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tci ED Coding & Reimbursement Alert

2,234 articles since 1998

You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

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tci ED Coding & Reimbursement Alert +Archives

2020 Issue 0

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Abuse Coding: Consider These Diagnosis Codes When Seeing Suspected, Confirmed Child Abuse

Accounts Receivable: Boost Your ED's Income With These Solid A/R Tips

Billing: Heed This Essential Advice When Family Members Walk Into the ED

Compare Your Code Utilization Against These National Averages

Compliance: Have You Built an Audit Plan? Payers Are Expecting It

Coronavirus Testing: Look to 2 New Codes for COVID-19 Antibody Tests

COVID-19 Coding: Understand the Sequencing Nuances of New Coronavirus ICD-10 Code

Documentation: Coders Identify 4 Common ED Coding Errors

E/M Coding: Want to Confirm a High-Level ED Code? Examine the Note

ICD-10 Quiz: Test Yourself: Do You Know These New Diagnosis Codes?

ICD-10: From Rhinitis to Ear Pain, See if You Can Pinpoint These Diagnosis Codes

Observation Care: Check These 3 FAQs to Improve Your Observation Care Coding

Part B Coding: Avoid Making Part B Errors With Tips Straight From the MACs

Part B Payment: CMS: ED Visits Log 11.7 Percent Error Rate

Part B Payment: Use the Fee Schedule to Your Advantage With These Tips

Reader Question: Avoid Mix-Ups With Clavicle Fracture Repairs

Reader Question: Avoid Modifiers on Unlisted Codes

Reader Question: Check 60000 Series for Lid Repairs

Reader Question: Choose Burn Code Based on Size

Reader Question: Compression Fractures Aren’t Differentiated by ICD-10

Reader Question: Consider How to Code Anaphylaxis Injection

Reader Question: Don't Differentiate ECG, EKG

Reader Question: Don't Reach for Prolonged Service Codes

Reader Question: Evaluation Options for Knee Dislocation

Reader Question: Go Beyond Surface Level for Foreign Body Removal

Reader Question: Heed New Code for Vaping-Related Disorders

Reader Question: Here's How to Differentiate HCPCS, CPT®

Reader Question: How Should You Code Heat, Ice?

Reader Question: How to Proceed When Coder, Physician Disagree

Reader Question: Know the Rules for Reporting Casting, Strapping Codes

Reader Question: Know What Classifies As “Family History”

Reader Question: Know what PHI Breaches Require

Reader Question: Know Your Options for Bimalleolar Fracture

Reader Question: Look to U0001 for Coronavirus Testing

Reader Question: Nail Down 'Loose Body' Definition

Reader Question: Not So Fast on Changing E/M Guidelines

Reader Question: Perform Some Sleuthing for Cardiac Arrest Dx

Reader Question: Scrutinize Notes for UTI Diagnosis

Telehealth Coding: 3 FAQs Lead You to Telehealth Coding Success

Telemedicine Coding: Get to Know These Facts About Reporting Telemedicine Codes in the ED

Toothache Coding: Get the Scoop on Coding ED Toothache Visits

You Be the Coder: Can You Differentiate Traumatic, Spontaneous Hip Dislocations?

You Be the Coder: Check Notes for Osteomyelitis Dx

You Be the Coder: Differentiate Alcohol Depressive Disorder from Withdrawal

You Be the Coder: Know How Thorough Student Documentation Must Be

You Be the Coder: Who Can Perform Dental Work?

You Be the Coder: Will You See Higher Pay for ED E/M Visits?

Archives by year and issue

2020

2020 Issue 0

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Abuse Coding: Consider These Diagnosis Codes When Seeing Suspected, Confirmed Child Abuse

Accounts Receivable: Boost Your ED's Income With These Solid A/R Tips

Billing: Heed This Essential Advice When Family Members Walk Into the ED

Compare Your Code Utilization Against These National Averages

Compliance: Have You Built an Audit Plan? Payers Are Expecting It

Coronavirus Testing: Look to 2 New Codes for COVID-19 Antibody Tests

COVID-19 Coding: Understand the Sequencing Nuances of New Coronavirus ICD-10 Code

Documentation: Coders Identify 4 Common ED Coding Errors

E/M Coding: Want to Confirm a High-Level ED Code? Examine the Note

ICD-10 Quiz: Test Yourself: Do You Know These New Diagnosis Codes?

ICD-10: From Rhinitis to Ear Pain, See if You Can Pinpoint These Diagnosis Codes

Observation Care: Check These 3 FAQs to Improve Your Observation Care Coding

Part B Coding: Avoid Making Part B Errors With Tips Straight From the MACs

Part B Payment: CMS: ED Visits Log 11.7 Percent Error Rate

Part B Payment: Use the Fee Schedule to Your Advantage With These Tips

Reader Question: Avoid Mix-Ups With Clavicle Fracture Repairs

Reader Question: Avoid Modifiers on Unlisted Codes

Reader Question: Check 60000 Series for Lid Repairs

Reader Question: Choose Burn Code Based on Size

Reader Question: Compression Fractures Aren’t Differentiated by ICD-10

Reader Question: Consider How to Code Anaphylaxis Injection

Reader Question: Don't Differentiate ECG, EKG

Reader Question: Don't Reach for Prolonged Service Codes

Reader Question: Evaluation Options for Knee Dislocation

Reader Question: Go Beyond Surface Level for Foreign Body Removal

Reader Question: Heed New Code for Vaping-Related Disorders

Reader Question: Here's How to Differentiate HCPCS, CPT®

Reader Question: How Should You Code Heat, Ice?

Reader Question: How to Proceed When Coder, Physician Disagree

Reader Question: Know the Rules for Reporting Casting, Strapping Codes

Reader Question: Know What Classifies As “Family History”

Reader Question: Know what PHI Breaches Require

Reader Question: Know Your Options for Bimalleolar Fracture

Reader Question: Look to U0001 for Coronavirus Testing

Reader Question: Nail Down 'Loose Body' Definition

Reader Question: Not So Fast on Changing E/M Guidelines

Reader Question: Perform Some Sleuthing for Cardiac Arrest Dx

Reader Question: Scrutinize Notes for UTI Diagnosis

Telehealth Coding: 3 FAQs Lead You to Telehealth Coding Success

Telemedicine Coding: Get to Know These Facts About Reporting Telemedicine Codes in the ED

Toothache Coding: Get the Scoop on Coding ED Toothache Visits

You Be the Coder: Can You Differentiate Traumatic, Spontaneous Hip Dislocations?

You Be the Coder: Check Notes for Osteomyelitis Dx

You Be the Coder: Differentiate Alcohol Depressive Disorder from Withdrawal

You Be the Coder: Know How Thorough Student Documentation Must Be

You Be the Coder: Who Can Perform Dental Work?

You Be the Coder: Will You See Higher Pay for ED E/M Visits?

2019

2019 Issue 0

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Audits: Are Your 99285 Claims Above the Average?

Check Out These Additional Proposals That May Affect EDs

CPT® 2020: Check out These New CPT® Codes for Spinal Puncture

Debridement: 3 FAQs Help Solve Your ED’s Debridement Questions

Diagnosis Coding: Look for New Pulmonary Embolism, Poisoning Codes on Oct. 1

E/M Coding: Nail Down the ROS Basics with These Tips

E/M Coding: Return to Sender? How to Know When to Ask Providers for Addenda

ED Visits: Part B MACs, Private Payers Launch Probes of ED E/M Codes

ICD-10: Pulmonary Hypertension Cases Require Sleuthing to Find the Right Code

ICD-10: Verify the Diagnosis Codes When Treating Contusions

Medicare 101: MAC Rep Dispels 8 Myths About Medicare

Modifiers: Change in TC, PC Billing Policy Could Impact Your ED

News You Can Use: UHC: $32B Wasted in Treating Conditions in ED That Could Be Seen in Primary Care Offices

Part B Payment: Find out How the Proposed 2020 Fee Schedule Could Affect Emergency Departments

Patient Data: Medical Center Staff Under Fire for Exposing Patient Data

Patient Privacy: Patient Coordinator Could Face Jail Time Due to Wrongful Disclosure

Reader Question: Are Admits Being Tracked?

Reader Question: Avoid Unlisted With Gunshot Wound Exploration

Reader Question: Differentiate Cluster Headache From Migraine

Reader Question: Evaluate Code Options for Multiple Fractures

Reader Question: Evaluate Dislocation Options

Reader Question: Evaluate Options When Provider Performs Fx Care, Splinting

Reader Question: Follow These Tips for Audit Success

Reader Question: Get A Handle on ePHI

Reader Question: Get Specific When It Comes to Pain Dx

Reader Question: Get the Scoop on 99408

Reader Question: Get the Scoop on Dental Pain Visit

Reader Question: Get the Scoop on X{EPSU} modifiers

Reader Question: Here’s How to Monitor Collection Agencies

Reader Question: Know the Hydration Rules

Reader Question: Nail Down Medicare Secondary Payer

Reader Question: Note Mention of I&D When Treating Paronychia

Reader Question: Pinpoint the Dx Code for Perianal Strep

Reader Question: Turn to the I46 Series for Cardiac Arrest

Trauma Coding: Use These 3 FAQs to Guide Your Trauma Claims

Where Does Your State Stand?

You Be the Coder: Get Closure on This Closure Question

You Be the Coder: Know When the Critical Care Clock Starts Running

You Be the Coder: Look to “S” Series of ICD-10 for Disc Rupture

You Be the Coder: Manage Multiple Diagnoses

You Be the Coder: Pin Down Vent Management Documentation

2019 Issue 1

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2019 Payment: CMS Chooses Not to Implement E/M Changes in 2019

Appeals: Straighten out Your Appeals Processes in the New Year

Catheter Placement: Evaluate Your Catheter Placement Code Options

Reader Question: Check 90689 for Flu Vaccines

Reader Question: Get to the Bottom of Excludes1 Note

Reader Question: Know the Region for Radiculopathy

Reader Question: Will Medicare Pay for Non-Covered Workers' Comp Visits?

You Be the Coder: Get A Handle on Modifiers

2019 Issue 2

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Get A Handle on Global Periods When Considering Modifier 57

Know The Coding Errors That CMS Evaluated

Modifiers: RACs Boost Scrutiny of Modifier 57

Part B Payments: CMS: 11.3 Percent of ED Visits Were Paid Improperly

Reader Question: Documentation Reigns With Burns

Reader Question: Find out Whether Modifiers Have Associated Prices

Reader Question: Get the Scoop on This ICD-10 Puzzle

Reader Question: Know the Rules When Communication Problems Exist

Reader Question: Oxygen Isn’t Separately Billable

You Be the Coder: Should You Always Code Smoking Status?

2019 Issue 3

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ED Coding 101: Have You Mastered E/M Coding for the ED?

NCCI Edits: CMS Offers Update to Spell Out When Modifier 59 Applies to NCCI Edits

Observation Care: CMS Finds Observation Care Claims Often Lack Appropriate Documentation

Reader Question: Does Q6 Apply to Nurse Practitioner?

Reader Question: Evaluate Nail Avulsion Codes

Reader Question: Find out How to Handle New Physician’s Billing Info

Reader Question: Is Time on Your Side With CPR Billing?

Reader Question: What Happens to HIPAA When Information Spans Borders?

Reader Question: When Are Signs/Symptoms Reported?

You Be the Coder: EDs Brace for Payer Changes

2019 Issue 4

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Compliance: 3 Tips Lead to Perfect Self-Audits

E/M Coding: Get A Handle on the MDM Level of Risk Data Points

ED News: CMS Unveils New Payment Model for Emergent Patients

Four tips to perfect your E/M choices

ICD-10 Coding: Sequencing Rules Essential for Sepsis Coding

Reader Question: Vent Management Vs. Critical Care

You Be the Coder: Differentiate Cardioversion, Defibrillation

2019 Issue 5

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Compliance: 3 Recent Cases Reveal ED Fraud Vulnerabilities

FBR Coding: Subcutaneous Foreign Body Removals? Check for Incision

ICD-10: Can You Answer These Diagnosis Coding FAQs?

Reader Question: Can You Separately Report Heat, Ice Treatment?

Reader Question: CMS: New MBI Numbers Should Now Be the Norm

Reader Question: Get to Know Nose, Throat Anatomy

Reader Question: Nail Down Limb Pain Dx

Reader Question: Pinpoint Rules for Double ED Visits

Reader Question: Understand the Toe Laceration Codes

Reader Question: Which Diagnosis Applies in Observation Care?

You Be the Coder: Find out Whether Moderate Sedation is Billable in ED

2019 Issue 6

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ED Mythbuster: Pinpoint the Reality of These ECG Myths

Fracture Coding: Can You Answer These Fracture FAQs?

Reader Question: Determine How to Code Split Service

Reader Question: Does This Constitute Critical Care?

Reader Question: Find out How to Report Respiratory Distress

Reader Question: Get the Scoop on Student Documentation

Reader Question: Here’s How to Report Urgent Care Services

Reader Question: Write on This Writeoff Plan

Seasonal Coding: Don’t Sneeze at Coding Spring Allergy Reactions

You Be the Coder: Confirm A Typical Flutter Vs. Atypical Flutter

2019 Issue 7

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Critical Care: Nail Down the Answers to These Pressing Critical Care FAQs

ICD-10: Can You Decipher These Common Infection Diagnoses?

Reader Question: How Do You Support Caveat Intent?

Reader Question: Jones Dressing Isn’t A Splint

Reader Question: Report Can Reveal Cyst Details

Reader Question: See Documentation for Foley Change Stats

Reader Question: Separate Observation From E/M

Wound Care Coding: Master Laceration Repair Coding With 8 Key Tips

You Be the Coder: Check CCI When Coding E/M, Injection

2018

2018 Issue 1

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2018 Payments: CMS Delays Decision on Whether to Adjust E/M Pay for EDs

Claim Submissions: Avoid These 10 Mistakes When Submitting Claims to Medicare

Critical Care: Pinpoint Accurate Critical Care Codes Every Time With 5 Quick Tips

Reader Question: Calculate Lesion Sizes With Accuracy

Reader Question: Discover When ICD-10 PCS Applies

Reader Question: Does RADS Code As Asthma?

You Be the Coder: Which Code Applies to Split ED Service?

2018 Issue 2

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Benchmarking: How Would Your 99285 Coding Stand up in An Audit?

ICD-10 Quiz: Can You Select the Right Dx Code for These Emergent Conditions?

Is Your State Among the Biggest Billers of 99285?

Patient Privacy: Determine Whether New HIPAA Update Impacts Your Rights to Discuss Patients' Opioid Issues

Reader Question: Differentiate Viral Pinkeye From Allergic

Reader Question: Do All Burns Require Burn Codes?

Reader Question: Evaluate Coding Options for Consults Outside the ED

You Be the Coder: Know What Constitutes An 'Inducement"

2018 Issue 3

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ED Payments: Anthem Extends Policy Denying "Inappropriate" ED Visits to 3 More States

Part B Payments: CMS: ED Practitioners Log Among the Highest Improper Payment Rates

Patient Privacy: CMS Lays out New Texting Guidelines — Are You at Risk?

Reader Question: Avoid Modifier 25 for Multiple Procedures

Reader Question: Differentiate Flu From Flu-Like Symptoms

Reader Question: ICD-10 Offers More Than One GERD Dx

Reader Question: Multiple Dx Codes Aren't a Necessity for Modifier 25

Reader Question: Use ICD-10's Supplementary Words to Your Advantage

You Be the Coder: Count Muscles to Pinpoint TPI Code

2018 Issue 4

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Documentation: CMS Rethinks Its Policy on Students' E/M Documentation

E/M Coding: Here's How to Determine When 99285 is Warranted

ICD-10: Can You Answer These ICD-10 Coding Questions?

Reader Question: Check Payer Policies Before Filing Appeals

Reader Question: Consider Time When Selecting Breathing Treatment Codes

Reader Question: Know How to Answer the SNF Question

Reader Question: Know the Epistaxis Encounter Rules

Reader Question: Understand How to Code Multiple Eyelash Removals

You Be the Coder: Differentiate Open, Closed Fractures

2018 Issue 5

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Billing: Perfect Your Medicare Secondary Payer Claims With These Tips

ICD-10: Heed These ED-Specific ICD-10 FAQs

Modifiers: Last-Minute Change Saves Practices from Further Modifier 25 Pay Cuts

Reader Question: Does This Scenario Require More Information?

Reader Question: Heed This Laceration Repair, Debridement Advice

Reader Question: Pinpoint the Myositis Code

Reader Question: Remember to Sign Those Orders

Use This Chart to Determine Primary Payer

You Be the Coder: Which E/M Code Applies When ED Patient Becomes Inpatient?

2018 Issue 6

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Compliance: Recent Medicare Audit Shows Where EDs Stand in Terms of Opioid Prescriptions

Denials: Payers Issue Fresh Denials for Repeat Chest X-Rays, EKGs

ICD-10: Prove Urine Test Medical Necessity With Accurate ICD-10 Codes

Reader Question: Don't Forget Seventh Character for Fractures

Reader Question: How to Prevent Mobile Device Issues

Reader Question: Know the Keywords to Report Otitis Media Diagnoses

You Be the Coder: Can You Code This COPD Diagnosis?

2018 Issue 7

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Claim Denials: Compare Your Claims Against This MAC's Top Denial Reasons

Denials: One State Aims to Quell Anthem's ED Denials

ICD-10: Pinpoint Fracture Diagnoses With These Quick Tips

Reader Question: Crush Injury Dx Requires More Details

Reader Question: Find out What to Do With PHI

Reader Question: Get the Scoop on Myositis Coding

Reader Question: Is MIPS Meaningful Use No More?

Reader Question: Nail Down These Vent Management Rules

Reader Question: Which Code Applies to Splinter Removal?

You Be the Coder: Ensure Thorough Documentation for X-Rays

2018 Issue 8

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Appeals: Your Appeals May Rely on These 4 Essentials

Diagnosis Coding: Can You Select the Diagnosis Codes for These ED Visits?

ICD-10: You'll Find New Appendicitis, Ecstasy Poisoning Codes on Oct. 1

Reader Question: Could Texas Begin Denying "Non-Emergent" ED Visits?

Reader Question: Differentiate Arthrocentesis, Aspiration

Reader Question: Get the Rhythm of 93040

Reader Question: Know the Code for Diaper Rash

Reader Question: Know Which Fracture Dx to Apply

Reader Question: Vermillion Repair? Look to 40650

You Be the Coder: Does This Constitute An Invalid Code?

2018 Issue 9

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Bleeding Control: Can You Answer These Bleeding Control FAQs?

Part B Payment: Check These Proposed Changes to Quality Measures

Part B Payment: See How the Proposed 2019 Fee Schedule Could Impact Your ED

Reader Question: Age Can Drive Venipuncture Codes

Reader Question: Combo Dx Deserves Two Codes

Reader Question: Keep Sequencing in Mind When Patient Has HIV

Reader Question: Know What Constitutes A Business Associate

Reader Question: Know What Constitutes Primary Dx

You Be the Coder: Look to "T" Codes for Heatstroke Dx

2017

2017 Issue 1

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Influenza Vaccine Update: Look for Dosage Amounts Rather Than Patient Age for 2017 Flu Vaccines

MACRA Update: CMS Eases The MACRA Required Timeline, Makes it Easier to Avoid a Penalty

MIPS Reporting: MACRA Final Rule Lists Available Quality Measures for MIPS reporting

Nasal Hemorrhage Coding: Sniff Out The Method or Technique When Coding For Controlling Nosebleeds

Reader Question: Check What's Included in the Code To Sew Up Your Nail Bed Repairs

You Be the Coder: How Do You Code for a Patient Presentation When It Appears Nothing is Wrong?

