Help: FAQs, tutorials, videos, page index and more
> Home > Info
Viewing:  May 23, 2019

Medical Coding and Billing Articles

Recent articles:

Click on the title to see the article summary and a link to the full article.

RT and LT Modifier Usage Change (effective 2019-03-01)

|

According to Noridian Medicare, there are new changes required when reporting the RT and LT modifier(s). In the past, it was appropriate to bill the RT and LT modifier on the same line when it was required for certain HCPCS codes. Noridian released a publication stating claims reported with RT/LT on the same ...

Tags:  Specl: All Specialties    Specl: Dermatology|Plastic Surgery    Specl: Orthopedics    Specl: Physical Medicine|Physical Therapy    Specl: Podiatry   

Read the article →

Do You Understand Medicare

|

Even though we may think we truly understand what it means to be a participating provider, Medicare doesn’t quite work the way that other insurance plans do. Far too many providers do not understand the difference and get into hot water. To further complicate matters, the rules are different for ...

Tags:  Specl: Dental   

Read the article →

An Update on the DHS OIG's Effort to Combat Fraud & Abuse

|

An Update on the DHS OIG's Effort to Combat Fraud & Abuse Every year, the Department of Health and Human Services (DHS) Office of Inspector General (OIG) is required by law to release a report detailing the amounts deposited and appropriated to the Medicare Trust Fund, and the source of such ...

Tags:  Specl: All Specialties    Topic: Billing    Topic: Fraud    Topic: OIG   

Read the article →

Spotlight: QPro Blogs

|

Look for important tips and updates for the medical industry on the QPro Blog! The link to the blog is available from the Medical page under the Industries tab. Use the search bar to look up topics and specialties. View the blogs page here. ...

Tags: 

Read the article →

Q/A: Two Payers Both Paid the Claim. Who Gets the Refund?

|

Question  We have a personal injury situation where we submitted a claim was sent to the patient's auto policy carrier who refused payment. We then submitted it to her other insurance. Eventually, both companies paid her claims. Her auto paid at full value, and her secondary paid at a reduced rate ...

Tags:  Topic: Billing    Topic: Compliance    Topic: Practice Management   

Read the article →

Prioritize Your Patient's Financial Experience

|

For many years, the ChiroCode DeskBook has emphasized the need for providers to firmly establish the patient’s financial responsibility through clear communication. We even created a “Patient Financial Responsibility Acknowledgment Form” to help providers with this process. Lately, the lack of pricing transparency has been in the news and even ...

Tags:  Topic: Billing    Topic: Collections    Topic: Practice Management   

Read the article →

Electrical Stimulation and Electromagnetic Therapy Devices

|

Electrical Stimulation and Electromagnetic Therapy Devices can be used for pain, muscle atrophy, help spinal cord injuries, treat symptoms caused by other medical conditions and can be used in the treatment of wounds. This Regence BC/BS article lists codes and devices and gives guidance on coding from Medicare Advantage viewpoint.

Tags:  Loc: Idaho    Loc: Oregon    Loc: Utah    Loc: Washington    Payer: BC|BS    Specl: Anesthesia|Pain Management    Specl: Chiropractic    Specl: Neurology|Neurosurgery    Specl: Physical Medicine|Physical Therapy    Topic: Billing    Topic: Coding    Topic: CPT Coding    Topic: DME    Topic: Documentation    Topic: HCPCS Coding    Topic: ICD9 Coding    Topic: Payer Guidelines    Topic: Supply Coding   

Read the article →

Facts on Procedure Codes

|

There are two levels of codes used for services and procedures:  Level I Codes are used for Services and Procedures provided by physicians. 5 digit numerical code, example, 99213 - Office or other outpatient visits  Level II Codes are used to bill Medical equipment supplies and transport services. 4 digit Alpha/Numerical code example, ...

Tags:  Topic: CPT Coding    Topic: HCPCS Coding   

Read the article →

Documentation of E/M services for Neurology (Don't Forget the Cardiology Element)

|

According to Neurology Clinical Practice and NBIC, the neurologic exam is commonly lacking in documentation due to the extensive requirements needed to capture the appropriate revenue. With the lack of precise documentation, it results in a lower level of E/M than that which is more appropriate, which can cost a physician a lot ...

Tags:  Specl: Neurology|Neurosurgery    Topic: CPT Coding   

Read the article →

HIPAA Violation Penalties Revised

|

On April 30, 2019 The Department of Health and Human Services (HHS) announced that “HHS will apply a different cumulative annual CMP limit for each of the four penalties tiers in the HITECH Act.” Unlike other notices which require a proposed rule with a comment period, this notice will take ...

