Medical Specialties
articles, webinars, links, files and other resources related to coding, reimbursement and compliance for medical specialties
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recent articles
Select the title to see a summary and a link to the full article.
June 23rd, 2021
UCR Anesthesia Fee Calculations and Base Units - Now Available!
| Published June 23rd, 2021
As per customer request, Find-A-Code now offers UCR Anesthesia Fee Calculations along with CMS and ASA. The anesthesia fee calculations can be found under the Fees section of the code and under the Anesthesia Fee Information.
Time units are computed by dividing the reported anesthesia time by 15 minutes (17 minutes / 15 minutes = 1.13 units).
NOTE: Always ...
June 22nd, 2021
Important Changes to Shared/Split Services
| Published June 16th, 2021 - Last Review/Update June 22nd, 2021
Reporting of split (or shared) services has always been wrought with the potential for incorrect reporting when the fundamental principles of the service are not understood. A recent CMS publication about these services further complicates the matter.
June 7th, 2021
Understanding Non-face-to-face Prolonged Services (99358-99359) in 2021
| Published June 3rd, 2021 - Last Review/Update June 7th, 2021
Due to the extensive changes in office or other outpatient services (99202-99215), there are many questions which still need to be answered, one of which is related to the prolonged services without face-to-face contact. This article explores the question regarding the appropriate use of codes 99358/99359 and how to report it.
June 2nd, 2021
Managed Care Organizations Use CMS Tools to Identify Outliers
| Published June 1st, 2021 - Last Review/Update June 2nd, 2021
Managed Care Organizations (MCOs) include risk-adjusted plans whose funding is based on the health status of their beneficiaries. Government-funded MCOs use CMS information to search for suspected cases of fraud and abuse.
June 1st, 2021
Chronic Care Management Services
| Published June 1st, 2021
This article discusses some of the different Chronic Care Management (CCM) Services found in both the CPT and HCPCS code sets. CCM is not the same as Case Management Services in that case management has to do with “coordinating, managing access to, initiating, and/or supervising'' patient healthcare services whereas CCM services also require the patient to have a condition(s) which is expected to last at least a year or until their death.
May 25th, 2021
PCS Coding for Ankle Fracture - Look Deeper Into the Codes!
| Published May 25th, 2021
If you're looking for ankle fractures in ICD-10-PCS, you may need to look a little deeper. Let's take a look at coding an ankle fracture such as a trimalleolar fracture. PCS coding can be confusing as it is nothing like CPT coding; with CPT we can simply code an ankle ...
May 20th, 2021
Intersegmental Traction — What’s Happening with Roller Tables?
| Published May 20th, 2021
Intersegmental traction therapy via the use of roller tables has been used by doctors of chiropractic for many years. Recently, questions have arisen regarding the appropriate billing of roller tables. This is largely due to the statement published in the July 2020 CPT Assistant published by the American Medical Association (AMA). Which code should you really be using?
May 20th, 2021
Congress Has Been Busy — 11 Different Bills Pass Covering Mental Health and Substance Use
| Published May 19th, 2021 - Last Review/Update May 20th, 2021
The House of Representatives has certainly been working hard to advance behavioral health services. This article summarizes each of those bills and includes a link to contact your Senator.
May 18th, 2021
OIG Plans for Onslaught of Risk Adjustment Audits Claiming 9.5% Error Rate in Code Assignment
| Published May 18th, 2021
As the OIG has published their intent to further investigate the 9.5% of improper payments based on incorrect ICD-10-CM code assignation, they implore Managed Care Organizations (MCOs) to begin employing some of the CMS tools and data analytic programs used to help identify outliers.
May 12th, 2021
Since When did Dental Claims Require Diagnosis Codes?
| Published May 12th, 2021
The objective of the Accountable Care organization is to integrate and consolidate patient care management to improve patient outcomes. Changes and coordination of dental and medical care are already becoming more apparent when dental offices are being required to bill a patient's medical plan for dental visits due to an ...
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