2017 Issue 2

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Check Out The Actual MOON Form CMS 10611-MOON

In-House Emergencies: Make the Call: Subsequent Hospital, Outpatient Visit, or Consult?

MACRA: MACRA Pick Your Pace Options

Observation Service Regulations: Study the MOON to Stay Compliant with Observation Services

Reader Question: Can A Moonlighting Resident Working in the ED Bill Independently?

Reader Question: Don't Hurt Yourself Over Coding For Suicidal Ideation in a Patient

Reader Question: Don't Self Bundle Procedures Associated With Observation Services

You Be the Coder: Not So Fast in Reporting that FAST Exam

2017 Issue 3

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Put Your Best Foot Forward When Coding These Common Foot ED Presentations

Reader Question: Look for the Link Before Counting Resident Documentation in Your Code Selection

The Foot Bone's Connected to the Ankle Bone

Ventilator Management: No Need to Vent. Use 94002, 94003 if Chart Documentation Doesn't Support an E/M Service

You Be the Coder: Know Who Provided and Documented Each Service Before Assigning Codes

2017 Issue 4

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Behavior Modification codes: Use a Structured Screening Tool for Behavior Modification Services Coding

Influenza Diagnoses: Are You Up to Date on Your Influenza Diagnoses?

Reader Question: Make Sure it is a Physician Service Before Reporting 90784

Reader Question: Take A Breath Before Billing For Nebulizer Treatments in the ED

Reader Question: Watch for the Requirement for Physician Skill Before Reporting Code US guided IV placement

Reader Question: You Have to Admit It, You Need an Admission Order to Report Codes 99218-99220

You Be the Coder: Watch for Age and Provider in Assigning Your Moderate Sedation Codes

2017 Issue 5

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Advance Beneficiary Notices: New ABN Form Effective June 2017

Critical Care Scenarios: Consider These Case Examples That Suggest Either Critical Care or Not

Critical Care: Is That High Acuity ED Presentation Critical Care or Not?

Getting It Right Can Help Your Practice Revenue

Reader Question: Be Aware of the Difference Between Includes and Requires In CPT® Language

Reader Question: Can You Send Chart Back Asking for Missing Critical Care Time?

Use This Time Threshold Calculator

You Be the Coder: Who can Record the PFSH?

2017 Issue 6

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Emergency Department Errors: ED Visit Claims Logged Over $260 Million in Errors Last Year

ICD-10: Tackle This Summer Injury Coding Quiz

Radiology Coding: 3 X-Ray Tips Lead You to Coding Bliss

Reader Question: Differentiate Splinting From Strapping

Reader Question: Get Specific for Pinkeye Coding

Reader Question: Know What Critical Care Includes

Reader Question: Look for Broken Skin With Open Wound Dx

Reader Question: State Refund Dates Differ

You Be the Coder: Know the Rules for "External Cause" Diagnoses

2017 Issue 7

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E/M Coding: Is UHC's New Policy Negatively Impacting ED Physicians?

ICD-10-CM: New Proposed Codes Could Change Your Appendicitis Coding in October

Patient Privacy: 3 HIPAA Tips Every ED Must Know

Reader Question: Assign Laterality When Known

Reader Question: Be Ready to Answer EOB Questions

Reader Question: Check Out This MAC's Modifier 25 Scrutiny Rules

Reader Question: Know When Transports Are Billable

You Be the Coder: Know How to Report CPR

2017 Issue 8

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ICD-10-CM: Breaking: You'll Find New Myocardial Infarction, Heart Failure Codes on Oct. 1

Laceration Coding: 3 FAQs Direct You to the Right Laceration Repair Codes

Observation Care: Double Down on Your Observation Care Coding With Answers to 3 FAQs

Reader Question: Get Site-Specific for Achilles Tendon Injuries

Reader Question: Hip Dislocation Coding Requires Treatment Specs

Reader Question: Prep Now for New Medicare Cards

Reader Question: Use Reopening and Not Appeals Process for Clerical Errors

Reader Question: Use Secondary Dx for COPD, Bronchitis

You Be the Coder: Check the S13 Series for Neck Sprain

2017 Issue 9

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Behind the Numbers: Find Out How the MPFS Proposal Could Impact Your Pay

Compliance: 3 Recent Cases Show ED Fraud Vulnerabilities

Modifiers: This Insurer Is Slashing Pay for Modifier 25 Claims

Part B Fee Schedule: 2018 Medicare Fee Schedule Proposes Major Updates to ED Services

Reader Question: Consider 28190 for Foot FBR

Reader Question: Follow This Quick NCCI Primer

Reader Question: Know When Tricare Pays First

Reader Question: Look to L23-24 Series for Poison Ivy Coding

You Be the Coder: Know How to Code Multiple Infusion Days in Observation

2017 Issue 10

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ICD-10: Your ED Will Have New Substance Abuse Dx Options on Oct.1

Modifiers: This Major Payer Now Requires Modifier SA on E/Ms Performed by NPPs

Part B Errors: This ED Error Is Among CMS's Examples of How Not to Report Claims

Reader Question: Adverse Effects May Prompt Additional Codes

Reader Question: Cerumen Removal May Not Be Billable

Reader Question: Even in the ED, PFSH Matters

Reader Question: Know the X-Ray Coding Rules

Reader Question: Know When to Bill Two Insurers

Reader Question: Observation Codes Are on RACs' Radar Screens

You Be the Coder: Check for the Right Tonsillitis Code

2017 Issue 11

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Billing: Use These Tips to Create Synergy With Your Billing Firm

CPT® 2018: Prep Now for These 5 Big Coding Updates Effective Jan. 1

Lightning Round: 3 Frequently-Asked ED Questions Answered

News You Can Use: You Can No Longer Report ED Visits With Critical Care Codes

Reader Question: Know How to Code Undiagnosed "Pain"

Reader Question: Nail Down "Buddy Taping" Codes

You Be the Coder: Know How to Demonstrate Medical Necessity

2017 Issue 12

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2018 Coding: 4 Tips Prepare Your ED for 2018

Compliance: The OIG's IT Audit Director Reveals Audit Details

E/M Services: Nail Down the Rules for Coding E/M Codes With Fractures

Reader Question: Differentiate Anxiety, Depression

Reader Question: Don't Jump Straight to "T" Allergy Codes

Reader Question: Know the Rules for Freestanding EDs

Reader Question: Know the Rules With Teaching Physicians, Residents

Reader Question: Know Which Observation Codes Require History

You Be the Coder: Avoid Prolonged Service Codes in the ED

2016

2016 Issue 1

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APC Packaging: Ancillary Services and Clinical Diagnostic Tests will Be Bundled with Minor Procedures

ICD-10 Coding: Scope Out These Tips on ICD-10 Coding For ED OB GYN Presentation

OPPS Procedure Payments: Review These 2016 Procedure Payment Changes

OPPS Update: Expect to See More Bundling with Overall Lower Payments in 2016

Payment Thresholds in Place for Pass Through Drugs

Reader Question: Is Femoral Line Placement Bundled into Critical Care?

You Be the Coder: Don't Get Paranoid Over a Paronychia Procedure with an E/M Code

2016 Issue 2

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2016 RVUs and Medicare Payments for Cardioversion and Related Codes

Cardioversion Tips: Charge Up Your Cardioversion And Defibrillation Coding With These Tactics

EMR Attestation Compliance: Know When And Where To Use Attestations In Your ED Charts To Stay Out Of Trouble

Reader Question: Watch the Clock When Reporting Both Critical Care and CPR

You Be the Coder: That Middle Finger Injury Could Be No Joking Matter

2016 Issue 3

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Laceration Repairs of the Mouth: Pay More Than Lip Service to Coding Rules For Mouth Lacerations

Medicare Conversion Factor: CMS Makes A Small Technical Correction to the 2016 Conversion Factor

PQRS Specifications for Measure 317

Quality Reporting: The SGR Is Finally Gone But MIPS Takes Its Place

Reader Question: Don't Misstep When Dealing with Tarsal Fractures

Reader Question: Get the Inside Look At Ultrasound Documentation Requirements

Reader Question: It Might Sting A Bit If A Large Bill Is Received for "Just A Shot"

Reader Question: Location And Extent Of Closure Are Key When Coding Oral Laceration Repairs

You Be the Coder: Look for Documentation of Catheter Use Before Coding Thoracentesis

2016 Issue 4

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Critical Care: Double Check Your Time Statement before Assigning a Critical Care Code

Don't Forget The Services That Are Bundled into 99291 and +99292

Reader Question: Breathe Easy When You Know the Payment Policy for Pulse Oximetry

Reader Question: Don't Cause an Incident by Billing for Cast Application Without Physician Involvement

Ultrasound Coding: Make Sure There Is a Clear View of Your Documentation to Support Ultrasound Studies

You Be the Coder: Nail It Down Or Sew It Up? How Do You Code an injury to the Fingernail Area?

2016 Issue 5

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Advance Care Planning: Learn the ABCs of Using the ACP Codes in the ED Setting

ICD-10 Coding for Zika Virus: Is Your ED Ready For A Zika Outbreak?

Reader Question: Can We Report Both ED And Hospitalist Services?

Reader Question: Would You Seal The Deal In Reporting WoundSeal as a Procedure?

You Be the Coder: Attestation Statements Hold the Key to Accurate Billing

2016 Issue 6

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How Does MIPS Scoring Work?

ICD-10 Coding: Jump These ICD-10 Coding Hurdles for Geriatric Patients in the ED

MACRA APM News: Participating In A Qualified APM Could Exempt You From MIPS Participation

MACRA Proposed Rule: MACRA, MIPS and APMs: The Proposed Rule Offers A Peek Into Future Reporting Requirements

You Be the Coder: Is That Physical Exam Element an Organ System or a Body Area?

2016 Issue 7

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Burn Coding: Check Out these Four Hot Tips to Help with Your Burn Coding

Burn Diagnosis Coding: Stop, Drop Your ICD-9 Book, and Roll with the ICD-10 Codes for Reporting Burns

Difference in Burn Coding ICD-9 to ICD-10

Reader Question: Scope it Out: Can You Report Supervising A Resident From Another Specialty?

Track Your 2016 Burn Code Payments With This Handy Reference

You Be the Coder: Modify Your Fracture Care Coding To Provide The Exact Scope Of Services Provided

2016 Issue 8

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2017 Medicare Proposed Rule: Get A First Look at Next Year's Proposed Payments for ED Services

Consider these clinical examples to help decide when to combine repairs or report them separately

Laceration Repair Coding: Use These Five Tips To Repair Any Wound Closure Claim Concerns

Reader Question: Choose Only One Code for Multiple Observation Providers on the Same Day

Reader Question: Gee, Do You See A GC Modifier Application Here?

You Be the Coder: Apply Those Repair Coding Tips to this Clinical Example

Zika Update: Medicare Releases Coverage Instructions On Diagnostic Testing for Zika Virus

2016 Issue 9

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2017 NPRM: CMS Is Looking at the Values for Zero-Day Global Codes Billed with an E/M Service

Common ED Services Found In TABLE 7 from the 2017 Proposed Rule: 0-day Global Services Typically Billed with an E/M Service with Modifier 25

Compliance: Recent Supreme Court Ruling Expands Reach of the False Claim Act

ICD-10: Grace Period Expected to End in Oct. 2016, So Be Ready

Reader Question: Check Medical Necessity, Calendar for ED Observation Services that Transcend Midnight

Reader Question: Check Two CPT Chapters to Code For A FAST Exam

Reader Question: Don't Cast Too Wide a Net on "Incident To" Cast Applications

You Be the Coder: Review the Rules Before Assigning Laceration Repairs and Moderate Sedation Codes

2016 Issue 10

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Fracture Care: Don't be Manipulated Into Reporting Just an E/M and Cast Code

ICD-10 Coding: Are You Ready For the End of the CMS ICD-10 Grace Period?

Reader Question: Don't Count on CMS to Guide Facility Level Selection

2016 Issue 11

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2017 CPT® Codes: Moderate Sedation Among Biggest Changes for EM In CPT® 2017

CPR: Revive Your Reimbursement For CPR Services With These Tips

MACRA Implementation: CMS Announces Relaxed Implementation Plans for the Quality Payment Program in 2017

Reader Question: Learn The Rules of the Road For Reporting Transport Services

Telemedicine modifier: CPT® Adds New Modifier 95 To Capture Synchronous Telemedicine Services

You Be the Coder: Can You Invoke The Acuity Caveat for a Critical Care Case?

2016 Issue 12

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2017 Physician Fee Schedule: Keep These Charts Handy To Compare Your 2016 and 2017 RVUs For ED Services

FBR Eye: Check 3 Details When Coding Ocular Foreign Body Removals

Medicare Physician Fee Schedule: 2017 Medicare Fee Schedule Brings Good News for Emergency Physicians

Reader Question: Check the 2017 Chart for Time Requirements on Additional Units of Moderate Sedation

Telehealth Rules for 2017: CMS Adds New Place Of Service Modifier for Telehealth Services

You Be the Coder: Is This a Level 3 or a Level 4 ED E/M Service? Find Out

2015

2015 Issue 1

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2015 OPPS Rule: You Can Expect More Of The Same For 2015 Medicare Facility Payments

ICD-10: Ebola Diagnosis: A Code You Hope You Never Need, But Should Know How to Report

Reader Question: Watch Your Step When Coding For Foreign Body Removals From the Foot

Using Scribes in the ED: Write This Down! Get the Latest News On Using Scribes In The ED

You Be the Coder: Not Every Sore Throat Is Low Level MDM Level Two: Code Carefully or More Than A Tongue Will Get Depressed

2015 Issue 2

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Behavior Modification Co: Help Patients Keep Their New Year's Resolutions With Behavior Modification Services Coding

Looking for Good News? CMS Rings in 2015 With Some RVU Raises

Orthopedic Procedures: Keep These Common Ortho Medical Terms Handy

PQRS 2015 Medicare Final Rule: Quality Provisions Highlights: Say Goodbye To PQRS Incentives

Reader Question: Check Location Length and Layers When Assigning A Laceration Repair Code

Reader Question: Do You Have to Be Family to Count as Family History?

You Be the Coder: Coding When ED Physician Calls In A Specialist

2015 Issue 3

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Audit Update: Get Ready for RACs to Scrutinize Your Critical Care, Global Surgical Claims

Check out the chart showing the 5 levels of RAC appeals and the related filing deadlines.

PQRS 2015: Check Out The Emergency Medicine Reporting PQRS Cluster

Reader Question: Break Out the Professional EM Procedure for Fracture Care

Reader Question: Does Medicare Allow Residents to Use Scribes?

Reader Question: Is It Critical To Have Two Diagnoses To Justify Both 99291 and 99292?

Unfavorable Audit? Don't Think Twice About Appealing

You Be the Coder: Can You Draw Elements of History and MDM From Anywhere In The Chart?

2015 Issue 4

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FBR Eye: Look closely at the documentation for these clues to determine the right code.

Reader Question: Is This A Loose Interpretation Of A Laceration Repair?

Reader Question: Make Sure The Link Is Strong Before Counting Resident Documentation

Reader Question: Separate Documentation Key to Correct Modifier 25 Claim Coding

Reader Question: Take A Break To Get Support For Multiple Fracture Code Sequencing

Ultrasound Coding: Probe Carefully to Ethically Maximize Ultrasound Reimbursement

You Be the Coder: Is It Really A Complex Repair? Check the Note to Verify it Matches the Physicians' Description of the Wound.

2015 Issue 5

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Critical Care: Review These Critical Care Bundling Rules to Ensure Your Code Choices Get Rave Reviews

Facility Coding: Know These Rules for Emergency Department Facility Levels

Reader Question: Can You Bill For Acupuncture in the ED Setting?

SGR Update: Congress Passes A SGR Fix Bill To Avert Formula Driven Cuts

You Be the Coder: Moderate Sedation and the Separation Repair

2015 Issue 6

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Nasal Hemorrhage Procedures: Stem the Flow Of Lost Revenue For Non-Active Nosebleeds

Preparing for ICD-10 Implementation: Fast Track Your ICD-10 Prep With 9 Strategies for ED Priority Diagnoses

Reader Questions: Coude` This Be A Complex Catheter Placement?

Reader Questions: Direct Your Cast From The Right Script When Applying Casting Reporting Rules

Reader Questions: Include Diabetes Diagnosis Only If Condition Affects Current Treatment

Reader Questions: Make Your Nail Bed Repair Neatly With This Tip

You Be the Coder: Don't Get Stuck On The Correct Code for Tissue Adhesives

2015 Issue 7

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E/M Coding: Documented H&P And NOPP Will Determine the Difference in Your Level 3 and Level 4 Claims

E/M Coding: We Have to Stop Meeting Like This: How To Code For Repeat Patient ED Visits On The Same Day

ICD-10: Stop Reimbursement Leaks: Tighten Up Your Dx Coding for Genitourinary Presentations

Reader Questions: Clear Your Dental Nerve Block Claims

Reader Questions: Is It Critical For The Physician To Document A Full History For Code 99291?

Reader Questions: Resolve Coding Disagreement with Physician

You Be the Coder: Check Sedation Level Achieved Before Assigning A Fecal Disimpaction Code

2015 Issue 8

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ICD-10 Coding: Apply These Laterality And Episode of Care Tips For Pediatric Presentation Diagnoses

Pediatric Coding: Do Your Homework On How To Correctly Document Pediatric ED Visits

Reader Questions: My Payments For 31500 Are Going Down The Tube!

Reader Questions: Take This Expert Advice, On Billing For Extra Consultation Time

You Be the Coder: Coding a Chart When The Minimum Time Threshold For Critical Care Seems Questionable

2015 Issue 9

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Grab These Last Minute Resources

ICD-10: Time Is Up! ICD-10 Implementation Starts in October

Observation Codes: Look Through Observation Transparency Concerns To Be Sure You Select The Correct Code

Reader Questions: Don't Let the Wrong Code Choice Block Your Pain Control

Reader Questions: Wake Up To Appendix G Language For Accurate Moderate Sedation Coding

You Be the Coder: Look Beneath The Surface Before Reporting A Penetrating Trauma Code

2015 Issue 10

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Burn Code Calculator: Track Your Burn Code Pay With This Handy Reference

Burn Coding: Cozy Up To The Fire And Read Up On The Rules For Burn Coding

Kudos to the QIOs

Observation Care: Did You NOTICE The New Law Covering Observation Patients?

Place of Service Codes: Apply New Place of Service Code 19 For Off Campus Hospital Services

You Be the Coder: Be Alert For Chart Documentation To Determine The Correct Moderate Sedation Code

2015 Issue 11

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2016 CPT® Changes: Prep For New Prolonged Service, Radiology, and Immunization Codes in 2016

Influenza Update: Don''t Let ICD-10 Influenza Coding Make You Sick

Reader Question: Can You Report Moderate Sedation Codes Along with RSI?

