Plus: Pay attention to who actually performs the lab test. Pediatricians perform phenylketonuria (PKU) screening tests frequently, but many practices are still unclear about how to report these screenings, particularly in light of conflicting information since the ICD-10 implementation. Consider [...]
Keep these tips in mind as you report your services. Although most practices report a smooth ICD-10 transition, chances are strong that you have encountered a few road bumps since Oct. 1 that have stalled your pediatric practice’s claims. To [...]
Keep these tips in mind as you report your services. Although most practices report a smooth ICD-10 transition, chances are strong that you have encountered a few road bumps since Oct. 1 that have stalled your pediatric practice’s claims. To [...]
Don’t ignore these often-overlooked diagnosis codes. Submitting claims for your pediatric visits can get tricky when it feels like none of the diagnosis codes apply to your claim, or you need to support your diagnoses by explaining secondary reasons for [...]
Once you have your modifiers straight, you’ll be coding with ease. It’s been said that appropriate use of modifiers can make or break your Medicare claim, so if your modifier knowledge hasn’t been updated in a few years, you could [...]
Prepare to change Dx coding for CF screening. If you’re reporting the screening diagnosis — or the results — when your lab runs molecular tests for cystic fibrosis (CF) such as 81220 (CFTR [cystic fibrosis transmembrane conductance regulator] [e.g., cystic [...]
Question: Some of our payers deny claims with modifier 33 because they state the modifier is invalid. Can you explain this modifier to me and how we should be using it? Answer: The full definition of modifier 33 (Preventive services) [...]
Question: Some of our payers deny claims with modifier 33 because they state the modifier is invalid. Can you explain this modifier to me and how we should be using it? Mississippi Subscriber Answer: The full definition of modifier 33 [...]
Between the IPPE, AWV, AAA, and beyond, you're probably confused at the alphabet soup of options when billing preventive services to Medicare. CMS feels your pain, and has released a quick reference chart that can ease your billing woes when [...]
Plus: Part B therapy cap will be held off a bit longer, thanks to Congressional vote.Between the IPPE, AWV, AAA, and beyond, you're probably confused at the alphabet soup of options when billing preventive services to Medicare. CMS feels your [...]
