplify the process and reduce denials by [...]

Start with the basics and then move on to learning the intricacies.When a patient is covered by two insurance companies, such as patients whose employer and spouse's employer both provide health benefits, claims processing can be confusing. Add in differing [...]

Identify primary payer and confirm state requirements.Knowing how to handle primary and secondary payers when patients are covered by two insurance companies can be a real challenge.Vital tip: You can ethically maximize your practice's reimbursement and reduce the costs of [...]