Reader Question: Check The Global Period Before Reporting A Follow Up Visit On Laceration Repair

Reader Question: Measure Twice, Cut Once With Lesion Excision Sites

Reader Question: Use This Feedback to Improve Your Behavior Modification Coding

Vaccine Payments: Use This Handy Chart For Medicare Part B Flu Vaccine 2015-2016 Payments

You Be the Coder: Check for Catheter Use Before Coding Thoracentesis

2015 Issue 12

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2016 Medicare PFS Final Rule Update: Expect Conversion Factor, Care Planning, and PQRS Changes for Your Practice

2016 Physician Fee Schedule: Check Out Table 63: See What Your Payment Will Be for These ED Procedures

2016 Physician Fee Schedule: Keep These Charts Handy To Compare Your 2015 and 2016 RVUs For ED Services

ICD-10 Coding: Watch Your Step When Assigning Diagnosis Codes for Falls

Reader Question: Nature of the Presenting Problem Must be Considered, Not Just the Key Elements For E/M Codes

You Be the Coder: There Is No Margin For Error When Measuring Lesion Excision Sites

2014

2014 Issue 1

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2014 Medicare Physician Fee Schedule: Expect a Two Percent Payment Boost For ED Services

Clip and Save: Chart Guides Your 2014 ED Facility Reporting

Clip and Save: Keep These Charts Handy to Track 2014 RVUs for Common ED Services

ICD-10 Coding: Look Sharp and Listen Up: ICD-10 Brings These Changes to Your Eyes and Ears Disease Diagnoses

OPPS Final Rule Update: Good News: Your ED Facility Levels Get a Reprieve

PQRS Reporting: Quality Reporting Takes the Next Step on Data Collection and the Value-Based Modifier

Reader Question: No Diagnosis Listed? Here's What to Report

You Be the Coder: Nail Dx for Complicated Facial Injury Presentation

2014 Issue 2

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Facility Coding: You Don't Need To Stay Up Late To Understand The Two Midnight Rule

Handy List of Common ED Cardiovascular Presentations

ICD-10 Update: Amp Up Your Cardiac And Respiratory Presentations Documentation

Reader Question: Critical Care, CPR, or Both? Use The Time Documentation As Your Guide

Reader Question: Don't Turn A Deaf Ear To A Separate Ear FBR Removal Code

Reader Question: Extent of Treatment and Depth Of Burn Will Justify A Separate E/M Code

Reader Question: Is Removal of A Rust Ring Considered a Foreign Body Removal?

Reader Question: It's An Open And Shut Case For ED Presentations Of Closed Fracture Care

Reader Question: Read Slowly and Carefully Or You Miss Out On Accurate FAST Exam Coding

Sustainable Growth Rate Fix: Look For A Reprieve In Payment Cuts, For Now

You Be the Coder: Coding Multiple Laceration Repairs

2014 Issue 3

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Common ED Digestive System Related Diagnoses include

CPT® Coding: Listen To Your Payer Before Reporting Bilateral Cerumen Removal

Documentation Guidelines: Those That Don't Study The Elements OF History Are Doomed To Repeat Them Under Audit

ICD-10 Coding: Don't Develop Ulcers and Rashes Over Your Digestive and Skin Disease Dx Coding

Reader Question: Are the Sequester Cuts Included In the 2014 Conversion Factor?

Reader Question: Closure Encounters Of The Foot Kind

Reader Question: Who Gets Credit For A Patient That Is Handed Off To A Second Provider

Recognized Organ Systems For The Review Of Systems Documentation

Review These Tips Before Coding For Cerumen Removal

You Be the Coder: Chronic Condition Or New Undiagnosed Problem? The Documentation Will Guide Your Code Choices.

2014 Issue 4

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Appealing Audits: Get Ready To Adjust Your Audit Appeals Timeframes

Facility Coding: How to Bill for Dx Studies When ED Patient Doesn't See the Doc

Intubation Coding: Breathe Easy When Coding Common ED Airway Procedures

Reader Question: Remember Exceptions When Choosing Fracture Modifiers

Reader Question: Say Goodbye To Reporting H, I, I Codes on the Professional Side

Reader Question: Sew Up What Is Really Included In The Global Period For Laceration Repairs

You Be the Coder: Can I Code for Both a Splint and Fracture Care from Same ED Provider?

2014 Issue 5

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Common Back Pain ICD-10 Codes

ICD-10 Coding: Don't Let A Back Pain Diagnosis Cause You M76.00

Keep These HR 4302 Driven Revised Due Dates Handy

PQRS Update: Be Sure You're in the Loop on These New Remittance Codes for PQRS Claims

Reader Question: Can Two Docs Report 99291 For the Same Patient On the Same Day?

Reader Question: Check the Payer before Reporting a Consultation Code

Reader Question: Complete PFSH Required For Observation Services

Reader Question: Heed This Counsel: Time is Not a Component of ED E/M Codes

Reader Question: Make a Careful ID of What Service Was Provided for Incision, Drainage Procedures

Reader Question: Who Caught the PFSH? Make Sure the Record is Clear It Was Reviewed

SGR Cliff Postponed With Another Patch Through The End of the Year

You Be the Coder: Modify Your Fracture Care Coding To Provide The Exact Scope Of Services Provided

2014 Issue 6

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Coding for Inpatient Visits: The Payer Will Guide Your Code Choice For Inpatients Seen After Admission

Facility Observation Audits: Prepare For Audit Intensity With the Two-Midnight Rule

Facility Observation Coding: Good News And Bad News: Your Facility Observation Payments Will Increase in 2014, But There's A Catch

Reader Question: Observation Or Prolonged Care In The Urgent Care Setting?

Reader Question: See Clearly When Fluoroscopy Is Separately Reportable

Reader Question: Teaching Physician's Presence Required For Resident's E/M

Reader Question: Ultrasound Can Be Billed Separately When Documented

Tool

You Be the Coder: Discharging Patients After Overnight Observation Stays

2014 Issue 7

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Burn Code Calculator: Track Your Burn Code Pay With This Handy Reference

Burn Coding: Turn Up The Heat On Your Procedure Payments With These Burn Coding Tips

ICD-10 Connection: Know the Difference Between Burns and Corrosions

Modifier 59: Follow 5 Rules When You Use Modifier 59

Reader Question: Get A Reading On The Correct Way To Report Interpretation Of A Cardiac Monitor

Reader Question: Was There A Close Encounter Of The Face-to-Face Kind For The Physician Assistant E/M Service?

You Be the Coder: Code Critical Care and Additional Services When Warranted

2014 Issue 8

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Coding Strategies: Make Sure Your Wound Recheck Policy is All Sewn Up for Accurate Coding

Fracture Care: Strategies Help You Ace Your ED Orthopedic Procedure Coding

Fracture Tool: List Summarizes 7th Character Extensions

ICD-10: Tactics Build Up Your Traumatic Fracture Care Dx Expertise

Reader Question: Call For Advice Before Reporting EMS Directed ALS From The ED

Repair Codes RVUs: Handy Chart Outlines Your Repair Code Pay Factors

What is the Gustilo Classification?

You Be the Coder: Measuring Lesion Excision Sites

2014 Issue 9

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Freestanding EDs: Freestanding ED or Urgent Care? Licensing Designation Will Drive Your Coding Selection

ICD-10: Oct. 2015 Finish Line Set: Crank Up Your ICD-10 Training, Prep Now for ICD-10 Testing

Intubation Coding: Scope Out These 5 Tips to Boost Your Common ED Airway Procedure Accuracy

Reader Question: ED Rules Allow for Trigger Point Injections (TPIs)

Should We Expect Changes of Global Nature In Future Physician Payments?

You Be the Coder: Check the Chart for Additional Services When Delivering a Baby

2014 Issue 10

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Documentation Strategies: Make Some Quality Time to Understand the Context of HPI Elements to Avoid Severe Audit Penalties

Modifier -59: "X" Marks the Spot With New HCPCS Modifiers To Identify A Distinct Service

Reader Question: Can I Bill For a Moonlighting Resident's Services?

Reader Question: Look to CPT® For ED E/M Clinical Examples

Reader Question: Sew Up The Right Lac Code Choice By Noting Length, Repair Class

Tips Upgrade Your HPI Precision

Urgent Care Coding: Take Fast Action To Brush Up On Urgent Care Coding

You Be the Coder: Draining a Paronychia? Look For Mention of Incision and Drainage, Cleaning

2014 Issue 11

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2015 CPT® Update: Look for Changes to Ultrasound Guided Arthrocentesis, Breast Ultrasound, and Care Management E/M Language

Clip and Save: Keep Your Flu Shot Coding on Track With This Handy Chart

Critical Care: You Must Meet Both The "Critical" Illness and the Time Thresholds To Accurately Report Critical Care

Influenza Vaccine Update: When You Check The Status of Your Vaccinations, Don't Forget to Verify Your Vaccine Codes Are Also Up to Date

You Be the Coder: Make your code choice stick when using adhesives for wound closure

2014 Issue 12

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Clip and Save: Keep These Charts Handy to Track RVUs for Common ED Services

CMS Final Rule: Expect Increase in Medicare Pay in 2015 -- But Brace for Possible Big Changes

EKG Denials: Monitor Your Documentation To Rejuvenate Payment For EKG Interpretations

Reader Question: Be Front And Center on Knowing the Physical Presence Rules for Teaching Physicians

Reader Question: Don't Get Stuck: Know These Rules for ED TPIs And Other Injections

Reader Question: Sign Here, Please! Know The Signature Rules To Prevent Denied Or Recouped Payments

You Be the Coder: Nail Down the Correct Code: Laceration Repair or Nail Bed Repair?

2013

2013 Issue 1

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Brush Up on Your NCCI Modifiers

Cardioversion Tips: Jump Start Your Cardioversion And Defibrillation Coding With These Tactics

Coding for ECGs: 3 Easy Steps Simplify Your Electrocardiography Diagnosis Coding

NCCI Update: Add Modifiers 24 and 57 to Your NCCI List for 2013

Reader Question: Can the Attending Bill For A NP's Procedure? Give Credit Where Credit is Due.

Reader Question: Don't Take A Shot At A High Level Code For An Injection Only Visit

Reader Question: Form A Line To Learn About The Femoral Line

Reader Question: Multi Trauma Visits Require High Decision-Making

Reader Question: Negotiate This Labor Scenario To Avoid An Audit Strike

RVUs and Medicare Payments for Cardioversion and Related Codes

You Be the Coder: Paronychia I&D With E/M

2013 Issue 2

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EMR Strategies: Know When And Where To Use Attestations In Your ED Charts To Stay Out Of Trouble

Facility Reimbursement Update: 6 Areas Where You Can Tighten Up for Added Revenue

Reader Question: Don't Be Cavalier About Invoking The Caveat

Reader Question: Don't Say Nope to the NOPP, Nature of the Presenting Problem Must be Considered

Reader Question: Verify What Is Really Bundled Into Critical Care

You Be the Coder: Read the procedure note front to back to determine if the postierior packing code is justified

2013 Issue 3

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Critical Care: Review These Critical Care Bundling Rules to Ensure Your Code Choices Get Rave Reviews

Nasal Hemorrhage Procedures: Plug Up Lost Revenue Leaks for Non-Active Nosebleeds

Obstetric Diagnosis Coding: Can You Deliver on Your Diagnosis Coding for Obstetric Related Presentations?

Reader Question: 3-Plus Trigger Point Shots Alter Code Choice

Reader Question: Don't Report Bandage Wrap as Strapping Unless Payer Allows It

Reader Question: Separate Documentation Key to Correct Modifier 25

You Be the Coder: Measuring Lesion Excision Sites

2013 Issue 4

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Critical Care Coding: Are You Documenting Your Critical Care Time Accurately?

Critical Care Resources: Keep These CMS and MAC Critical Care Documentation Guidelines Handy

Critical Care Strategies: Get Ready for Increased Audit Activity On Critical Care Time

Non Physician Providers in the ED: Verify Signatures and NPI Numbers For Your NPPs Before Submitting Claims

Reader Question: Don't Get Blocked On Your Stand-Alone Pain Control Procedures

Reimbursement Alternatives: You Could Be Missing Out On Section 1011 Funds

You Be the Coder: Secrets of Selecting the Sialolithiasis Service Code

2013 Issue 5

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ICD-10 Coding: Apply These Laterality, Episode of Care, Tips For Pediatric Presentations

Pediatric Coding: Documentation Strategies Help You Ace Your Peds ED Encounters

Peds ED Documentation: Handy Checklist Helps You Ace Peds E/M Encounters

Reader Question: Active Wound Care Codes Aren't Typical In the ED Setting

Reader Question: Adverse Reaction Pay Depends on Insurer

Reader Question: Lay to Rest Questions on Nail Bed Repair

Reader Question: Let Your Fingers Do The Walking Before Choosing Your Repair Code

Reader Question: Make An Informed Decision Before Changing Providers

You Be the Coder: Probe Deeply To Remove Thoracentesis Uncertainty

2013 Issue 6

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Eye FBR Procedures: Don't Be Blind to 3 Factors When Coding Ocular Foreign Body Removals

Know These 4 2013 PQRS Programs

PQRS Reporting: Get The Scoop on The Value Based Payment Modifier and Group Reporting Option

Procedure Coding: Make Sure You Have Your Facts Straight Before Facing Pacemaker Interrogation

Reader Question: Don't Code Resident Services Off The Cuff

Reader Question: Don't Just Pay Lip Service to Vermillion Border Repairs

Reader Question: Scratch That Itch With The Right Code For The Work Provided

Review These Group Practice Reporting Options

You Be the Coder: Headache Or Aneurism? Check These Cranial Nerve Symptoms To Help Make the Diagnosis

2013 Issue 7

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Check What the ACA Says About Compliance Programs

Coding for Transports: Steer Clear Of Trouble When Reporting Transport Services

Coding Strategies: Listen Carefully to These 4 Tips For Recouping Cerumen Removal Pay

Keep Track of These Face-to-Face Services RVU Stats

Reader Question: Avoid Complaints From The Chief Over Your HPI Documentation

Reader Question: Bill Critical Care Under One TIN

Reader Question: Do Some Diagnostic Testing Of Your EKG Documentation

Reader Question: The Past Is History, So Let's Examine The Present

Regulations: Will Your Compliance Plan Make the Grade? Find Out What The ACA Requires

You Be the Coder: Don't Be Blind To Reporting An E/M Code With An Eye FBR

2013 Issue 8

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Audit Strategies: Are These 2 HPI Glitches Putting You At Risk For E/M Audit Scrutiny?

Compare 2013 and 2014 Proposed RVUs For ED Related E/M codes

How do you decide which category describes the repair in question?

Proposed Medicare Fee Schedule 2014: Breaking News: EDs Could See A 3 Percent Increase in Medicare Payments

Reader Question: All Observation Codes Require At Least A Detailed History

Reader Question: Apply Reduced Services Modifier For Unsuccessful Procedures

Reader Question: At First Those Earrings Looked Like An Accident, But Eventually They Grow On You

Reader Question: Choose Only One Code for Multiple Observations

You Be the Coder: Can You Report an E/M When Procedures Are The Primary Reason For a Visit?

2013 Issue 9

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Burn Coding: Stay Out Of The Fire With These Burn Coding Tips

Burn Payment: Know Your Burns Codes Pay Rates

Coding Tips: Is it A Splint Or Is it Strapping? Check The Documentation Before Choosing

CPR: Resurrect Your CPR Coding With These Tips

Reader Question: Consider All the Facts Before Close Your Repair Coding

Reader Question: What In The World Is The Global Period On An E/M Code?

Reader Question: With The CCI, You Must Modify

You Be the Coder: There is No Margin For Error When Measuring Lesion Excision Sites

2013 Issue 10

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Coding Strategies: Revisit Your Laceration Repair Coding Policy for Wound Checks And Adhesives

Hyperbaric Oxygen Therapy: Dive Deep For the Details on Hyperbaric Oxygen Therapy

ICD-10 Coding: Highlight These ED Diagnoses From ICD-10-CM's Chapter 1

Reader Question: How Solid is the 72 Hour Rule for Fracture Care Reporting? Find Out

Reader Question: Medicare to Accept Revised 1500 Form Starting January 2014

Reader Question: Not So FAST On Assigning Ultrasound Codes For Blunt Trauma

Reader Question: What Constitutes Teaching In A Critical Care Scenario?

Reader Question: Which One is Chief? Is More than One Chief Complaint Allowed?

Simplify Coding Sepsis Condition Using This Chart

You Be the Coder: Is This Enough Documentation For A Separately Reportable E/M Service?

2013 Issue 11

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Common ICD-9 Codes for Foreign Body Removals

CPT® 2014 Update: Read Between The Lines To Find New Language In The 2014 CPT® Book

CPT® 2014: Review Three Key Updates in the CPT® Manual Introduction

ICD-10 Coding: Check For Site and Sequencing When Coding For Neoplasms, Diseases of Blood and Blood Forming Organs

Procedure Coding: Make the Right Choice for Foreign Body Removal Procedures

Reader Question: Map Out How To Report A Global Service Component From a Second Physician

Reader Question: The Unexpected Return Of A Referred Patient Can Cause Global Problems

You Be the Coder: Can A V Code Be A Primary Diagnosis?

2013 Issue 12

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ICD-10 Coding: Don't Have A Seizure Over Choosing Dx for Mental Disorder Presentations In The ED

Procedure Coding: Inject These New Influenza Codes Into Your Charge Master for 2014

Reader Question: Are ICD-9- PCS Codes Required For ED Facility Coding?

Reader Question: Make Sure You Are In The Same facility Before Using a 27 Modifier

Services for Prisoners: Avoid Getting Robbed On Payment for ED Services to Patients in Custody

You Be the Coder: Get Specific With Final Aneurysm Presentation Dx

2012

2012 Issue 1

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2012 CPT® Errata: Late Breaking News: Add Subsequent Observation Codes to Prolonged Services Range

2012 Physician Fee Schedule: Prep For ED E/M Coding Adjustments, Telehealth Coverage, and Other Changes

Audit Proof Your History Component Coding Selections: Here's How

ICD-9 Coding: Ring in the New Year with a Refresher of Alcohol Related Diagnoses

Reader Question: Can two emergency physicians both report critical care?

Reader Question: Consider Patient Age For Critical Care Transport

The 2012 Conversion Factor Remains in Limbo

You Be the Coder: Don't Be Shocked; Is This Cardioversion or Defibrillation?

2012 Issue 2

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CCI 18.0 Update: Watch for These Two Codes, Bundled into Dozens of Procedures

Coding Strategies: Wake Up To These Deep Sedation Insider Tips

Coding Tips: Splinting or Strapping? These Tips Help You Decide

Reader Question: Can You Report an ED E/M And Critical Care on the Same Day?

Reader Question: Distinguish Open From Closed Fracture Treatment

Reader Question: The CMS Shared Services Documentation Exemption Only Applies to E/M Services

Reader Question: Tread Carefully When Dealing with Tarsal Fractures

You Be the Coder: Consider this example

2012 Issue 3

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ICD-10 Coding: Target These Areas To Fast Track Your ED Diagnosis Coding Transition

ICD-10 Training Tool: ICD-10 Implementation Checklist Helps You Get Organized

ICD-10 Training Tool: Spot the Difference: Handy List Helps You Keep ICD-9, ICD-10 Features Straight

ICD-10 Training Tool: Use These Common Questions and Answers To Educate Providers

Observation Coding: Look to CMS Transmittal 2282 for Direction On Your Observation Claims

Quick Tips Manage Your ED's ICD-10 Transition

Reader Question: Don't Talk Out Of Both Sides Of Your Mouth For Oral Laceration Repairs

Reader Question: Listen Closely For Advice On Lancing An Ear Drum

Reader Question: Watch The Rules Rather Than The Clock In Applying Observation Time Standards

You Be the Coder

2012 Issue 4

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Compliance Update: Bone Up on Your Regional ZPIC's Functions And Stay Out of Trouble

EMR Compliance: Using Scribes In The ED: What Documentation Can Be Counted By The Attending Doctor?

Facility Documentation Guidelines: Know the Rules for Mapping Professional and Facility Code Levels

Reader Question: Don't drop the signature baton in handing off a patient at change of shift

Reader Question: Examine your head for the right code for this ultrasound study

Reader Question: Reporting E codes alone will be an external cause of lower reimbursement

Reader Question: Score the HPI When the Patient Says there is Nothing is Wrong?

Reader Question: You might be the lone "ranger" if not using a specific critical care time statement.

You Be the Coder: FB or Not FB, That Is the Question!

