Allergy|Immunology Articles and Resources

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Billing and Coding: Allergy Testing CMS Article (A57531)

Allergen Immunotherapy - CMS LCD (L37800)

Billing and Coding Guidelines for Allergy Testing & Allergy Immunotherapy LCD ID (L34597)

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(AMA, CMS, ICD-10, PCS, NCCI, Fed Reg, OIG, PubMed)

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Dec 19th, 2022

REMINDER: CMS Discontinuing the use of CMNs and DIFs- Eff Jan 2023 Claims will be DENIED!

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Updated Article - REMINDER! This is important news for durable medical suppliers! Effective January 1, 2023, CMS is discontinuing the use of Certificates of Medical Necessity (CMNs) and DME information forms (DIFs). We knew this was coming as the MLN sent out an article on May 23, 2022, but it is time to make sure your staff knows about these changes.

Oct 20th, 2022

Billing for Incontinence and Urinary Products

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

We all understand anything covered under health insurance must be medically necessary. In other words, it must be essential in treating and managing a patient's condition or to evaluate, diagnose, or treat an illness, injury, disease, or its symptoms. In this article, we will address catheters, urological supplies, and disposable ...

Oct 6th, 2022

2023 ICD-10-CM Code Changes

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

In 2022 there were 159 new codes; the 2023 ICD-10-CM code update includes 1,176 new, 28 revised, and 287 deleted codes, a substantial change from last year. The 2023 ICD-10-CM codes are to be used for discharges from October 1, 2022 through September 30, 2023, and for patient encounters from ...

Sep 15th, 2022

Emergency Department - APC Reimbursement Method

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

CMS pays emergency department visits through a payment method using Ambulatory Payment Classifications (APCs). Most payers also use the APC reimbursement system; however, there may be some differences in payer policies (always review your specific payer policy). APCs are the primary type of payment made under the OPPS, comprising groupings ...

Aug 18th, 2022

CMS says Less Paperwork for DME Suppliers after Jan 2023!

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

This is important news for durable medical suppliers! Effective January 1, 2023, CMS is discontinuing the use of Certificates of Medical Necessity (CMNs) and DME information forms (DIFs). We knew this was coming as the MLN sent out an article on May 23, 2022, but it is time to make sure your staff knows about these changes.

Jul 12th, 2022

E/M Changes Coming Our Way in 2023!

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Changes are one thing we can count on being consistent; even though this is one we have been anticipating, it is time to prepare, and we will have some work to do. The AMA released the new 2023 E/M Guidelines early to help us prepare for the change effective January ...

Mar 31st, 2022

$636 Million in Overpayments Made by Medicare to Providers for Neurostimulators

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

According to the OIG "MEDICARE OVERPAID MORE THAN $636 MILLION FOR NEUROSTIMULATOR IMPLANTATION SURGERIES." So often we think if we get paid, we must be doing it right, well this is not always the case. You may get paid and then have to return the funds if billed incorrectly or a step ...

Mar 21st, 2022

Coding for a Performance of an X-ray Service vs. Counting the Work as a Part of MDM

by Stephanie Allard, CPC CEMA RHIT

When x-rays are audited on the same date as an E/M encounter we have one of three decisions to make about the work that went into the radiological exam when the practice owns x-ray equipment and does their own interpretations internally. First, we must determine whether the x-ray was...

Mar 14th, 2022

Medicare Auditors Caught Double-Dipping

by Edward Roche, PhD JD

Overlapping extrapolations require providers to pay twice. Some Medicare auditors have been caught “double-dipping,” the practice of sampling and extrapolating against the same set of claims. This is like getting two traffic tickets for a single instance of running a red light. This seedy practice doubles the amount...

Mar 10th, 2022

2022-03-10-MLNC - COVID-19 Monoclonal Antibodies: Revised Emergency Use Authorization for EVUSHELD

by CMS - MLNConnects

News - COVID-19 Monoclonal Antibodies: Revised Emergency Use Authorization for EVUSHELD - Program for Evaluating Payment Patterns Electronic Reports for Short-term Acute Care Hospitals - Quality Payment Program: 2020 Performance Information on Care Compare - Skilled Nursing Facilities: Submit Technical Expert Panel Nominations by March 16 ...

Mar 10th, 2022

Cybersecurity & Ransomware Warnings

by Wyn Staheli, Director of Content - innoviHealth

Although HIPAA Security protocols have been in effect for some time, as technology advances, if we are not diligent, gaps can be left available for intruders. On top of that, on February 23, 2022, the American Hospital Association issued a cybersecurity advisory. They stated, “there is concern that Russia may retaliate against the U.S. and allied nations with disruptive cyberattacks.”

Nov 11th, 2021

Changes in RPM for 2021! Now, Wait for it... New RTM Codes for 2022

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Remote physiologic monitoring and clinical data monitoring is a relatively new concept thriving and growing as an essential component for telehealth services. According to global consumer trends, a company called Dynata reported, "Among the 39% of people who consulted a healthcare professional, two-thirds used telemedicine, many of them for the first time ...

Oct 28th, 2021

Understanding ASCs and APCs: Indicators and Place of Service

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

The decision regarding the most appropriate care setting for a given surgical procedure is determined by the physician based on the patient's individual clinical needs and preferences. Of course, there is a difference in reimbursement, and the billing depends on where the procedure took place, such as an office setting, inpatient ...

