Medical Coding and Billing Articles (by Find-A-Code and Friends)
recent articles
Select the title to see a summary and a link to the full article.
January 22nd, 2020
CPT 10-Year Historical Content - Now Available!
| Published January 22nd, 2020
Did You Know?
We now offer Historical CPT Content in 2-year, 5-year, or 10-year options! Utilize access to specific CPT historical data for previous years using rules effective at that specific time. If you’ve added UCR fees to your account, you can use Historical CPT Content to view UCR fees from ...
January 21st, 2020
Inadequate Exclusion Screenings Could Put Your Practice at Risk
| Published January 21st, 2020
Exclusion screenings require far more than just checking a name on a federal database at the time you are hiring someone. Far too many providers don’t realize that in order to meet compliance requirements, there is MUCH more involved. There are actually over 40 exclusion screening databases/lists that need to be checked.
January 21st, 2020
Q/A: How do we Bill Massage Services?
| Published January 21st, 2020
Question: We are adding a massage therapist soon and have some questions about billing their services.
January 14th, 2020
Billing for Telemedicine in Chiropractic
| Published January 14th, 2020
Many large private payers recognize the potential cost savings and improved health outcomes that telemedicine can help achieve, therefore they are often willing to cover it. While there are several considerations, there could be certain circumstances where telemedicine might apply to chiropractic care.
January 14th, 2020
Q/A: Can Chiropractors Bill 99211?
| Published January 14th, 2020
Can chiropractic offices bill code 99211? Technically it can be used by chiropractors, but in most instances, it is discouraged. Considering that 99211 is a low complexity examination for an established patient, this code is not really made for the physician to use. In fact, in 2021, changes are coming for this code...
January 14th, 2020
Non-Surgical Periodontal Treatment
| Published January 14th, 2020 - Last Review/Update January 15th, 2020
AAP treatment guidelines stress that periodontal health should be achieved in the least invasive and most cost-effective manner. This is often accomplished through non-surgical periodontal treatment.Non-surgical periodontal treatment does have its limitations. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health.SCALING AND ROOT PLANINGScaling ...
January 9th, 2020
Who Knew? There are Three Types of Add-On Codes
| Published January 9th, 2020
Using add-on codes with HCPCS/CPT is not as simple as 123! Although there are three different groups of add-on codes assigned by CMS, these are used to identify code edits. It is easy to see the add-on code with some codes; we can see the instructional notes and phrases such ...
January 7th, 2020
Denials due to MUE Usage - This May be Why!
| Published January 7th, 2020
CMS assigns Medically Unlikely Edits (MUE's) for HCPCS/CPT codes, although not every code has an MUE. MUE edits are used to limit tests and treatments provided to a Medicare patient for a single date of service or for a single line item on a claim form. It is important to understand MUE's are ...
January 6th, 2020
CMS Report on QPP Shows Increasing Involvement
| Published January 6th, 2020
MIPS 2018 participation increased according to the final report issued by CMS on January 6, 2020.
January 3rd, 2020
CPT 2020 Changes to Psychiatry Services
| Published January 3rd, 2020 - Last Review/Update January 7th, 2020
As of January 1, 2020, CPT made changes to the health and behavior assessment and intervention codes (96150-96155) and therapeutic interventions that focus on cognitive function (97127). If you code and audit services in this category, you must pay close attention to the changes as they include the removal and ...
December 30th, 2019
Medicare Changes Bilateral Reporting Rules for Certain Supplies
| Published December 30th, 2019 - Last Review/Update January 6th, 2020
DME suppliers must bill bilateral supplies with modifiers RT and LT on separate claim lines or they are being rejected.
December 23rd, 2019
Time Is Up! Jan 1 2020 Claims Will be Denied Without MBIs
| Published December 23rd, 2019
New Medicare Card Transition Ends Next Week: Claim Reject Codes Beginning January 1
If you want to get paid you should be reporting MBIs on all of your Medicare claims. The deadline is here: if you are not using Medicare Beneficiary Identifiers (MBIs) on claims (with a few exceptions) after January 1, ...
December 20th, 2019
What to look for when auditing moderate sedation codes 99151-99153
| Published December 20th, 2019 - Last Review/Update January 9th, 2020
What to look for when auditing moderate sedation codes 99151-99153
Physicians performing diagnostic and therapeutic procedures can now separately bill for the provision of moderate sedation services, but there are some interesting wrinkles to be looking for when auditing these services.
Starting in 2017, moderate sedation codes 99151-99157 were created to address ...
December 19th, 2019
CMS- Patient Driven Payment Model Effective October 01, 2019
| Published December 19th, 2019
According to CMS, In July 2018, CMS finalized a new case-mix classification model, the Patient-Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay.
Using the new Patient-Driven ...
December 19th, 2019
Reporting the Health Effects of Vaping Now and in April 2020
| Published December 19th, 2019
To report vaping related conditions/disorders, use the official CDC guidelines to ensure proper documentation of vaping related health conditions. There is also a new code that will become effective April 1, 2020.
December 13th, 2019
What did I do today?
| Published December 13th, 2019 - Last Review/Update January 7th, 2020
What did I do today?
Whether you are auditing inpatient or outpatient documentation, chances are you have come across a situation where the encounters repeat the same story, sometimes day to day, sometimes on every 3-month visit. When EHRs were implemented en masse, a key selling point of almost all of ...
December 12th, 2019
Packaging and Units for Billing Drugs
| Published December 12th, 2019
To determine the dosage, size, doses per package and how many billing units are in each package, refer to the NDC number.
Take a look at the following
J1071 - Injection, testosterone cypionate, 1mg
For example; using NCD # 0009-0085-10 there are 10 doses of 100 mL
(100 mg/mL = 1 mL and there are ...
December 10th, 2019
Coding Auto Accident Injuries
| Published December 10th, 2019
There are several different ICD-10-CM code sections that can be used when coding for auto accident injuries. Injury diagnosis codes in ICD-10-CM are found with leading alpha characters S and T. S codes are injuries related to a single body region. T codes are injuries to multiple or unspecified body regions, poisoning, ...
December 10th, 2019
Look What is New for 2020!
| Published December 10th, 2019
Wait a minute... we are not waiting for 2020, this is too exciting!
Same great tools and features, this is just a new look for us! We think you will love it!
To start using the new view, simply login to your account and go to My Account. At the bottom of your ...
December 10th, 2019
American Dental Association (ADA) and Delta Dental Plans Association (DDPA) Class Action Lawsuit
| Published December 10th, 2019 - Last Review/Update December 11th, 2019
The American Dental Association and two individual dentists filed a class-action lawsuit Nov. 26 against the Delta Dental Plans Association, its affiliated national entities, and 39 independent Delta Dental companies, alleging the provider network has engaged in anticompetitive conduct and violated federal antitrust laws.
The complaint alleges Delta Dental allocated territories ...
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