ZPIC Functions

2012 Issue 5

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CCI 18.1 Update: Handy Summary of Added and Deleted CCI Code Pairs for April 2012

ED Coding Alert: Consider These Multi-Layer Compression Code Edits Before Reporting Application Services

EMR Implementation: The Good, the Bad, and the Ugly of EMRs: Keep This Advice Handy And Make A Potentially Bad Situation Better

Reader Question: Be alert when deciding which organ system match your physical exam elements

Reader Question: Can a MLP's procedure qualify for a "face to face" visit?

Reader Question: How to handle Medicaid patients from another state

Reader Question: Take a break to get support for multiple fracture code sequencing

Reader Question: When does genitalia become an extremity? It depends on who you ask.

Special Services Coding: Don't Let Using After Hours Code 99053 Keep You Up All Night

You Be the Coder: Read Between the Lines To See If A Procedure Note Also Justifies An E/M Service

2012 Issue 6

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Coding Strategies: Ratchet Up Your Medical Necessity Support With V and E Codes

Facility Coding: 6 Strategies Safeguard Your Facility Coding Choices From Audit Scrutiny

Facility Coding: Are You Up To Date On The 2012 APCs For Commonly Reported ED Services?

How Is Your Facility Mapping Methodology Holding Up?

Reader Question: Don't let coding for a Dens fracture be a pain in the neck.

Reader Question: Don't let head trauma coding give you a headache

Reader Question: You don't have to be from Fargo to know about wood chipper safety

You Be the Coder: Check for Catheter Use Before Coding Thoracentesis

2012 Issue 7

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CCI 18.2 Update: NCCI Version 18.2 is Effective On July 1, 2012, Are You Ready To Correctly Handle these Edits?

Facility Coding: Wash Away Your Infusion, Injection and Hydration Service Confusion

Payment Policy Update: New for July 1, 2012: Medicare Requires a PD Modifier During The Three Day Payment Window

Reader Question: Be Observant In Assigning Codes For Services Crossing Midnight

Reader Question: You "Kneed" To Know How To Capture The Post -- Op Portion Of This Diagnosis

Reader Question: You Don't Need Your Head Examined For Head and Neck Ultrasound Studies

Telemedicine Coding: Keep Telemedicine Codes On Your Radar Screen to Beam Up Additional Revenue

You Be the Coder: Choosing the Right Diagnosis Code for Sickle Cell Crisis

2012 Issue 8

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Diagnosis Coding: Pay Attention To These Details For Rape and Assault Exams

Documentation Guidelines: Brush Up on Your HPI Know How and Stay Out of Audit Crosshairs With This Primer

Drill Down to These HPI Element Meanings

Reader Question: Mistaking the past history for ROS is nothing to sneeze at

Reader Question: Pull out the right code when removing a foreign body

Reader Question: Remember Different ED Rules for Trigger Point Injections (TPIs)

Reader Question: Take a breath and think before reporting ED nebulizer treatments on the professional side

Reader Question: What if they have enough forehead for four heads?

Regulatory Update: The 2013 Medicare Fee Schedule Proposed Rule Estimates Emergency Medicine Payments Will Decrease by One Percent Next Year.

You Be the Coder: Don't Discount The MDM When the NOPP Is High

2012 Issue 9

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Burn Coding: Summer Turns Up The Heat On Burns, But You Can Stay Cool With These Coding Tips

Burn Payment: Choosing the right code has significant payment implications

Compliance Strategies: Know The Rules For Freestanding ED Or You Could Be Standing In Front Of A Judge

EHR Compliance: Heed This Joint Commission Update On Scribe Use: PAs Are Written Back In

Freestanding Emergency Centers

Reader Question: Don't Get Hurt with A Pay Cut For Reductions Under Anesthesia

Reader Question: Master Modifiers For Repeat CPR Sessions

Reader Question: Plug Up Lost Nose Revenue

You Be the Coder: Should I use an established patient code for a known patient?

2012 Issue 10

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Don't Fall Apart Over E/M With Fracture Care

E/M Coding: Reasons Your Review of Systems Documentation Could Be Sabotaging Your Claims

Facility Coding: Ace Your Critical Care Coding: Pay Attention to Trauma to Avoid Future Drama

ICD-10 Coding: If You Didn't Do Your Homework, You Got A Reprieve

Reader Question: Consider the supervision time required to determine a minor or major procedure

Reader Question: Don't get too creative when counting HPI elements

Reader Question: It's the total dosage not the pill size that counts for prescription strength OTC medicines

Reader Question: Take a global view when dealing with typical postoperative care

2012 Issue 11

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2013 CPT® Update: Prep for Revisions to Observation and Thoracentesis Codes

Concurrent Care: Who Gets Credit For Simultaneous Critical Care Services?

Reader Question: Don't let abscess drainage procedures needle you unnecessarily

Reader Question: Not all critical care time must be face to face

Reader Question: When does aspiration becomes drainage?

You Be the Coder: Burn Diagnosis Coding for Kids

2012 Issue 12

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2013 Medicare Physician Fee Schedule: Look to Telemedicine Rather Than Transition of Care Codes for Increased Revenues

2013 Medicare Physician Fee Schedule: Read The Rules Carefully Before Reporting Transitional Care Management (TCM) and Chronic Complex Care Coordination (CCCC) Code Use by EPs

Compliance: How Will Recent Media Hype On EHRs And Upcoding Impact Your Compliance Plans?

Reader Question: Can you report an observation service if the patient is subsequently admitted?

Reader Question: Two Visits, Same Day -- Too Confusing!

You Be the Coder: Coding Separate Services on Fracture Claims

2011

2011 Issue 1

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Diagnosis Coding: Follow These 4 Steps to Master 940-949 Burn Diagnoses

ED E/M Coding: Use 94002, 94003 Sparingly: Opt for E/M on Most ED Vent Services

News you can use: EDs Get a Break on E/Ms As Congress Passes Pay Fix

Reader Question: HPI Level Only Paints Part of E/M Picture

Reader Question: Mind New CPT Sets for US Service

Reader Question: NOS Codes Salve Unknown Skin Rash Dx Issues

Reader Question: Remember Documentation When Applying Caveat

You Be the Coder: KO Sedation Questions by Checking for CPT Signs

2011 Issue 3

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ICD-9/ICD-10

Modifier Use: 2 Nostrils? Call on Modifier 50

Nosebleed Repairs: Know Instrumentation & Methods for Smart Nosebleed Repair Coding

NPP Coding: Get Physician's Face Time On Record to Ensure Shared Coding Success

Reader Questions: Code Splinting Only In Certain Situations

Reader Questions: Provide Proper Documentation to Make ROS Rock-Solid

Reader Questions: Use Modifier 54 Only When Follow-Up Is Certain

You Be the Coder: Coding 'Needle to Chest' Procedures

2011 Issue 4

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E/M coding: Note Code Changes for Spot-On ED Observation Reporting

Observation coding: Observation Under 8 Hours? Consider This Coding Strategy

Procedure coding: Mark Revenue-Boosting Cerumen Removal-E/M Encounters, Double Your Money

Reader Questions: Assuming I&D Occurred Is Dangerous Coding

Reader Questions: Get Specific When Reviewing X-Ray Info

Reader Questions: Leave Pulse Ox Code Off ED Claims

You Be the Coder: Comforting Dying Patient Is Not Critical Care

2011 Issue 5

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CCI 17.1 Edits: Avoid Coding ECG With CPR

E/M coding: Salvage Your 99285 Claims With This Can't-Miss Caveat

Laceration repairs: Know Encounter Specifics to Get Your Cut for Each Laceration Repair Claim

Reader Questions: Leave Pediatric Codes Off Your CC Claim

Reader Questions: Roll Rabies Vaccination into E/M

Reader Questions: Spot Extended HPI for Higher-Level E/Ms

You Be the Coder: Modifiers and Your Fracture Care Claims

2011 Issue 6

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Closures: Check More Than Layers to Arrive At Correct Closure Level

Critical Care Coding: Are You Overlooking CC For Your ED Caveat Patients?

Documentation: Get Providers to Sign Each Time, Ensure All Claims

Reader Questions: Check the Clock Before Coding Critical Care

Reader Questions: Choose Most Severe Burn for ICD-9 Coding

Reader Questions: Leave Dental Codes Off Your ED Claim

Reader Questions: Max Out Payoff By Remembering All FAST Exam Components

You Be the Coder: Mind Ligation Bundles On Repair Claims

2011 Issue 7

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Documentation: Prove Service's Separate Nature Before Coding E/M-25

E/M Coding: Code Correctly by Heeding HPI Rules on High-Level E/Ms

Reader Question: Code Vent Management If Physician Completes Procedure

Reader Question: Consider Malignancy Status When Choosing Excision Code

Reader Question: Up I&D Level When Packing Gets 'Extensive'

Reader Question: Use E Codes to Paint Patient Picture

Tube Replacement: Nail Correct Codes for Tube Procedures With This E/M Advice

You Be the Coder: Choosing Codes on Complex Scenarios

2011 Issue 8

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Audit Tips: Are Your Frequency Distribution Comparisons "Apples to Apples"? Avoid Outlier Designation With This Crucial Advice

Coding Strategies: Make Sure Your Wound Recheck Policy is All Sewn Up for Accurate Coding

Coding Tools: Sample ED Relevant 2011 CPT® Codes with Reduced Global Surgical Package Days

Reader Question: Don't Be "Blocking the Digits" with Repair Codes

Reader Question: Stay Alert to the Degree of Anesthesia Used with Orthopedic Procedures

Reader Question: What's the Buzz on Ultrasound Documentation Requirements?

You Be the Coder: Stick to the Right Code for Tissue Adhesives

2011 Issue 9

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E/M Coding: Capture Prolonged Service Encounters in the ED With These Tactics

Intubation Coding: Go With the Flow: 5 Tips Boost Your Common ED Airway Procedure Accuracy

Laceration Repairs: Wound Repairs of the Lips and Mouth: Have Your Papers in Order Before Crossing the Vermillion Border

Reader Question: Identify Acute or Obstructive For COPD With Bronchitis

Reader Question: Not Every Pain in the Rear is a Pilonidal Cyst

Reader Question: Select Code By Freestanding ED vs. Urgent Care Designation

You Be the Coder: Look within before assigning a penetrating trauma code

2011 Issue 10

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Behavior Modification Codes: Calling for an Intervention: Get a Grip on Your Behavior Modification Services Coding

E/M Coding: Is There a Doctor in the House? Take This Primer on Reporting "In-house" Services

ICD-9 Update: Adjust Your 2012 Dx Coding for Dementia, Influenza, and Anaphylactic Reactions

Reader Question: Assign Physical exam Organ System By Statement Context

Reader Question: External Vs. Internal Abscess Will Determine I&D Code Choice

Reader Question: Listen Carefully For How To Report Ear Blockage Removal

Typical Floor Service Procedures:

You Be the Coder: Wound Repair Qualifies for Subsequent Hospital Care

2011 Issue 11

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Common ED Ultrasound Codes

Diagnostic Interpretations: Finesse Your EKG Interpretation Claims With This Can't Miss Documentation Advice

Influenza Vaccine Coding: Look Sharp at New Vaccine Codes For The 2011 Flu Season

Reader Question: (Nearly) Dead Men Tell No Tales: Apply History Exemption Caveat for Critical Care

Reader Question: Can Pre-Hospital Direction To EMS Be Included In Critical Care Time?

Reader Question: In The Midnight Hour: How To Report An ED Visit That Transcends The Calendar Date

Reader Question: Solve Nasal FBR Coding Dilemma

Ultrasound Coding: Probe Carefully to Ethically Maximize Ultrasound Reimbursement

What Does Separately Identifiable Mean? Heed Medicare's Advice on What Constitutes a Written Report

You Be the Coder: Nail Down the Correct Code For This Finger Injury

2011 Issue 12

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CCI Edits 101: Avoid Compliance Conundrums: Apply CCI Edits Correctly With This Primer

CPT® 2012 Update: Prepare For These Key Changes in Observation and Prolonged Services Codes

Reader Question: Be specific with the diagnosis to show ECG Claim medical necessity

Reader Question: Consult Code Book For Foreign Body Removals From the Foot.

Reader Question: Use Correct Time Threshold For Moderate Sedation

Reviewing Edit Information on CMS: A Few Pointers

You Be the Coder: What are the rules for physical presence in a teaching setting?

2010

2010 Issue 1

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Case Study Challenge: Check Your CC Knowledge by Digging Into These Detailed Scenarios

Follow This FAQ to Max Out Critical Care Payoff

News you can use: Feds Up Conversion Factor Rate -- For Now

Readers Question: Bilateral Earwax = Single Code

Readers Question: High MDM Highlights Caveat Claims

Readers Question: PFSH Puts Added Value on Some E/Ms

Readers Question: Remember to Represent Pressure Ulcer's Stage

Use TPI Do's and Don'ts to Target Winning Claims

You be the coder: High-Level E/Ms and Burn Patients

2010 Issue 2

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Follow This FAQ to Ensure ROS Level Success

Measurement Smarts Might Mean More on Excision Claims

Modifiers, not Math, Make Multi-Excision Claims Go

Put Critical Care Clock on Pause Until Physician Returns

READER QUESTIONS: Counseling Exception? Not in ED

READER QUESTIONS: I&D Area Can Deflate 10060 Option

READER QUESTIONS: Separate Splinting From Fracture Repair

READER QUESTIONS: Without 5th Digit, No Migraine Dx is Complete

You Be the Coder : Diagnosis Coding for Multiple Burns

2010 Issue 3

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Be Alert on Nosebleed Fixes, or Risk Leaving $60 on table

Ensure Patient's In 'Status Limbo'Before Coding Observation

Reader Questions : Consider Immediacy on Critical Care Claims

Reader Questions : Ear Wick Won't Equal Procedure Code

Reader Questions : Look for Incision Evidence in FBR Scenarios

Reader Questions : Note ED Exceptions When Considering Codes

Reader Questions : Remember Primary Dx Code for These Diabetics

Term Knowledge Can Correct Nosebleed Fix Claims

Use Shared Visit to Capitalize on NPP/Physician Teamwork

You Be the Coder: Pay Attention to Payer on Fracture Modifiers

2010 Issue 4

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Check for Critical Care, Gain $50 for Some Caveat Patients

Don't Let Foot FBR Definition Fool You

ED-Specific Exception Allows You to Sidestep Some HPI Rules

Get Your Cut for Soft Tissue FBRs by Looking for Incision Evidence

Reader Questions: Check Descriptors on Tough P Mod Calls

Reader Questions: Consider Bundles Before Upping Repair Level

Reader Questions: Document Traditional Tx Tries on Carpal Tunnel

Reader Questions: Don't Let Shorthand Block You From Correct Code

Reader Questions: Use 3 Code-Pairs to Ace This X-Ray Claim

You Be the Coder: Moderate Sedation and the Separation Repair

2010 Issue 5

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ICD-9 2011: New Dx Codes Help You Justify Critical Care Coding

Make Sure You're Checking for High-Level E/M on Burn Treatments

Mythbusters: Eyeing That Procedure Code? Here's Some Advice on When to Choose an E/M Instead

Reader Questions: Ensure Primary Dx Code for 'Secondary Diabetics

Reader Questions: Note Injection Differences to Shoot Straight on Intervention Coding

Reader Questions: Pay Attention to Modifiers on Ultrasound Interps

Reader Questions: Use E-V Code Combo to Code 'Injury-Free' E/Ms

Step-by-Step Coding: Count Layers to Smoke Out Burn Claims Cash

You Be the Coder: Reporting Incomplete Lumbar Punctures

2010 Issue 6

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Break Fact, Fiction Apart on Your Fracture Care Claims

ICD-9 2011: New Traumatic Brain Injury, Pneumonia Codes Ease Your Reporting

Orderly Multi-Fracture Coding a Must for Max Payout

Reader Questions: Count Systems, Not Symptoms, On ROS Levels

Reader Questions: I&D Area Can Deflate 10060 Option

Reader Questions: Make Separate Nature Clear, Give I&D -- E/M Claims Wings

Reader Questions: NOPP Can Push Physician's MDM Up

Reader Questions: Remember Difference Between Debridement, Wound Management

Reader Questions: Use This Critical Info to Key to TP E/Ms

You Be the Coder: Code Critical Care and Additional Services

2010 Issue 7

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Abdominal Pain Dx: Location Is Everything When You Report Abdominal Pain

Diagnosis Coding News: CMS Quashes Rumors About ICD-10 Implementation Delay

Payment Generating Procedures: Bust 2 Incision and Drainage Myths and Sidestep I&D Abscess Denials

Reader Questions: Anemia or Underlying Disease? You Decide

Reader Questions: Be Confident in Coding for Teaching Physicians

Reader Questions: Check If Exceptions Exist in Fracture Modifiers

Reader Questions: Choose Between 917.8, 917.9 for Toe Tourniquet

Reader Questions: Evaluate Services For Gun Shot Wound

Reader Questions: Keep Same HTN Code for Uncontrolled/Controlled

You Be the Coder: Make 948 Your Burn Coding Constant

2010 Issue 8

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Common ED Debridements: Ride These 3 FAQs to Debridement Coding Success

ED E/M Coding: Heed HPI Count, or Risk Running Into Red Tape

High-Level Debridements: Spot Deeper Debridements or Drop Almost $200 From Claim

Reader Questions: Be Careful You Don't Overcode Thoracentesis Services

Reader Questions: E/M Code Keys Your PQRI Claim

Reader Questions: If Cancer's Still Present, Ignore 'History of' Codes

Reader Questions: Remember, Hydration Codes Won't Hold Water With Payers

Reader Questions: Use ICD-9 Smarts to Make Hematuria Dx Choice Simple

You Be the Coder: Use Broken Skin As Clue to Proper Wound Dx

2010 Issue 9

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Common ED Procedure Coding: Look to Instrumentation for Cerumen Removal Coding Clues

Critical Care Coding: Use These Strategies To Upgrade Your CC Claims Success

Critical Care Tips: Check With Payer Before Considering +99292 Rules

Reader Questions: Check Catheter Use for Thoracentesis Type Clues

Reader Questions: Consider Secondary Diagnoses on Multi-Complaint Patients

Reader Questions: Encourage Physicians to Observe Signature Rules

Reader Questions: Local Treatment Could Unlock Burn Code Pay

Reader Questions: Look to 11040 When Notes Include 'Mostly Dermal'

Reader Questions: Remember Different ED Rules for TPIs, Other Injections

You Be the Coder: To Combine, or Not to Combine: Laceration Repair Lengths

2010 Issue 10

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CPT 2011 Clinical Corner: Use This Expert Scenario to Get a Grip on 99224-99226 Situations

CPT 2011: 99224, 99225, 99226 'Middle Day'

Fast Exam FAQ: Code Slowly or Risk Errors on 2-Part FAST Exam

Reader Questions: Choose Highest-Level of Burn 1st on Dx List

Reader Questions: Don't Turn Your Nose Up at These FBR Codes

Reader Questions: In ED, 'Without Anesthesia' Code Fits the Bill

Reader Questions: Opt for Symptoms on 'Worried Well Check'

You Be the Coder: Look to Wound Margins for Debridement Clues

2010 Issue 11

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2011 Fee Schedule Update: CMS set to slash 2011 conversion factor … But Watch for changes

Coding 101: E/M Services Call for Modifier 25, But Only When Necessary

Foreign body removal: 65205-65222: Eye that FBR claim for removal area

Reader Questions: Choose correct modifiers eafor procedure, E/M portions of visit

Reader Questions: Coder Carve-Outs Necessary for Spot-On Critical Care Claims

Reader Questions: Include modifier to reflect 'partial' removals

Reader Questions: Local Treatment Could Unlock Burn Code Pay

Reader Questions: Observe trephination rules or end up with claim rejection

Reader Questions: Offer ICD-9 trio for post-TBI patient

Reader Questions: Tread with caution if considering DOA billing

You Be the Coder: Lesions in different anatomical areas

2010 Issue 12

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ED E/M Coding: 99281-99285: Use NOPP Info to Accurately - Choose MDM Level -- and E/M Code

Lesion removal: 11400-11446: Use These FAQs to Guide Your Suspicious Tissue Removal Coding

Multiple Procedure Coding: Code Lesion Removals Separately -- Except When You Don't

Reader Questions: Anemia Could Lead to H1N1 Admin

Reader Questions: Dig Deep Into Notes to Discern Proper Repair Code

Reader Questions: Mind Anatomy on Sub-Q FBRs

Reader Questions: Sidestep Foot FBR Issues If Physician Makes Incision

Reader Questions: Use Modifier Q6 to Represent 'Sub' Physician

You Be the Coder: Laceration Repair or E/M?