Tags:  Topic: HIPAA   

Read the article →

Q/A: If Orthopedic Tests are Negative, do You List Them in Your Treatment Notes?

|

Question: If orthopedic tests are negative, do you need to still list them in your treatment notes? Answer: Yes. Any tests which are performed by a healthcare provider, regardless of the result, should be documented in the patient record. This record is the only way that a reviewer or another provider ...

Tags:  Specl: Orthopedics    Topic: Documentation   

Read the article →

Spotlight: UCR and Workers Comp Fees

|

Access Usual, Customary, and Reasonable (UCR) rates and National Unadjusted Workers Compensation rates for your geographic area! Rates are displayed in a table as well as a graph for comparison with Medicare billed and Medicare allowed. UCR and Workers Comp Fees are available as an add on to any subscription...

Tags:  Topic: Workers Compensation   

Read the article →

Spotlight: ASA Crosswalk

|

Crosswalk from CPT Anesthesia codes (00100-01999) to Surgery and Procedure Codes! Let's look at anesthesia code 00100 as an example. The ASA Crosswalks are available under the Cross-A-Code bar. Click to expand. Look for the ASA CROSSWALK or ASA Reverse CROSSWALK bar. You will also see the CMS and ASA...

Tags:  Topic: CPT Coding   

Read the article →

Spotlight: Anatomy Images

|

When viewing CPT codes, Find-A-Code offers detailed anatomy images and tables to help with coding. For example 28445 offers a table with information to assist classification of gustilo fractures: Click on the image preview from the code information page to expand the image.

Tags:  Topic: CPT Coding   

Read the article →

Spotlight: Printing Additional Code Information

|

Did you know you can print the information from Find-A-Code's code information pages? Click the Printer icon on any code information page. You can check/unckeck the boxes at the top to select what information you want to print: It's that easy!

Tags: 

Read the article →

Medicare Revises Their Appeals Process

|

On April 12, 2019, Medicare announced that there will be some changes to their appeals process effective June 13, 2019. According to the MLN Matters release (see References), the following policy revisions in the Medicare Claims Processing Manual (MCPM), Chapter 29 are taking place: The policy on use of electronic signatures Timing ...

Tags:  Payer: CMS|Medicare    Specl: All Specialties    Topic: Appeals    Topic: Billing    Topic: Medicare   

Read the article →

Q/A: I’m Being Audited? Is There a Documentation Template I can use?

|

Question: Our Medicare contractor is auditing claims with 98942. Do you have any suggestions for a template for documentation to warrant the use of 98942? Answer: When you submit a claim with code 98942 you are stating that you have determined that it was medically necessary to adjust all 5 of ...

Tags:  Specl: Chiropractic    Topic: Auditing    Topic: Compliance    Topic: CPT Coding   

Read the article →

Medicare Revises Their Appeals Process

|

There are policy revisions in the Medicare Claims Processing Manual (MCPM), Chapter 29 taking place June 13, 2019. This will give you a heads up on those changes.

Tags:  Payer: CMS|Medicare    Specl: All Specialties    Topic: Appeals   

Read the article →

Biofeedback - Is it Medically Necessary?

|

Biofeedback is used for many reasons, and most commonly used for pain management. Each payer should be consulted with to verify coverage when treating with Biofeedback to verify if the treatment is considered experimental or investigational. The majority of payers will list Biofeedback on an exclusions list. Others such as BC ...

Tags:  Specl: Behavioral Health|Psychiatry|Psychology    Topic: CPT Coding    Topic: HCPCS Coding   

Read the article →

OIG Announces New Review For Medicare Part B Payments for Podiatry and Ancillary Services

|

Due to prior OIG work identifying inappropriate payments for podiatrists and ancillary services, the OIG announced in Feb 2019 they will begin a new review starting in 2020.  The OIG stated they will review Medicare Part B payments to determine if medical necessity is supported in accordance with Medicare requirements.   Part of the ...

Tags:  Specl: Podiatry    Topic: Compliance    Topic: OIG   

Read the article →

Articles by Subject: 

Articles by Specialty: 

Articles by Payer: 

Articles by Location: 


Articles by Month

Select year and month:     



If you would like a specific article written on a medical coding and billing topic, please contact us.

Our contact information:

Find A Code, LLC
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Fax: 801-770-4428
Email:

Past Articles

Many of the following articles have been tagged with the tags shown above. These are displayed here again for historical purposes.

The following articles are published here and elsewhere on the Internet. If you would like to publish one of these articles on your website, please contact us and let us know which article you would like to publish and where you will be publishing it.

Articles: ICD-10

Articles: Medical Coding

Articles: Medical Billing

Articles: Medical Billing and Coding (General)


Free 28 Day Trial
No Credit Card Required
Pricing
Starting at $10/month
Sign In
Welcome back!