2010 Issue 15

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FAQ Part II: ID Intermediate Fixes for Immediate $$$ Increase

PQRI Participation Puts More Plusses in Claims Column

READER QUESTIONS: 2 Codes Not the Answer on 2-Sided Nosebleeds

READER QUESTIONS: Check Carrier Before Coding Dermabond

READER QUESTIONS: Ensure Critical Care Before Choosing 99291

Use P Modifiers When Measure Is Not Met

wound care simple intermediate repair 12001 12057 debridement

You Be the Coder: Eye Irrigation and E/M Services

2009

2009 Issue 1

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Clip and Save: Pay Special Attention to These Areas of Peds PE

Go Beyond Excision Codes on Lesion Repairs

Reader Questions: Apply 'ED Caveat' With Caution

Reader Questions: Count Muscles on Trigger Point Injections

Reader Questions: ID Key Terms to Nail Down Hematoma Coding

Reader Questions: Specific Code Knowledge Can Build Block Smarts

You Be the Coder: Coding Separate Services on Fracture Claim

2009 Issue 2

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CPT Update: Check Out Your Top Changes for 2009

News You Can Use: Begin Prepping for More Specific ICD-10 Today

Reader Questions: ED Claims Cannot Contain EBV Screens

Reader Questions: Global Period Drives Choice Between 25, 57

Reader Questions: Include Catheter Code on Critical Care Claim

Reader Questions: Reserve CPR Code for 'Lead' Physician

Reader Questions: Think Twice Before Filing for Interpreter Service

Reader Questions: Using New Migraine ICD-9? Remember 5th Digit

Spot E/M Evidence to Gain $130 When Ventilation Management Occurs

You Be the Coder: Observation or ED E/M Care?

2009 Issue 3

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Get Pre-Removal Measurement to Maximize Excision Claims

Know Size, Area of Lesion Before Choosing Code

Participate in PQRI to Share in Increased Bonus Payment

Reader Questions: AMA Shuts Down 'Layer Closure' Repair Descriptor

Reader Questions: Check Dwelling Status, Choose Correct Cath Code

Reader Questions: Combo Codes Mark COPD With Other Conditions

Reader Questions: Remember Both Parts of FAST Exam or Lose $$

Reader Questions: Use Symptom ICD-9s to Explain 'Emergency'

This List Guides You to ED-Relevant PQRI Measures

You Be the Coder: Coding Multiple Laceration Repairs

2009 Issue 4

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Affect ED's Bottom Line With Nosebleed Repair Smarts

Follow 3 Steps to Establish PQRI Protocol

Reader Questions: Check Notes Before Separating E/M, Injection

Reader Questions: Online Errata Completes Your CPT '09 Changes

Reader Questions: Physician Role Drives Debridement Coding

Reader Questions: Remember, There Is No 'Extra' CPR Time

Reader Questions: Submit Separate Code for G Tube Monitoring

Track ROS to Nail E/M Levels

You Be the Coder: Moderate Sedation and Fracture Care

2009 Issue 5

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5 Steps Ensure Your Observation Care Success

Know What Separates FBR From E/M or Lose $80 in Pay

Observe Foot FBR Rules From the Ankle Down

READER QUESTIONS: ID Anesthesia Type Before Choosing Code

READER QUESTIONS: Rely on Rule of Nines for Some Burn Treatments

READER QUESTIONS: Risk Denials Without 5th Digit on Migraine Dx

READER QUESTIONS: Show Shared Effort on Split Visits

READER QUESTIONS: Use V Code for Patient's Past Angioplasty

You Be the Coder: Repair Coding and Mouth Injuries

2009 Issue 6

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Count Trigger Point Targets,Not Shots, and Ensure Coding Success

READER QUESTIONS: 'Stick' in Notes Often IDs Venipuncture

READER QUESTIONS: Bypassing CPAP Code a Mistake on BiPAPs

READER QUESTIONS: Check for E/M on Most ED Procedures

READER QUESTIONS: Use P Mod on Non-Compliant PQRI Scenarios

READER QUESTIONS: Use This Advice on Reporting Modifier 51

Shape Time-Saving Counseling Forms Using Online Resources

Simple Laceration Repair or E/M? The Answer Could Cost Hundreds

You Be the Coder: Carving Up Critical Care Claims

2009 Issue 7

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Coding 'Comfort' Visits as Fracture Care Can Land ED in Hot Water

Double Your $$ When You Spot E/M and Burn

Providing Follow-Up Patient Care an ED Exception

READER QUESTIONS : Check Patient Status Before Selecting ED E/M

READER QUESTIONS : Flushing Confirms Ear FBR

READER QUESTIONS : Proper Dx Code Secures Post-Op 99291 Claim

READER QUESTIONS : Use Q6 When 'Sub' Treats Medicare Patient

READER QUESTIONS :Separate FBRs From Rust Ring Removals

READER QUESTIONS: Count HPI, or Risk Choosing Wrong E/M Level

You Be the Coder :Accidents, Ultrasounds, and Pregnant Patients

2009 Issue 8

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Bust Shared Visit, Critical Care Myths to Max Out NPP's Value

KnowWound Characteristics to Slash Multi-Laceration Repair Miscodes

Mind Location, Instrumentation, and Eye FBRs Won't Play Tricks onYou

READER QUESTIONS :Avoid 2-Code ClaimWithout Separate E/M Proof

READER QUESTIONS :Check Materials on Closure Encounters

READER QUESTIONS :Dilation May Up Prostate Procedure Complexity

READER QUESTIONS :Minutes Matter on Potential 99291 Claims

READER QUESTIONS :Remember Formal Report on Ultrasound Claims

READER QUESTIONS :Watch For CPT 2009 22 Error

You Be the Coder :Coding Physician's H1N1 Flu Screen Service

2009 Issue 9

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ICD-9 Choice Could Make or Break "Buddy Taping" Encounters

Nail Toe Repair Claims by IDing Treatment Type

News you can use :This Fall, Swine Flu Dx Is for the Birds

READER QUESTIONS :Disregard Generic Code for Plantar Wart

READER QUESTIONS :Does a Single Cut Lead to Excision Exception?

READER QUESTIONS :Ensure Counseling Claims With Pointed Questions

READER QUESTIONS :Group Same-System ROS Queries Together

Spy Single PFSH Item to Aid High-Level ED Coding

You Be the Coder : Getting to the Bottom of a SIRS Service

2009 Issue 10

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Become a Master of Time With This Critical Care FAQ

Include Solid Documentation to Justify 'Discussion' Time

News You Can Use: Assist From CPT Aids Trunk US Coding

READER QUESTIONS: 'Alterations' Do Not Equal Unconsciousness ICD-9s

READER QUESTIONS: Code Physician Involvement, Supervision Differently

READER QUESTIONS: Dig Into Details to Soothe Burn Concerns

READER QUESTIONS: Go Straight to Source for CC Info

Spot Treatment Depth to Get Clear Debridement Signal

You Be the Coder: Multiple Fracture Accident Patients

2009 Issue 11

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Eye Claims for Cerumen Removal … and a Possible $30 Boost

ICD-9 2010: Master New Poisoning Codes by Learning Antidepressant Types

ICD-9 2010: Prep Now for New 5th-Digit Thrombosis Diagnosis Options

READER QUESTIONS: Mind Location on Dental Blocks

READER QUESTIONS: Neglecting 948.xx Is a No-No on Burn Claims

READER QUESTIONS: Pay Attention to Area on Shaving Claims

READER QUESTIONS: Roll Saw Use Into Service Level

READER QUESTIONS: Split E/M from G Tube Fix

Use This FAQ to Nail NOPP Level, Aid E/M Coding

You Be the Coder: Coding ED Sedation Services

2009 Issue 12

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Hone in on HPI Elements to Spot Level 4-5 Possibilities

ICD-9 2010: Even Claims Playing Field With V Code Knowledge

ICD-9 2010: Put E Code in its Place for Maximum Effect

Mark Manipulation, Make $100+ More Per Encounter

READER QUESTIONS: Avoid Denials With 'Complicated ' Repair Smarts

READER QUESTIONS: Check Off Components Before Coding Drug-Seeking E/M

READER QUESTIONS: Code Pair Provides Pinpoint Pressure Ulcer Dx

READER QUESTIONS: Find Carve Outs Before Counting Critical Care Time

READER QUESTIONS: Opt for E/M on Clamp Clot Clearup

You Be the Coder: Cyst Drainage Vs. Cyst Removal

2009 Issue 13

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Be a Cyst Super-Spotter to Net More Complicated I&Ds

Diagnostic Statement Is the Key to Unlocking Flu Dx

News You Can Use: CCI Clampdown KOs These Sedation Codes

READER QUESTIONS: Anatomy ID Vital When Grouping Repairs

READER QUESTIONS: Answer Admission Question Before Choosing E/M Type

READER QUESTIONS: Coding Migraines That Aren't Always Migraines

READER QUESTIONS: Ear Wick Won't Warrant Procedure Code

Swine Flu FAQ: Observe ED, Urgent Care Differences in H1N1

You Be the Coder: Mind Your Muscles on TPI Claims

2009 Issue 14

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Check for High-Level E/M Before Coding FAST Exams

Exact Measurements Are the Key to Complete Wound Care Encounter Claims

Fly Through FAST Exam Coding and You Could Miss Vital Info

Opt for E/M Service When Physician Provides Vent Management -- Usually

READER QUESTIONS: Careful: 10060 Won't Wash for Some I&Ds

READER QUESTIONS: Consider Some 'Consults' Part of Pre-Op E/M

READER QUESTIONS: Dig Deep Into Notes for Correct Cath Code

READER QUESTIONS: Physician Involvement Means Separate Cath Code

You Be the Coder: Get All the Facts Before Coding Foot FBR

2008

2008 Issue 1

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Determine TBSA Before Coding 2nd-Degree Burn Encounters

READER QUESTIONS: ED Injection/Infusion Coding Getting Stricter

READER QUESTIONS: Fifth Digit Can Be Vital for Claim Acceptance

READER QUESTIONS: Include V Code on Toy-Related Lead Screenings

READER QUESTIONS: Measure AV Block Severity in Degrees

READER QUESTIONS: Use This List to Bone Up on Fracture Types

Take 2 Steps Before Choosing Chest X-Ray Code

Use This Chest/Rib X-Ray Guide for Accurate Combo Claim Coding

You Be the Coder: Diagnosis Coding for Insulin OD

2008 Issue 2

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Clip and Save: Let DAST Guide Your Counseling Claims

CPT Update: Beware: Reporting 90760 in 2008 Will Bring Your ED a Denial

Reader Questions: Boost E/M Level When Staff Interprets

Reader Questions: Code Skin Biopsies Individually

Reader Questions: Count Carotid Massage Toward E/M Level

Reader Questions: Incision Decision Leads to Proper Removal Code

Reader Questions: Observe Locum Tenens Rules for Sub Physicians

Speed Fracture Care Claims With 4 Answers

You Be the Coder: Coding Multiple Laceration Repairs

2008 Issue 3

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Prove Patient's Critical State Before Coding 99291

Reader Questions: Ease Compound Drug Coding With J7620

Reader Questions: Gastric Aspiration Calls for 91105

Reader Questions: Ignore Location on Observation Services

Reader Questions: Include I&D in Excision

Reader Questions: Meet 'Moderate' Guidelines for Sedation Coding

Reader Questions: Payers Consider Plug Removal Part of Intubation

Reader Questions: Remember to Note Every Diabetic Manifestation

Stop Observing 25-Percent Rule for Modifier 22

Use Encounter Notes to Decide Between Vent Management, E/M

You Be the Coder: Blood Patch Epidurals

2008 Issue 4

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Clarification

Clip and Save: Check Out These Observation Coding Do's and Don'ts

Discover Pathology Before Choosing Excision Code

Let Length of Service Guide Your Observation Code Choice

Reader Questions: End Confusion on Cancer-Free Dx

Reader Questions: Let Payer Guide 25 Use on FAST Claim

Reader Questions: Opt for E/M When Physician Bandages Laceration

Reader Questions: Remember V Code for MRSA Patients

Reader Questions: Tally System Reviews for Complete ROS Picture

Reader Questions: Thoracentesis Codes Make a Move in CPT 2008

Reader Questions: Watch for Bundles on Burn Coding

You Be the Coder: Multiple Laceration Repairs

2008 Issue 5

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4 Questions to Ask Before Choosing Debridement Codes

Clip and Save: Explanations Ease Code Choice on Debridements

Instrumentation Provides Clues to Cerumen Removal Coding

Reader Questions: Be Precise With Jaw-Injury Diagnoses

Reader Questions: Check for Exacerbation Before Choosing COPD Dx

Reader Questions: Look at Percentages to Decide on Morbid Obesity

Reader Questions: Use Notes to ID Fracture Treatment Type

Remember to Look for E/M Evidence on Cerumen Claims

You Be the Coder: Burn Diagnosis Coding for Kids

2008 Issue 6

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Clip and Save: Coders Can Count on These PQRI Resources

Eye Area Matters When Coding FBR Encounters

Reader Questions: Carry Hypothyroidism Dx to 4th Digit

Reader Questions: Is There a Procedure Code for Carotid Massage?

Reader Questions: Observe Restrictions on Strapping Codes

Reader Questions: Remember E Code on Suicide Attempt

Reader Questions:Coding G Tube Replacements With Monitoring

Start Reporting PQRI Now to Recoup Bonus

You Be the Coder: Mind Your X-Ray Bundles

2008 Issue 7

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Coding Quiz: Check Your Burn Coding Skills With These Scenarios

Know When to Combine -- and When to Separate -- Burns for Diagnosis Coding

Reader Questions: Check Patient Age on Catheter Code

Reader Questions: Here's How to 'Target' Sedation Coding Chances

Reader Questions: If Physician Makes No Incision, Opt for E/M

Reader Questions: Use Modifier on 'Involuntary' Services

Reader Questions: When Physician Performs Both, E/M Trumps Ventilator Management

Use Instrumentation, Depth to Decide Laceration Repair Level

You Be the Coder: Ulnar Shaft Splinting

2008 Issue 8

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Avoid NEMB Confusion With New ABN Form

ICD-9 2009 Update: Get Ready to Use New Diabetes Code Set Before Oct. 1

ICD-9 2009 Update: Learn New Headache Breakdowns Now to Prevent Denials Later

Reader Questions: Check for Catheter Use on Thoracentesis Claims

Reader Questions: Deduce Angina Type Before Choosing Diagnosis

Reader Questions: ED Setting OK for CPT Cessation Codes

Reader Questions: Leave D Codes Off Mouth Suture Claim

Reader Questions: Payer Policy Drives Dermabond Coding

You Be the Coder: PQRI and P Modifiers

2008 Issue 9

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ICD-9 2009 Update: Implement 346.xx Changes Using 8 Can't-Live-Without Secrets

Meet These Rules to Code for NPP Assisting MD on Shared Visit Encounters

On the Cutting Edge: Spot Key Terms to Catch Critical Care Encounters

Reader Questions: Patient Actions Guide Insulin OD Code Choice

Reader Questions: Same Dx OK for Some Procedure-E/M Encounters

Reader Questions: You Can't Code Everything Chronic

Reader Questions: You'll Probably Get Another Shot at PQRI

You Be the Coder: Specific Questions Safeguard 99408 Claims

2008 Issue 10

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Heed this Info on Latest Critical Care Updates to File the Cleanest Claims

ICD-9 2009 Update: Update Cancerous Pleural Fluid, Pneumonia Diagnoses

Overlapping Time Usually a No-No on Critical Care

Reader Questions: Freeze at 327.XX ICD-9 Section for Sleep Paralysis

Reader Questions: Heed These Rules on NPP Critical Care

Reader Questions: ICD-9 Code Choice Depends on Apnea's Cause

Reader Questions: Modifier 51 Marks Multiple-Surgery Encounters

Reader Questions: Tackle This Modifier 25 and EKG Scenario

You Be the Coder: Check Hand or Foot Before Coding FBR

2008 Issue 11

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Fix Your Fracture Care Claims in 3 Simple Steps to Avoid Errant Code, Postop Overlap

Look for E/M Service on Your Fracture Claims, or Lose $$$

Multiple Breaks? Code 'Worst' Fracture First

Reader Questions: ED Exception Can Confuse Hydration Coding

Reader Questions: Follow Incision Rules on FBRs, or Tick Off Payers

Reader Questions: Paint Fullest Picture Possible With ICD-9s

Reader Questions: Remember E Code on Gunshot Treatment

Reader Questions: Sew Up Laceration Coding Using These 8 Elements

Spot 49080 Characteristics to Avoid Lavage Miscode

You Be the Coder: Pediatric Critical Care in the ED

2008 Issue 12

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Detail Marks Successful Pediatric E/M Histories

Leave $70 on the Table if You Fail to ID Complicated I&D

Reader Questions: Check Code Definition Before Appending Modifier 50

Reader Questions: Coma Code Choice Comes After Diabetes Check

Reader Questions: Hematuria Codes Get More Specific in October

Reader Questions: Payers Typically Accept NPP Performing 69210

Reader Questions: Remember Reaction Dx on Observation Claim

Recognize What Separates Pilonidal, Standard Cysts or Risk Rejection

You Be the Coder: Reporting 'Snuffbox' Fractures

2007

2007 Issue 1

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Don't Change How You Report ROS to Medicare Payers

NEWS YOU CAN USE ~ Congress Stalls 2007 Medicare Pay Cut

Observe 10-System Minimum for Complete ROS

READER QUESTION ~ Be Wary of Suspect Injury Explanations

READER QUESTION ~ Check for Slit Lamp Use on Corneal FBR Claims

READER QUESTION ~ Report 1 Code for Pressure Ulcer Treatment

Report Burn Location Diagnosis to at Least the Fourth Digit

Study 5 Cases to Learn Foreign-Body Removal

Take 5 Steps for Proper Coding of Wound Repair

YOU BE THE CODER ~ Chronic Conditions in the ED

2007 Issue 3

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Add an E/M Service to Most 69210 Claims

READER QUESTION ~ Check Procedure's Global Period Before Reporting an E/M Service

READER QUESTION ~ Disregard Age When You Choose an Intraosseous IV Code

READER QUESTION ~ Don't Report a Separate Code for Ear Wick Insert

READER QUESTION ~ ECGs in ED Call for 'Interpretation and Report Only' Code

READER QUESTION ~ Use This Diagnosis for Asthma With Croup

Think All Cerumen Removal Claims Are Equal? Think Again

When You See a 'Targeted' Code, Think Twice Before Reporting Moderate Sedation

YOU BE THE CODER ~ Hydration With End-of-Session Flush

2007 Issue 4

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Maximize Multi-Code Claim Revenue With Modifiers 59, 51

On Excision Claims, Measure Lesion Size Before Pathologist Sees It

Reader Question: Check for Radiologic Guidance, Then Code for G Tube Placement

Reader Question: E/M Possible On Hydration Encounter

Reader Question: Follow 'Rule Of Nines' For Burn Diagnosis Coding

Reader Question: Repair Bundled into Wound Exploration

Reader Question: Reporting G Tube Code For J Tube Replacement Could Be A Mistake

Reader Question: Treat Foot FBRs Differently Than Soft-Tissue FBRs

Report Intermediate, Complex Closures Separately on Excision Claims

You Be The Coder: Is E/M and Repair Possible on Laceration Claim?

2007 Issue 5

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4 Questions to Ask Before Filing Critical Care Claim

Choose Observation Code Based on Length of Patient Stay

READER QUESTIONS: Choose Single ICD-9 Code to Represent Aortic/Mitral Value Condition

READER QUESTIONS: Clear Up Filing Deadline Issues With Chart

READER QUESTIONS: Don't Report Bandage Wrap as Strapping Unless Payer Allows It

READER QUESTIONS: In the ED, Physicians Usually Perform Closed Treatment

Submit Separate Reports for Critical Care and E/M Claims

You Be the Coder: Choosing Between Simple, Complicated FBR Codes

2007 Issue 6

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No Fooling: New NCCI Bundles Burn and Debridement Codes

Reader Questions: Answer Spica/Standard Splint Question Before Choosing Code

Reader Questions: Code Post-MVA E/M Based on Physician Actions

Reader Questions: If Same Problem Prompts Both, Report Same Diagnosis for E/M, Procedure

Reader Questions: Remember Dx Code on Your Nursemaid Elbow Treatment Claims

Reader Questions: Report V Codes for Patient's Long-Term Meds

Rely On Physician's Notes When Selecting Dx Codes

Use These Tips to Master Dual-Code Challenge of FAST Exam

You Be the Coder: Coding Multiple-Laceration Scenarios

2007 Issue 7

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Acute Conditions Essential to Correct COPD ICD-9 Coding

Check for Incision Before Reporting Soft-Tissue FBR

Grab More Reimbursement for Some FBRs

Keywords Can Guide You to Correct COPD Diagnosis

News You Can Use: New Cardiac Arrest V Codes Coming in Latest ICD-9

READER QUESTIONS: Check With Payer for Preferred FB Sensation Diagnosis Code

READER QUESTIONS: Chronic Pain Syndrome Diagnosis May Not Be Specific Enough

READER QUESTIONS: Separte Documentation Keys Modifier 25 Coding

READER QUESTIONS: Single ICD-9 Code Represents Syncope and Collapse

READER QUESTIONS: Think Twice Before Coding Death Pronouncement

You Be the Coder: Mind Your Modifiers on E/Ms During Global Periods

2007 Issue 8

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Check the Clock on Multiple-Substance Infusions

Clip & Save ~ Keep These Common Medical Terms Handy

Is Your Coding Leaving Critical Care Dollars on the Table?

Reader Question ~ 'Comminuted' Typically Means Closed Fracture

Reader Question ~ Anatomy Guide an Indispensable Coding Resource

Reader Question ~ Choose Code Based on Symptoms if Doctor Doesn't Diagnose Depression

Reader Question ~ Exam Must Exceed 'Incidental' for Extra E/M

Reader Question ~ Size Matters on Devitalized Tissue Removal Code

Reader Question ~ Unbundle Biopsy, Destruction With Modifier 59

Reader Question ~ Wait for Test Results Before Settling on Dx

You Be the Coder ~ Coding for Burns in the ED

2007 Issue 9

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Bandages May Not Be Aces With Payers

Check for Guidance, Monitoring on G Tube Claims

Materials Make a Difference When Choosing a Splinting, Strapping Code

Reader Questions: 'Blanket' Policy May Smother Critical Care Pay

Reader Questions: Most ED Aneurysms Are Aortic

Reader Questions: Physician Involvement Drives Blood Draw Coding

Reader Questions: Physicians Treat Pleural Effusions 3 Different Ways

Reader Questions: Use This Guidance for After-Hours Codes

Reader Questions: Choose Reduction Code After Answering Anesthesia Question

Reader Questions: Deduce Angina Type Before Coding

You Be the Coder: You Might Not Need Hypoglycemia Code if Patient Has Diabetes

2007 Issue 10

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Check Methods, Attempts Before Coding Nosebleed Encounters

Here Are the PQRI Ropes for EDs That Want to Participate

Physicians May Meet Quality Measures but Lack Proof

READER QUESTIONS: Check for E/M on Esophageal FBR Claims

READER QUESTIONS: Complete ROS Requires Double-Digit Reviews

READER QUESTIONS: Heart Failure Diagnosis Trumps Other Symptoms

READER QUESTIONS: Know the Difference Between Medial, Lateral Meniscus Tears

READER QUESTIONS: Use Tool Kit for Optimal PQRI Reporting

READER QUESTIONS: Zoom in on Supervision Requirements

You Be the Coder: Measuring Lesion Excision Sites

2007 Issue 11

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Clip and Save: Acronym Ensures Proper Wound Repair Documentation

Count on More Than Depth to Justify Wound Repair Level

Inherent or Separate? You Must Know Before Coding E/Ms With Modifier 25

READER QUESTIONS: Diagnostic Decision Should Figure Into E/M Level

READER QUESTIONS: If Physician Specifies Cause, Consult Organic Apnea Codes

READER QUESTIONS: Mind Coding Conventions for Observations

READER QUESTIONS: Mother's Milk Making Baby Sick? Check Drug Reaction Codes

READER QUESTIONS: Observe CCI Bundle on Burn/Debridement Claims

READER QUESTIONS: Report Single Code for Drainage/Joint Injection

READER QUESTIONS: Use This Primer as Your FAST Exam Template

You Be the Coder: ICD-9 Coding for Burns in the Same Region

2007 Issue 12

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Distinguish Complicated I&D Documentation From Simple to Boost Pay

Medicare Approves Paying for More Moderate (Conscious) Sedation Scenarios

Reader Question: 3-Plus Trigger Point Shots Alter Code Choice

Reader Question: Adverse-Reaction Pay Depends on Insurer

Reader Question: Be Alert When Assigning Consciousness Codes

Reader Question: Include 948.xx for Your Burn Patients

Reader Question: Look for Nerve Block on Trigeminal Neuralgia Encounters

Reader Question: Observe Differences in CMS, CPT Consult Criteria

Reader Question: Remember ICD-9 Code on Bladder Scan Claim

Reader Question: Report Dx Code for Each Decubitus Ulcer

Reader Question: You Can Report V Codes As Primary -- Sometimes

You Be the Coder: Coding When ED Physician Calls on Specialist

2006

2006 Issue 1

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Clip and Save: Know What's Included in Critical Care

Correction

Extinguish These 5 Critical Care Myths

Milk HPI Info for More Than 1 E/M Category

Reader Questions: Ask Payers for Vital Signs Number

Reader Questions: Avoid 63688 for Neurostimulator Traction

Reader Questions: Consider Certainty for Fracture Dx

Reader Questions: Encourage 'Negative' for ROS and PFSH

Reader Questions: Fight for 93010 Claims

Reader Questions: Go Straight to Source for Pain Code

Reader Questions: Look at MDM for 99282-99283 Split

Reader Questions: Opt for Dx Over Signs and Symptoms

Reader Questions: Separate Ankle From Foot

Reader Questions: Wait for Diagnosis to Report Code

You Be the Coder: Choose E/M for Fecal Disimpaction

2006 Issue 2

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5 Foolproof ICD-9 Tips to Start the Year Off Right

FBR Answers You Need to Know

READER QUESTIONS: Ensure Personal Visit for HPI

READER QUESTIONS: Evaluate Context for Modifier 25

READER QUESTIONS: Leave Dx to Physician With EKG

READER QUESTIONS: No Time Frame for Late Effect Codes

READER QUESTIONS: Steer Clear of Sketchy Rx

READER QUESTIONS: Talk to Payers About 90760

Top-7 Ways to Smooth Out Wrinkles in Your Observation Coding

You Be the Coder: Do I Need a Complete ROS for 99285?

2006 Issue 3

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3 Tips Help Ensure Foolproof Coding For Chronic Conditions

E/M Guideline Answers You Need to Know

Polish Your Modifier 59 Use And Master NCCI Edits

READER QUESTIONS: Check Time of Status Change for Observation

READER QUESTIONS: Determine Payer for Dermabond Repair

READER QUESTIONS: Divvy Up Time for 99291 and 99292

READER QUESTIONS: Don't Count on Drug for Sedation Level

READER QUESTIONS: Ensure 3 Elements for Sedation Documentation

READER QUESTIONS: Investigate POS for 99291

READER QUESTIONS: Use Reason When Returning Charts

You Be the Coder: Account for Specific Case With Hydration Code

2006 Issue 4

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CPT 2006 Update: Don't Miss These Crucial Injection, Infusion Coding Changes

Here's How to Capture E/M With Injections, Infusions

Improve Your Accuracy: Bill Separately for Critical Care During Postoperative Period

Moderate Sedation: Report the New Codes--But Don't Hold Out for Pay

READER QUESTIONS: Check Documentation to Discover MDM Level

READER QUESTIONS: New Diagnosis Codes Split CKD 5 Ways

READER QUESTIONS: Opt for 1 Code With Drainage Versus Excision

READER QUESTIONS: Slow Down When Coding FAST Exams

You Be the Coder: Choosing the Right Wound Care Code

2006 Issue 5

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2006 Update: Successful Diabetes Dx Coding Starts With 250.xx Set

Burn Treatment: Heed 'Rule of Nines' When Calculating Burn Area

Burn Treatment: Size, Location of Burn Drive Choice of Revised CPT Codes

READER QUESTIONS: Choose Most Specific Dx Possible on ECG Claims

READER QUESTIONS: Marshfield Auditor's Sheet Not a CMS Tool

READER QUESTIONS: Private Payers, Medicare Differ on Dermabond Coding Rules

READER QUESTIONS: Separate E/M Possible When Fracture Patient Has Another Problem

You Be the Coder: Get Specific With New Decubitus Ulcer Diagnoses

2006 Issue 6

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Base Your Subsequent Hospital Care Coding on Interval History

Check G Tube Replacement Notes Before Choosing 43760

Reader Questions: Capture Complete Eyewash Service With E/M Code

Reader Questions: Fecal Disimpaction Code Harms ED Claims

Reader Questions: Follow CMS 'Duress' Rule When Considering ABNs

Reader Questions: Make Bronchitis Dx as Specific as Possible

Reader Questions: V Codes Represent Patient's Long-Term Meds

Reader Questions: When Baby Spits Up, Foreign-Body Diagnosis Not Always Accurate

Use These Guidelines For Subsequent Care Services

You Be the Coder: Discharging Patients After Overnight Stays

2006 Issue 7

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Check Notes for Incision on Soft-Tissue FBR

Flip to This Code Set for FBRs Of the Foot

News You Can Use: New ICD-9 to Include Wound Dressing V Codes

Prove Separate HEM For Proper Modifier 25 Claims

Reader Questions: Beware Bundled Services on Critical Care Claims

Reader Questions: Latest NCCI Edits Affect New Nursing Codes

Reader Questions: Remember the 'Digit Rule' for Asthma Diagnosis

Reader Questions: Reporting Multiple Injections for Seizure Patients

Use Transmittal to Check On Modifier 25 Changes

You Be the Coder: Try Your Hand at This Clinical FBR Scenario

2006 Issue 8

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Add Laceration Repair Lengths That Have Common Attributes

Case Study: Count On More Than Depth to Justify Intermediate Wound Repair

Reader Questions: After-Hours Code Not Always Reimbursed

Reader Questions: Be Consistent to File Strong Strapping Claims

Reader Questions: Child-Abuse Victims Often Have Unexplained Injuries

Reader Questions: Get Elemental When Determining HPI

Reader Questions: Include Detailed History for Observation Codes

Reader Questions: Use Reduced-Services Modifier for Failed Procedures

Special Report: Find Out if Your E/M Levels Can Withstand Heightened Scrutiny

You Be the Coder: File Without a Chronic Condition Dx?

2006 Issue 9

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Check Physician Notes Before Appealing Critical Care Claims

Figure Location, Depth of Penetration Into Eye FBR Coding

Follow 3 Principles for Top-Notch Laceration Repair Coding

Keep an Eye Out for Separate E/M Services With Eye FBRs

READER QUESTIONS: Check for Fluoroscopy With Chest Tube Procedures

READER QUESTIONS: Dated Entries Key Successful Multiple-Day Observation Claims

READER QUESTIONS: Nail Down Modifier 51 Exemptions

READER QUESTIONS: Teaching Physician Required for Resident's E/M

READER QUESTIONS: Varicose Vein Treatment a Simple Repair?

You Be the Coder: Closed Arm Fractures

2006 Issue 10

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Complex Anterior Nosebleeds Require Extensive Packing, Documentation

Perfect Your Posterior Nosebleed Coding With This Expert Strategy

Reader Question ~ Check With Insurer Before Coding FBR With Blade

Reader Question ~ E/M Levels Vary for Migraine Patients

Reader Question ~ Find Evidence of Fluoroscopy Before Reporting 43752

Reader Question ~ Phone Consult Codes Rarely Recognized

Reader Question ~ Placenta Delivery May Result in E/M Payment

Solve the Riddle of 'Separate' Versus 'Inherent' E/M Before Appending Modifier 25

You Be the Coder ~ Sequencing ICD-9 Codes

2006 Issue 11

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Break Down Fracture Care Coding Into 4 Simple Steps

Double-Check for Modifier Q6 on Your Locum Tenens Claims

Reader Question: State Guidelines Govern Most Workers' Comp Claims

Reader Question: Can You Code a Biopsy and I&D Together?

Reader Question: Differentiate Between Facial, Dental Nerve Blocks

Reader Question: Forget POS When Answering Critical Care Question

Reader Question: Look to 'Artificial Menopause' for Estrogen Withdrawal

Reader Question: Physician Presence Required for CPR Direction

Reader Question: Watch for CPAP/Observation Bundles

Reader Questions: Choose 1 Code for Multiple Observations

You Be the Coder: Can You Report a Separate E/M With Thrombolysis?

2006 Issue 12

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CPT 2007 ~ Check This Flow Chart Before Deciding on Patient Status

ICD-9 UPDATE ~ Use These New Diagnosis Codes for Patients With Pain

PHYSICAN FEE SCHEDULE UPDATE ~ Find Out Why Your ED E/Ms Will Be Worth More in 2007

READER QUESTION ~ Don't Focus on Location of Observation Service

READER QUESTION ~ State, Facility Will Have Final Say on NPP's Role

READER QUESTION ~Keep an Eye on Critical Care Bundles

YOU BE THE CODER ~ Coding for Asymptomatic Patients

2005

2005 Issue 1

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Cut Wound-Care Coding Down to Size

Quiz: Submitting Flawless Hospital Bills

Reader Questions: Consult Examples for Help With -52 and -53

Reader Questions: Count 51798 Only Once for Bladder Scanner

Reader Questions: Describe Gastric Tube With 91105

Reader Questions: Don't Include Postpartum Care for ED Service

Reader Questions: Include Hernia Work in ED E/M Code

Reader Questions: Navigate Caveat Rules Carefully

Reader Questions: Question Doctor About Tube Letter

Remember 3 S's for Trouble-Free Modifier -25 Claims

You Be the Coder: Reporting Observation in the ED

2005 Issue 2

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5 Steps to Assigning the Most Accurate Burn Codes

Critical Care: Are Your Physicians Behind the Curve?

Critical Care: Your Most Challenging Questions Answered

Focus on Medical Needs to Improve Migraine E/M Coding

Keep Your Eyes Peeled for Signs of Child Abuse

Reader Questions: Check Documentation for Foley Charge

Reader Questions: Don't Count on Packing for Complex I&D

Reader Questions: Find the Injury for Shock Code

Reader Questions: More Physicians Doesn't Mean Higher E/M

Reader Questions: Prove Caveat Intent With a Statement

Reader Questions: Report ED-Treated Bleeds

Reader Questions: Wait for Report to Describe Cyst

You Be the Coder: Complex Lacerations in the ED

2005 Issue 3

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Beat the OIG to the Punch: Benchmark Against CMS

DOA: Do You Know What to Do?

READER QUESTIONS: Assign E/M Code for Nonspecific Care

READER QUESTIONS: Choose Wound Code by Body Surface Percentage

READER QUESTIONS: Don't Count on 99371 for ED Service

READER QUESTIONS: Rely on Doctor's Word for Diagnosis

READER QUESTIONS: Split Codes by Date of Service

READER QUESTIONS: Tell Both Doctors to Sign at Switch

READER QUESTIONS: Use 69210 Only for Stubborn Wax

READER QUESTIONS: You Don't Need a Blade to Report Incisions

Restore Precision to Your Fracture Coding

You Be the Coder: Anesthesia and Procedure in the ED - Who Bills?

2005 Issue 4

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Ease MDM Translation With Precise Documentation

Iron Out Wrinkles in Your Laceration

Know These Payer Nuances for Flawless Observation Coding

News Brief: Why Your EMTALA Burdens Could Get Lighter

Reader Questions: Assign 2 Codes for 2 Dates

Reader Questions: Check Carrier for X-Ray Rules

Reader Questions: No Admission Necessary for 99291

Reader Questions: Report 11040 Over 97597

Reader Questions: Use -51 for Same-Site Repairs

Reader Questions: When 'Possible,' Code Complaint

Tried and True Tricks for Audit-Proof MDM

You Be the Coder: Include EKG in Chart Notes

2005 Issue 5

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Find Positive Answers for 'All Others Negative'

Quiz: Erase Ambiguity When Choosing E/M Levels

Reader Questions: Check Slit Lamp for FBR

Reader Questions: Describe Posterior Malleolus With 27760

Reader Questions: Document Critical Care Carefully

Reader Questions: Don't Expect Incident-To in the ED

Reader Questions: Learn Key Phrases for Wound Code

Reader Questions: List Worst Fracture First

Reader Questions: Query Doctor for Critical Care Time

Reader Questions: Step Lightly With X-Rays

You Be the Coder: How Should You Bill for PAs in the ED?

2005 Issue 6

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Here's What to Do With Same-Day Frequent Flyers in the ED

Lock In Fracture Care Reimbursement

READER QUESTIONS: All Patients Are New to ED

READER QUESTIONS: Bill For Splint With Direct Application

READER QUESTIONS: Digital Blocks Can Be Separate

READER QUESTIONS: Ensure Equivalent X-Ray Report

READER QUESTIONS: Exclude Sedation Code From Fracture Claim

READER QUESTIONS: Let Physician Hold the 'Key'

READER QUESTIONS: Nix -54 With Laceration Repair

READER QUESTIONS: Report Worst Fracture First

The Finer Points of Anesthesia, Conscious Sedation Coding

You Be the Coder: Clarify Modifier Choice With Payer

2005 Issue 7

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Find Out How to Report Heart-Related ED Care

News Brief: ACEP President Sounds Alarm On Overcrowded EDs

News Brief: Get Special Payments for Treating Undocumented Aliens

Reader Questions: Big Needle Equals Incision

Reader Questions: Check Dates for 'Dead' Patient

Reader Questions: Only Bill for Atypical Post-Op Care

Reader Questions: Report 90784 for ED Injections

Reader Questions: Report Conscious Sedation Over Anesthesia

Reader Questions: Secure Documentation for TP Billing

Reader Questions: Subtract CPR Time With 99291

Take the 2-for-1 Special With HPI and ROS Elements

You Be the Coder: Consider Time - Not E/M Elements - for Critical Care

2005 Issue 8

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Check Your Charts: Observation Coding Do's and Don'ts

Clear 5th-Digit DM Obstacles With These Rules of Thumb

Don't Skimp on Multiple-Day Observation Care

Reader Questions: Ask for Specificity From TP

Reader Questions: Avoid 99293 for ED Care

Reader Questions: Let 11044 Trump Amputation Code

Reader Questions: Obtain Doctor's Findings for UA

Reader Questions: Report Strapping for Jones

Reader Questions: Require Physician Statement for CC

Reader Questions: Save Digital Block for Pain

Reader Questions: Skip LT, RT for Pelvis X-Ray

You Be the Coder: Choose Burn Codes Carefully

2005 Issue 9

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5 Answers to Your Most Pressing X-Ray Questions

If the Doctor Says 'Stroke,' You Can List 434.91

READER QUESTIONS: Consider 99291 for RSI Patient

READER QUESTIONS: Evaluate Circumstances for Death Note

READER QUESTIONS: No 'Incident-To' in ED

READER QUESTIONS: Report Critical Care for Code Blue

READER QUESTIONS: Try 20103 for BB Removal

READER QUESTIONS: Use 'All Others Negative' Wisely

REDAER QUESTIONS: Use E/M for Spontaneous Abortion

Secure E/M Before Billing for Conscious Sedation

You Be the Coder: Draw the Line Between 99285 and 99291

2005 Issue 10

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3 Steps to Beat Burn Diagnosis Coding

Correction: Diabetes

Don't Infect Your Claims With Sepsis Coding Errors

Handy Guide to Sepsis Terms

Reader Questions: Count Diaphoresis as Integumentary

Reader Questions: Exclude Allergies Statement From ROS

Reader Questions: Nix 90782 in ED

Reader Questions: Separate E/M and Observation

Reader Questions: Use Time Wisely for Query

Score Needed Documentation For Critical Care Codes

You Be the Coder: Check Insert Site for PICC Code

2005 Issue 11

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Important Terminology: Fracture Care Tips You Need To Remember

Know When to Cut Your Cut of Reimbursement

READER QUESTIONS: Add Diagnosis for E Code

READER QUESTIONS: Check NCCI Edits for Infusion Rules

READER QUESTIONS: Consult Policy for Imcomplete Reduction

READER QUESTIONS: Extra Cleaning Earns Intermediate Repair

READER QUESTIONS: Report High-Level E/M for Status Asthmaticus

READER QUESTIONS: Select Carefully for Delivery Assistance

READER QUESTIONS: Try E-Charts for Quicker Coding

Tighten Up Your Fracture Treatment Coding

You Be the Coder: Can You Report EMS Direction?

2005 Issue 12

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Check Target for Separate Sedation Coding In 2006

Meet Your New Time-Sensitive Moderate Sedation Codes

New Moderate Sedation Codes for 2006

Not Enough Beds? How to Handle ED Boarders

Plan Your 2006 Budget With Care

READER QUESTIONS: Back Up US Code With Report

READER QUESTIONS: Bill Only for Your Staff

READER QUESTIONS: Dislocation Earns More Than E/M

READER QUESTIONS: Don't Slight Your X-Ray Reimbursement

READER QUESTIONS: Examine Cause for AICD Code

READER QUESTIONS: Need Documentation for Shared Encounter

READER QUESTIONS: Report E/M for Tracheostomy

READER QUESTIONS: Understand Definitive Care for 21800

READER QUESTIONS: Use 1200x for Ulnar Artery

You Be the Coder: Location Matters for the Guaiac Test

2004

2004 Issue 1

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3 Tips to Hard-Earned Ultrasound Cash

Don't Let Starless Codes Deter Separately Reporting an E/M

Keep ECG Diagnosis Coding On Target With 3 Steps

Reader Question: Choose Between G Code and 12000 for Laceration

Reader Question: Know Who Did What for Fracture Treatment

Reader Question: Medicare Won't Pay for Adverse Reactions

Reader Question: Revamp Fee Schedule at Your Leisure

Secure Level-5 E/M Pay With The Acuity Caveat

You Be the Coder: How Risky Are Tetanus Shots?

2004 Issue 2

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Breathe a Sigh of Relief With EMTALA Mandate

Don't Fail the Test on Teaching Physician Rules

Get a Grip on Medical Notes for Teaching Physician Rules

Identify Missing Medical Decision-Making Components

Inspect Documentation for Clues to MDM

Reader Question: Count Global Days With Modifiers

Reader Question: Don't Confuse Open Fracture With Open Treatment

Reader Question: Report Anesthesia When Patient's On the Table

Use Tunnel Vision for Venous Access Codes

You Be the Coder: Watch Modifiers With Fracture Treatment

2004 Issue 3

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Can You Navigate the Maze of Observation Coding Details?

Fracture Care Denials Breaking Your Bank?

Reader Question: Be Flexible With 59409

Reader Question: Code EKG and Critical Care Together

Reader Question: Consider Tube Placement When Reporting LMA

Reader Question: Look Carefully for Observation Services

Reader Question: Take Credit for Inpatient Care

Reader Question: Use Anesthesia Code for Sedative Help

Win the Battle: Diagnoses Versus Signs and Symptoms

You Be The Coder: Should I Report an E/M for Code Blue?

2004 Issue 4

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Don't Infect Your Claims With Sepsis Coding Errors

Reader Question - Tread Lightly: Depression and Critical Care

Reader Question: Check Carrier for Splinting Services

Reader Question: Consult Hospital Policy for ABN

Reader Question: Don't List Confusing Diagnostic Information

Reader Question: Examine Physician Work for Rabies Shot E/M

Reader Question: Ponder Alternatives to 52310

Reader Question: Treat Mother and Baby as Individuals

Think You Know How to Use Modifier -25?

You Be The Coder: Home In on MDM for Abdominal Pain

Your Quick Guide to Sepsis Vocabulary

2004 Issue 5

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Patch Up Holes in Your Laceration Coding

Reader Question: Attach -GY, -GZ to Speed Denials

Reader Question: Cover Your Bases With Poisoning

Reader Question: How to Report Cerumen Removal

Reader Question: Report ED E/M for Help With Delivery

Reader Question: Use Modifier -24 for Unrelated E/M

See Through Chest X-Ray Troubles

Test Your Laceration Coding Know-How

Watch for 5 Complications When Coding Diabetes

You Be The Coder: Report Layer Closure Separately

2004 Issue 6

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2 Tips Help You Correctly Use Modifier -59

4 Rules to Remember: Infusion Coding Do's and Don'ts

Check CPT for Modifier -51 Exemptions

Employ Modifiers -59 and -51 to Separate Related Codes

Reader Question: Check Payer Policy When Billing 99288

Reader Question: Document Distinct Sessions on Multiple CPR Claims

Reader Question: Document Results When Filing Portable

Reader Question: Eye Burn Treatment Doesn't Have to Be Painful

Reader Question: Physician Involvement Can Add E/M Code to Injection Claim

Reader Question: Use Add-On Codes for Biopsies, Not Brushings

Wrong Injection Type, Infusion Code Can Shoot Down Claim

You Be The Coder: Get a Grip on Discontinued Lumbar Punctures

2004 Issue 7

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6 Surefire Tips to Get Your Cerumen Removal Claims Paid

Anesthesia Coding Knocking You Out?

Bone Up on Diagnosis Coding for Acute Chest Syndrome

News You Can Use: CMS Offers No Breathing Room With ICD-9/HCPCS Transition

News You Can Use: Who Will Speak for Your Practice In the EMTALA Advisory Group?

Reader Question: Check Place and State for Tumor Code

Reader Question: Coding Interpretation of X-Rays

Reader Question: Consider Added MDM for Young Patients

Reader Question: Count Places, Not People, for ED Services

Reader Question: Don't Let 2nd Service Wrap Into Global Care

Reader Question: John Hancock Might Not Cut It for EKGs

Reader Question: Report E/M Code for Ear Wick

Reader Question: Stick Your Neck Out for Correct ROS Choice

Sickle-Cell Codes to Keep in Mind

You Be the Coder: What Counts as an Incision?

2004 Issue 8

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Cut Denials With New Decubitus Ulcer Diagnoses

Don't Get Scorched by Faulty Burn Coding

Pose 1 Crucial Question to Negotiate -52 and -53

Reader Question: Determine Payer for Follow-Up Charge

Reader Question: Distinguish Between Infusion and Injection

Reader Question: Fine Line Between Reduction and Manipulation

Reader Question: Forgo -57 for Patients Headed Directly to OR

Reader Question: Identify Cause of Fall for E Code

Reader Question: Walk Softly When Billing 2 Tests

Reqder Question: Usually Report Closed Treatment in ED

Watch for These New Diagnosis Codes

Weigh Your Options With After-Hours Codes

You Be The Coder: Difficulty Determines Laceration Code

2004 Issue 9

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CASE STUDY: Pick the Right E/M Code

Got the Wind Knocked Out of Your Asthma Diagnoses?

Plug These Holes in Your Lumbar Puncture Coding

READER QUESTIONS: Examine Documentation for Asymptomatic Patient

READER QUESTIONS: Get Doctor's Review for History Elements

READER QUESTIONS: No Stars, No Suture Removals

READER QUESTIONS: Old Problems Are New in the ED

READER QUESTIONS: Report ICD-9 Only for Transferred Patient

READER QUESTIONS: Secure Proper Documentation for 99288

READER QUESTIONS: Talk to Carrier for Splint Check

READER QUESTIONS: Walk Softly With Modifiers and Critical Care

Sharpen Your Fracture Care Vocabulary

YOU BE THE CODER: Think Twice About 'Incident-To' in the ED

2004 Issue 10

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Don't Leave Subsequent-Care Payment on the Table

Explosive Case Study: Test Your Debridement Coding

Fight Observation Denials With Well-Aimed Documentation

How Can I Check Our 99231 Claims?

Reader Questions: 3 PFSH Items Unnecessary for Inpatient

Reader Questions: Back Up Use of MDM for 99285 Caveat

Reader Questions: Consider Protocol Over Modifier -53

Reader Questions: Don't Wait for X-Ray Results to Report Fractures

Reader Questions: Include CPR in Critical Care

Reader Questions: Say No to 'Past History Negative'

Signs, Symptoms, Diagnoses - Who's on First?

You Be the Coder: Layers Don't Always Determine Repair Code

2004 Issue 11

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2 Cases Demonstrate the Ins and Outs of Foreign-Body Removal

Case Study: Chest Pain and Observation

Make Time for Critical Care Reporting

Reader Question: Append -52 for Extra Infusion Time

Reader Question: Bill for Foley With Physician Supervision

Reader Question: Check Chart for Combo Code

Reader Question: Consider Work Done With Subsequent Care Codes

Reader Question: Make Your Points Count With EKGs

Reader Question: Multiple Toes Call for Modifier -51

Reader Question: Pass Up Payment for Phone Advice

Reader Question: Report E/M for Repeat Drainage

Squash These Critical Care Myths

You Be the Coder: Should You Report Fracture Care and E/M Services Together?

2004 Issue 12

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Don't Jump the Gun With Wound Coding

Reader Question: Choose 20950 for Interstitial Pressure

Reader Question: Collect 3 PFSH for High-Level Observation Codes

Reader Question: Consider Payer for Lip Repair Code

Reader Question: Don't Forget Extra CPR Services

Reader Question: Include Controlled Substances in MDM

Reader Question: Make Pronouncement Free of Charge

Reader Questions: Verify Rules Before Using-47 and Anesthesia Codes

Think Twice Before Billing for ED Ultrasounds

What's the Definition of a Neonate?

You Be the Coder: Watch Out for Physician Variation in Head Injury Documentation

2003

2003 Issue 1

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Observation Codes:Details to Note

Reader Question: Intubation:Always an Emergencyin the ED

Reader Question: Irrigation as Separately Billable Service

Reader Question: The 1997 Guidelines Can Prove Helpful

Reader Question: Vermilion Lipstick Traces

Reader Question: When Substance Drained Is Incidental

The 411 on Patient Discounts

The Devils in the Details When Reporting Observation Codes

The Key to Pulse Oximetry Coding: Zoom In on Payer Policies

The Right Path to Observation Code Payment

You Be the Coder: Choose Debridement Over Amputation

2003 Issue 2

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Documentation Faux Pas for New TP Guidelines

Documentation Scenarios for New Guidelines for Teaching Physicians

ED Coders,Expect Less Documentation from Your Physicians

News You Can Use: Pediatric Codes,OIG

Out with the Old,in with the New

Reader Question: CMS versus CPT for E/M Services

Reader Question: Definition of Distributive Shock

Reader Question: Document the ElectiveStatus of Cardioversion

Reader Question: Documentation Scenarios from Transmittal 1780

Reader Question: Multi Trauma Visits Require High Decision-Making

Reader Question: Other Changes Covered by TP Rules

Reader Question: Technical Terms for Falling Down

Stamps for Your New TP Documentation

Surgical Procedure Code + E/M Code Can Be Correct Coding

The Global Surgical Package Unwrapped

When You Can Report Conscious Sedation as Anesthesia

You Be the Coder: Laceration Codes with or without -54

You Be the Expert: TP Rules:Not for Medical Students

2003 Issue 3

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Dont Believe the Myth of Double-Dipping

Fight for Your Modifier -25 Claims with These 4 Simple Suggestions

New ICD-9 Codes You Should Note for the ED

Reader Question: Clear Your Claims for Dental Nerve Blocks

Reader Question: Conquer Template Quirks and Confusion

Reader Question: Dont Always Expect Standby Reimbursement

Reader Question: Dont Bill for Extra Consultation Time

Reader Question: For Some Payers,Special Services Apply to ED

Reader Question: Resolve Coding Disagreement with Physicians

Say Goodbye to Underpaid E/M Claims

Take Advantage of New ICD-9 Opportunities

You Be the Coder: Cure Your Laceration Headaches

2003 Issue 4

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Bump Simpleto Intermediate, When Appropriate

Check Your States UPPL Laws

Clean Up Simple Laceration Claims and Get the Payment You Deserve

Reader Question: Avoid Charging Most ED Nebulizer Treatments

Reader Question: Report Intubation Alone

Reader Question: Watch Those Observation Codes

Remove Foreign-Body Billing Woes With Coding Examples

Sobering News: Strategies for Alcohol and Drug Intoxication

You Be the Coder: How to Report ED Lab Work

2003 Issue 5

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Beyond the Basics: Zero In on the Acuity Caveat: Documentation Details

Break Bad Coding Habits With Fracture Care Answers

Reader Question: Plug Up Lost Nose Revenue

Reader Question: Remove Thoracentesis Uncertainty

Reader Question: Report With AnesthesiaServices

Reader Question: Straighten Out Those Tourniquet Cases

Reader Question: Use Anoscopes Broad Range

Reduce Denials for Splint and Strap Fracture Care

Train Physicians to Repair Fracture Care Documentation

You Be the Coder: Master Modifiers for CPR

2003 Issue 6

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Avoid the Red: Understand Your Liability as a Coder

For ED Coders Only: NPP Tips You Cant Miss

Reader Question : Use Common Courtesy for the Dead

Reader Question : Use Documentation From Entire Chart

Reader Question: Deliver Consultation Codes for Work Outside ED

Reader Question: Dont Back Away From Burn Codes

Reader Question: Give Docs a Last-Chance Look-Over

Reasons to Avoid Sloppy or Inaccurate Coding

Weigh In on the EKG Battle: Do Your Part

You Be the Coder: Breathe Easy With Nasal Approach

Zero In on EKG Payment: Reports,Strips and Critical Care

2003 Issue 7

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Cardioversion Denials Raising Your Blood Pressure? Find Out Where Youre Going Wrong

Case Study: Are You Making the Most of

How to Capture Pay for Cardioversions, Defibrillations

Reader Questions: Bill Critical Care Under One PIN

Reader Questions: Let the Star Guide You Except When Reporting to Medicare

Use Only Physical Evidence to Determine Rape

You Be the Coder: When You Cant Get MDM to Add Up

2003 Issue 8

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Are You Billing for Burns Correctly? Not if Youre Overlooking the 16000 Series

Are Your Diagnosis Codes Feeling the Burn?

Dont Skimp on Critical Care for Anaphylaxis Patients

Reader Question: Assign E/M for Non-Starred Suture Repair

Reader Question: Follow Procedure for Locum Tenens

Reader Question: Hematoma Blocks Included in Manipulation

Reader Question: Layers Determine Repair Complexity

Reader Question: Use 93307 With Portable ECG Machine

You Be the Coder: ECGs Reimbursed Only Once

Youd Be Crazy to Leave Your Psych Coding in the Dark

2003 Issue 9

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Deliver Pregnancy Ultrasound Payment That's Anything but Routine

Don't Skip the Fine Print With New ICD-9 Codes

Hot Tips to Melt Your Payer's Cold Shoulder

Reader Question: Any Doctor Can Bill for TPA

Reader Question: Check With Carrier for PA Payment

Reader Question: Stick to 99291 and 99292 for Critical Care

Reader Question: Use 640.0 for Vaginal Bleeding

Test Yourself: Modifier -52 Versus Modifier -53

When the Patient Leaves the ED, Don't Leave Out -52 and -53

You Be the Coder: Observation - Who Bills?

2003 Issue 10

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Go Electronic With Your Medicare Claims

Hone In on MDM When Coding Migraines

Reader Question: Choose Debridement Over Amputation

Reader Question: Add E Code for Injury Dx

Reader Question: Count Acuity Caveat for HPI

Reader Question: Don't Report Splinting for Ace Wrap

Reader Question: Include Anesthesia in Multiple Abscess Drainage

Reader Question: Include Vessel Repair in Closure Services

Reader Question: Report ED E/M Code for Observation Services

Sew Up Payment Gaps in Suture Removal Services

Test Yourself: Suture Removal Coding

You Be The Coder: Place of Service and 36430

2003 Issue 11

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Beware Latest NCCI Edits: 6 New Bundles Affect Ultrasound, E/M Coding

Identify Critical Care and Receive Vital Payment Boost

Never Report -22 Unless You've Done These 4 Things

News You Can Use: CMS Posts NCCI on Internet - Free!

Quick Quiz on Critical Care Coding

Reader Question: Be Careful Identifying Post-Op Care

Reader Question: Watch Out When Billing Extended Observations

You Be the Coder: Coding an Interrupted Lumbar Puncture

2003 Issue 12

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Be Sure to Cover All Areas When Burn Coding

Burn Diagnosis Coding Quiz

Burn Diagnosis Coding: It's as Easy as 1, 2, 3

Reader Question: Cleaning Extensive Debris Can Elevate Codes

Reader Question: Maximize Payment Potential in Fracture Coding

Reader Question: Pay Attention to Detail With Infusion Coding

Reader Question: Watch the Clock When Coding Critical Care

Top ED Code Changes for 2004

You Be the Coder: Repeat Visits During Global Periods

2002

2002 Issue 1

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Anthrax Coding Report Free on Web

CPT 2002 Introduction Contains Major Change

Dont Get Burned by Overlooking the 16000 Series

New Medicare HCPCS Modifiers

Physician Payment Conversion Factor Decreased for 2002

Reader Question: Level-Five ED Visit

Reader Question: Pronouncing Death

You Be the Coder: Repeated Unsuccessful Shoulder Reductions

2002 Issue 2

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Coding Outside the Box Whats in a Global Package

News Brief: CCI Edits Contain No Major Changes

Reader Question: CPR with Critical Care

Reader Question: External Jugular Line

Reader Question: Foreign Body Removal

Reader Question: Residents in the ED

Wake Up to Differences between Conscious Sedation and Anesthesia Codes

You Be the Coder: Using V Codes

2002 Issue 3

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Alter Your Use of Modifiers and Avoid the Potential for Abuse

How to Clean Up Debridement Coding Issues

Reader Question: Consultations in the ED

Reader Question: Nebulizer Treatments

Reader Question: NPs in the ED

Take Heart: Rhythm Strips May be Paid in Some Cases

You Be the Coder: Slit Lamp Exams

2002 Issue 4

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Audit Worksheet Helps Coders Determine MDM Levels

Communication Is Key When Billing for Current Care Services

Reader Question: Coding Symptoms or Rule-Out Diagnosis

Reader Question: Gathering HPI

Reader Question: Payment for Pulse Oximetry

Reader Question: Reduction with Anesthesia

Reader Question: Removal of Foreign Body with Fluoroscopy

Reader Question: Using -RT/-LT on the Pelvis

You Be the Coder: Nail Injuries

2002 Issue 5

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Clarification: Report Digital Blocks in Addition to Starred Procedures

Coding Alternatives May Allow Thrombolysis Reimbursement to Flow Freely

Reader Question: Death of a Patient

Reader Question: Interpreting Radiology Reports

Reader Question: Physician-Placed NG Tubes

Reader Question: Removal of Retained Tissue

Strict Rules Determine Payment for Resident Services

You Be the Coder: Reduction with Anesthesia

2002 Issue 6

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Five Pointers on How to Optimize Reporting Nonphysician Practitioner Services

Modifiers Unraveled: Use Modifiers -52,-53 to Indicate Incomplete Procedure

Reader Question: Impacted Cerumen

Reader Question: Insulin Reaction

Reader Question: Prolonged Services in ED

Reader Question: Suicide Observation

You Be the Coder: Modifiers With Fracture Care

2002 Issue 7

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Caution: Verify Medical Necessity Before Reporting Common Codes

Medicare Versus CPT: Know the Coding Differences

Reader Question: Abdominal Ultrasound

Reader Question: An Incomplete History

Reader Question: Catheter Insertion and E/M

Reader Question: Excessive Ingestion of Prescriptives

Reader Question: Eye Burn Care

Tie Up Suture Coding Loose Ends for Optimal Pay-Up

You Be the Coder: Pediatric Hydration and Observation

2002 Issue 8

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Cast Away Your Fracture Coding Confusion

Clarification of Resident Services

Reader Question: Epicondyle Fracture

Reader Question: Fees for IVs

Seeing Double in the ED: Assigning Multiple E/M Codes on the Same Day

Use Modifiers to Sort Fracture Care Management

2002 Issue 9

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Coding Resident Services From Non-ED Specialties

Reader Question: Comprehensive Exams

Reader Question: History of Present Illness

Reader Question: Pulse Ox Interpretation

Reader Question: Trauma Arrest Modifiers

Three Easy Steps to Diagnosis Coding for Electrocardiography

Use After-Hours Codes in the ED at Your Own Peril

You Be the Coder: EKG Billing and Coding

2002 Issue 10

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Catch the Ultrasound Reimbursement Wave

Coders Have One Profession, Two Sets of Guidelines

Guarantee ED Specialists Their Pay With the Acuity Caveat

Reader Question: Conscious Sedation by Residents

Reader Question: Ingrown Nails

Reader Question: Simple and Complex Abscesses

Reader Question: Stick With Correct Dermabond Code

Seek Out Signs and Symptoms to Maximize Reimbursement

Statement of Ownership, Management, and Circulation

You Be the Coder: Non-Emergency E/M Codes

2002 Issue 11

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Auditor's Worksheet Designed to Help, Not Hamper E/M Coding

CCI Edits

Deliver Clean Pregnancy Ultrasound Claims

Modify the PATH to Proper Reimbursement With -GC

READER QUESTION: Conscious Sedation Denial

READER QUESTION: EKG Interpretation

READER QUESTION: Paronychia I&D With E/M

READER QUESTION: Procedures Plus E/M Services

You Be the Coder: Bilateral Chest Tubes

2002 Issue 12

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Are You Underplaying the Critical Care Codes?

Be the First to the Finish Line With EKG and X-Ray Interpretations

Dispel Coding Myths About EKG and X-Ray Interpretations

Medicare News You Can Use: Changes in NPP Rules Increase Reimbursement

New Pediatric Critical Care Codes and 2003 Changes

Reader Questions: Dislocation and Fracture Care

Reader Questions: Ear Wick

Refresher Course on Critical Care Codes and Bundles

You Be the Coder: EKG and X-Ray Interpretations

2001

2001 Issue 1

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CPT 2001: Medicare Revises Observation and Inpatient Hospital Care Payment Policy

Reader Question: 90675 and 90375

Reader Question: 92012 and Modifier -25

Reader Question: Coding for 99288

Reader Question: Coding for Hernia

Reader Question: E/M Coding

Reader Question: New FAST

Reader Question: Stab Wounds

Understand the Changes to Critical Care Services in CPT 2001 for Proper Reimbursement

You Be the Coder: Foreign Body in Forehead

2001 Issue 2

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Clarification: Lacerations With an E/M Service

Failed Procedures: Reason for Halt Affects Code, Reimbursement

Medical Decision-making Determines the E/M Level of an Established Migraine

Reader Question: Admit and Discharge on Different Date

Reader Question: Billing for ECGs

Reader Question: Discharged Patients

Reader Question: Followup Conscious Sedation

Reader Question: Gastritis With Hemorrhage

Reader Question: Physician Assistant Billing

Reader Question: Review of Systems

You Be the Coder: Surgicell/Bundled

2001 Issue 3

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CPT Repair At a Glance

Is It Simple, Complex or Intermediate? Choose the Correct Laceration Repair Code to Match Reimbursement to the Work

Reader Question: 90801 vs. E/M

Reader Question: Coding From X-ray

Reader Question: Conscious Sedation Followup

Reader Question: ICD for Normal Exam

Reader Question: Missing Chart Information

Reader Question: Review of Symptoms vs. Past Medical History

Reader Question: Saturated Oxygen

Reader Question: Separate EKG and X-Ray Documentation

Reader Question: Strapping Definition

Reader Question: Suspended CCI 6.3 Edits

Templates Offer a Viable, Accepted Solution to the ED Documentation Challenge

You Be the Coder: Modifier -54 and Fracture Care

2001 Issue 4

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Avoid Edits and Audits Know the Difference Between Cardioversion and Defibrillation

Clarification: Perineal Tumor

Reader Question: Catheter Removal

Reader Question: Digital Nerve Blocks

Reader Question: E/M for URI

Reader Question: Forehead Laceration

Reader Question: NPs/PAs and EKGs

Reader Question: Prolonged Services

Reader Question: Removal of Foreign Body

Reader Question: Surgery Assistant

Reader Question: Tongue Laceration

Reader Question: Treatment Versus Reduction

Solve ROS Documentation Mystery Watch for Language Clues And Win the Reimbursement Prize

You Be the Coder: Nasal Bone Fracture

2001 Issue 5

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Complicated Versus Simple Foreign Body Removal: Know the Difference Between 10120* and 10121

Correct Ortho Codes for Fracture Care Depend On Extent of Treatment

Reader Question: Cardiac Code In-house

Reader Question: Fractured Medial Orbit Wall

Reader Question: Modifier -25

Reader Question: Teaching Physicians

Reader Question: Thrombolytics

Reader Question: Tongue Piercing

You Be the Coder: Billing for CPR

2001 Issue 6

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Avoid Undercoding: Choose Critical Care Instead of 99285

Bill Carefully for Bedside Ultrasounds in the ED

Correction: ED E/M Codes

News Brief: OIG Supports Application of Critical Care Codes in the ED

Reader Question: Aircast

Reader Question: E/M Bundled With Observation Status

Reader Question: Facility E/M Levels

Reader Question: Level-five Caveat

Reader Question: Morning-after Diagnosis Code

Reader Question: Place of Service

Reader Question:Conscious Sedation

You Be the Coder: Wound Repair

2001 Issue 7

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Code Trauma Procedures Separately for Best Payment

Reader Question: Ankle Strapping

Reader Question: E/M Without Patient History

Use Building-Block System To Determine E/M Levels for ED Treatment of Asthma

You Be the Coder: Debridement

2001 Issue 8

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Coding Nonemergent ED Services for Reimbursement

EMTALAs Importance

News Brief: HCFA Changes Name to CMS

Poisoning or Adverse Effect of a Drug Steers Diagnosis Coding

Reader Question: Advance Beneficiary Notice

Reader Question: Critical Care by Nonadmitting ED Physician

Reader Question: Defibrillation

Reader Question: Wolff-Parkinson-White Syndrome

You Be the Coder: Eight-Hour Rule

2001 Issue 9

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Documentation Is Crucial in Supporting Psych E/M Level

Reader Question: E/M Services

Reader Question: EMT Services

Reader Question: Subsequent Hospital Visits

Reader Question: Supervising Physicians

Receive Proper Payment: Distinguish Between Using Modifier -25 for ED Facility Versus Professional Service

You Be the Coder: Critical Care

2001 Issue 10

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Confusion With Infusion: Get Paid For 90780

Reader Question: Arizona Recommends E Codes

Reader Question: Artistic Rendering Used Toward E/M Level

Reader Question: Diabetes as a Secondary Code

Reader Question: Epistaxis

Unite Physician and Facility By Using Both Charts When Reporting Services

You Be the Coder: Two Physicians Share Critical-Care Case

2001 Issue 11

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Benefits of Coding Flu Symptoms Are Nothing To Sneeze At

CMS To Revive Facility Charges for Observation Care

News You Can Use: CPT 2002 Codes Announced

Reader Question: Aspiration Becomes Drainage

Reader Question: CPR Twice in One Day

Reader Question: Date of Service

Reader Question: Digital Block Is Included

Reader Question: Fiberoptic Nasolaryngoscopy

Reader Question: Signing the Charts

Reader Question: Strapping the Shoulder

Reader Question: Tube Change-Outs

You Be the Coder: CHARGE Syndrome

2001 Issue 12

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Anthrax Diagnosis Codes

Rape and Assault Exams Require Attention to Detail

Reader Question: Coding Unfound Conditions

Reader Question: Patients Leaving Without Being Seen

Reader Question: Vital Signs by Nurse

Reader Question: Wound Exploration

The Scoop on Double Dipping: Its OK To Count Systems in Both ROS and HPI

Use V Codes for Anthrax Screens

You Be the Coder: Multiple Nosebleeds

2000

2000 Issue 1

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Clarification: Evaluation of Patient With Hip Injury Complicated by Hypertension Might be Higher than Level 4 E/M

Correct Coding for Suture Placement and Removal in the ED Optimizes Reimbursement

Correctly Coding ED Services and Procedures Avoids COBRA Violations

HCFA Establishes Unique Code for Dermabond Use

Reader Question: Nail Bed Repair

Written Report Reduces Denials of Rhythm Strip Interpretations

2000 Issue 2

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Avoid Denials by Not Using With Anesthesia Codes to Report Conscious Sedation

Beware Proposed Screening Fees From Third-party Payers

Case Study: Appropriately Coding Unsuccessful Treatment

Reader Question: Billing Starred Procedure

Reader Question: Pulse Oximetry

Use Modifier -26 to Correctly Code for Bronchospasm

2000 Issue 3

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Avoid Denials by Coding Symptoms Supporting Medical Necessity of Flu Visits

Deciding Whether Use of ED Superbill Will Improve Billing

Maintain Reimbursement for Critical Care Services

Reader Question: Coding E/M Services

Reader Question: Coding Medical Decision-making

Reader Question: State Certification

2000 Issue 4

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Correct Coding is Crucial to Reimbursement for First- and Second-degree Thermal Burns

Detailed Documentation is Key to Wound Debridement Payment

News Brief: HCFA Clarifies Changes to Pulse Oximetry Monitoring

Reader Question: Dislocation of the Patella

Reader Question: Documentation of the History of Present Illness

2000 Issue 5

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Case Study: Coding When Nonresponsive Cardiac Patient Dies in ER

Correct Coding of Critical Care Optimizes Billing Of Second- and Third-Degree Burn Injuries

Documentation Is Key to Getting Paid for Observation

Documentation of ED Encounter

Reader Question: Laceration With Small Foreign Body

Reader Question: Using 99358 and 99359

2000 Issue 6

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Clarify Services by Revising ED Assessment Criteria

Clarifying Critical Care Creates Reimbursement Opportunities

Correctly Appending Modifier -25 Can Be a Reimbursement Asset

Reader Question: 'Low/High' Decision-making

Reader Question: Sepsis vs. Symptoms

You Be the Coder: CPR Coding

2000 Issue 7

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APC Implementation Will Warrant Coding Compliance

Emergency Departments Will Reap Pay Up with Signs and Symptoms Coding

HCFA Delays Launch of APC/OPPS to August 1

Patient History Can Boost Level of Service

Reader Questions: Billing Nurse Services Under APCs

Reader Questions: Using Code 9058

You Be the Coder: Coding Inpatient E/M

2000 Issue 8

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Get Paid for NP and PA Services

HCFA to Release New Documentation Guidelines

Medical Decision-Making Is Key Factor in Determining Level of E/M Reimbursement

Reader Question: Digital EEG Machine

Reader Question: Observation Care

You Be the Coder: Midlevel Providers

2000 Issue 9

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Get Paid When EMS Personnel Perform Services in the Emergency Department

ICD-9 Revisions Add Versatility To Billing and Reimbursement

Overcome the Challenges of Using -25 for ED Services

Reader Question: Clinical Sharp Debridements

Reader Question: Consultation vs. Prolonged Service

Reader Question: Multiple Diagnoses and E Codes

You be the Coder: Conscious Sedation

2000 Issue 10

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Case Study: Receive Optimum Payment For Critical Care

Get Reimbursed When ED Services Overlap Other Departments

Reader Question: Fractured Coccyx

Reader Question: Wound-care Supplies

Understanding the New Rules Smooths APC Transition

You Be the Coder: Perineal Tumor

2000 Issue 11

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Avoid Coding Complications Using Fast-track ED Systems

Justify Use of Conscious Sedation Codes With Thorough Documentation to Get Payment

Reader Question: ED Nurses

Reader Question: Extravasation of Contrast Material

Reader Question: Greater Tuberosity Fracture

Reader Question: Sharp Debridements

Rules for Determining Critical Care on the Basis of Time

You Be the Coder: Proper Use of 10121

2000 Issue 12

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Know Your Carriers Policy to Avoid Errors When You Bill for a Splint Applied by a Nurse or Technician

Medicare Increases Fees to ED Physicians for 2001

News Brief: HHS OIG Targets Critical Care Codes in 2001 Work Plan

Reader Question: 49080* vs. 49420*

Reader Question: Foreign Body Removal Without Anesthesia

Reader Question: Starred Procedures

Reader Question: Teaching Physician and Ultrasounds

Reader Question: Two Nosebleeds, One Day

Reader Question: Waiving of Coinsurance

Reader Question: When Length is Not Available

You Be the Coder: Lacerations in the ED

1999

1999 Issue 1

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Correctly Apply 99285 Acuity Caveat to Optimize E/M Coding

Improve Utilization of Critical Care Codes to Increase Reimbursement for Emergency Services

Pitfalls in Coding and Billing for Urgent Care Centers

Tailor ED Coding Policies and Procedures to Meet OIG Compliance Plan Guidance

1999 Issue 2

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Case Study: Coding for a Patient with Multiple Injuries Without Sufficient Documentation of Procedures

Independent ED Physician's Survival Guide to Medicare Reassignment Prohibitions

Reader Question: Billing an E/M addition to Fracture Care

Reader Question: Billing for Observation Care Where Consulting with Non-Physician

Use Modifier -25 to Get Paid for an Emergency E/M Service and a Procedure

1999 Issue 3

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Case Study: Consultation, Multiple Procedures, and Diagnostic Testing in Addition to the E/M Service

Correctly Code for Conscious Sedation in the ED

Modifier 25 Continued: Billing an E/M visit and a Starred Surgical Procedure

Reader Question

1999 Issue 4

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How to Choose the Right E/M Codes to Use in Urgent Care/Fast Track Centers

How Will Shift to APCs Affect ED Professional Coding and Reimbursement?

Maximize Use of Observation Codes to Get Paid for Continuous ED Care

RVUs for Emergency Service, Office/Outpatient New and Established Codes

Understand the Difference Between Facility Coding and Professional Coding to Resolve Payer Conflicts

1999 Issue 5

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Correctly Report PA Services in the ED: "Incident To" Does Not Apply

ED Coder Roles Broaden With Reduction in RVU Values for Emergency E/M Levels

How Will Shift to APCs Affect ED Professional Coding and Reimbursement?

Reader Question: Documentation for Teaching Physicians

Reader Question: Getting Paid for Dermabond

1999 Issue 6

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Emergency ICD-9-CM: Coding Signs and Symptoms in the ED to Justify Diagnosis Tests, Services

Perspective on the Forthcoming APC Payment Systems

Reader Question: Can You Bill Slit-Lamp Eye Exam Separately?

Reader Question: Coding CPR and Critical Care

Reader Question: Coding for an External Jugular Line

Set Up Internal Log to Track Payer-Specific Coding Policies

Update on Conscious Sedation: When Should You Report an E/M Level or Anesthesia Code

Use E Codes to Establish Medical Necessity, Fully Document Accidents and Injuries

1999 Issue 7

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Case Study: Patient with Multiple Orthopedic Injuries Evaluated and Treated by the ED Physician

Coding for AMA and LWBS Patients: Charge for the Services Provided When Patients Leave the ED Against Medical Advice

Correct Coding Strategies to Get Paid for Administration and Monitoring of Thrombolytics

Patient Medical Record

Reader Question: Coding Drug Reactions

1999 Issue 8

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E/M Coding Clinic: Get Paid for Many Low-level ED Services with Code 99281

Establish an RVS-based Fee Schedule to Ensure Appropriate, Competitive

Keep Hospitals and Patients Happy: Pay Attention to ED Professional Fees to Attract Managed Care Contracts

To Bill or Not To Bill: Coding for Ambulance and EMS Direction

1999 Issue 9

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E/M Coding Clinic: Medical Decision Making Level Determines Difference Between 99282 and 99283

How to Catch the Most Commonly Missed Charges in the ED

Reader Question: Using Wound Exploration Codes

Use Caution When Reporting Nursing Procedures on the ED Physician's Bill

1999 Issue 10

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Base E/M Code Assignment on the Level of MDM to Ensure Accurate Reporting

E/M Coding Clinic: Correctly Reporting 99283 vs. 99284 Means Understanding the History and Physical

Reader Question: Correct Fracture Care Code

Reader Question: E/M and Suture Code

Understanding the Terminology: Open vs. Closed Fracture

Understanding Treatment is Key to Correct Coding for Repair of Fractures and Dislocations

1999 Issue 11

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Coding Clinic: Outpatient Diagnosis Coding Guidelines Haven't Kept Up with Reality of ED Practice

Educate Physicians to Avoid Downcoding Level 5 Services to 99284 and Losing Reimbursement

Policies for Charging Visits from Inmates, Arrested Suspects

Reader Question: E/M Level and a Starred Procedure

Reader Question: Fluid Infusions

Reader Question: Splint Application

Reader Question: Suture Removal

1999 Issue 12

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Correct Payment for ECG Interpretations Requires Accurate Documentation, Code Assignment

HCFA Rule for Billing for X-ray And ECG Interpretations

Objectives for Addressing the Inspector Generals Work Plan

Reader Question: Billing for PA Services

Reader Question: Distinction Between Emergency Room and Intermed Visits

Special Documentation Required When Physicians Supervise Residents in Teaching Setting

1998

1998 Issue 1

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Billing for Laceration Repair with Dermabond Topical Skin Adhesive

Coding's Role in Assuring Reimbursement for EMTALA's Mandated Services

Four Quick Documentation Strategies to Satisfy E/M Guidelines

Get Paid for ECG and Chest X-ray Interpretations

Use Orthodpedic Codes Plus Modifier -54 to Get Paid for ED Fracture Care

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