Oct 15th, 2021

Is Your Organization Ready to Deal with Provider Relief Fund (PRF) Audit Contractors?

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Audits are currently underway to verify the monies distributed through the CARES Act were warranted and properly used by those organizations that received them. The federal government has contracted with financial institutions such as KPMG and PricewaterhouseCoopers, among others, to perform these audits referred to as Provider Relief Fund (PRF) audit contractors, funded with monies from the very same program. There were four phases of funding disbursements with phase 1 audits beginning in September. How ready are you to be audited?

Oct 14th, 2021

Five Major ICD-10-CM Changes That Can Effect Your Organization

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Have you had a chance to review the new ICD-10-CM codes for FY 2022? Did you know that many payers do not want to see unspecified codes when there is a possibility for better data? How adept are you at assigning and sequencing COVID-19 codes? Take a minute to review 5 of the major changes to the FY2022 ICD-10-CM code updates and claim your chance to watch our most recent webinar where we review the newest code updates.

Oct 6th, 2021

ICD-10-CM Cracks Down on the Use of "Unspecified" in the 2021 Official Guidelines

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

We always knew there would come a day when payers would look down on an "unspecified" diagnosis code and possibly even deny it or delay payment until a review of the record could be performed. ICD-10-CM was adopted by the U.S. for data analytics, which cannot be accurate if unspecified codes are reported when the documentation verifies greater specificity. Join us for a look at the many guideline changes to ICD-10-CM, a review of the newest code changes and suggestions on documentation improvement to elevate coding protocols.

Sep 29th, 2021

Injection Services

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Injection Service Codes Injection service codes, are reported under administration of vaccines/toxoids, using 96372, 90460, 90461, 90471, 90472, 0001A, 0002A, 0003A, 0011A, 0012A, 0021A, 0022A, 0031A, 0041A, and 0042A. Other injections services include: Non-antineoplastic hormonal therapy injections – 96372 Anti-neoplastic nonhormonal injection therapy 96401 Anti-neoplastic hormonal injection therapy- 96402 Allergen immunotherapy - 95115-95117 According to CMS, do ...

Aug 4th, 2021

Understanding How Place of Service Codes Work

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

The Place of service (POS) codes are used by CMS, Medicaid, and other private insurance to indicate where medically related items and services are sold or dispensed for a patient. POS codes are used for professional billing and are required to be reported on each claim submitted on a CMS-1500 ...

Jul 29th, 2021

Medicare's ABN Booklet Revised

by Wyn Staheli, Director of Content - innoviHealth

The “Medicare Advance Written Notices of Non-coverage” booklet, published by CMS’s Medicare Learning Network, was updated. This article discusses the changes to this booklet regarding the use of the ABN.

Jul 19th, 2021

Chronic Pain Coding Today & in the Future

by Wyn Staheli, Director of Content - innoviHealth

Properly documenting and coding chronic pain can be challenging. As is commonly the case with many conditions, over the years, there has been a shift in the identification of different types of pain, including chronic pain. Understanding where we are now and where we are going will help your organization prepare for the future by changing documentation patterns now.

Jul 14th, 2021

How to Properly Assign ICD-10-CM Codes for Pain

by Wyn Staheli, Director of Content - innoviHealth

Pain is a common diagnosis among all specialties so it should not be surprising to find there are 162 ICD-10-CM codes for reporting it and over 80 mentions in the ICD-10-CM Official Guidelines for Coding and Reporting which describe when certain types of pain should be reported and how the codes should be sequenced.

Jun 29th, 2021

Compliance in the Dental Office or Small Practice

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

If your practice does not already have a compliance program in place, you will want to get started after reading this article. We have uncovered some important findings with the Office of Inspector General (OIG) in dental practices you need to be aware of. A compliance program offers standard procedures to follow, ...

Jun 3rd, 2021

Understanding Non-face-to-face Prolonged Services (99358-99359) in 2021

by Wyn Staheli, Director of Content - innoviHealth and Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

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.

Apr 27th, 2021

Why Will Medicare Administrative Contractors be Holding Claims Up?

by Jared Staheli, MPP

When Congress passed the expansive American Rescue Plan Act last month, most Americans were focused on the direct payment provision of the bill. However healthcare administrators and policymakers had their attention on another aspect: cuts to Medicare payments. Why would Congress be cutting Medicare payments during the COVID-19 Public Health ...

Apr 20th, 2021

ICD-11 — What’s Happening?

by Wyn Staheli, Director of Content - innoviHealth

ICD-11 is officially released, but what does that mean for diagnosis coding in the United States? What's really different? This article discusses what has been happening with ICD-11, some interesting things to note about it, as well as links to other important information.

Apr 19th, 2021

Q/A: For E/M, How do I Count Tests Ordered in One Department and Performed in Another?

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Question: I am in an ENT office as part of a large clinic with separate practices including audiology, CT, and allergy, all billing under the same TAX ID. Sometimes tests are ordered which are done in other departments that my office does not bill for, would those be considered an outside source? Answer: This is a great question and one that has been asked by many coders and auditors.

Apr 1st, 2021

Evaluation & Management (E/M) Webinar Q/A

by Wyn Staheli, Director of Content - innoviHealth and Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Find answers to some questions asked by attendees of our recent webinar regarding the changes released by the AMA in their March 9, 2021 Errata and Technical Corrections document in relation to Evaluation & Management (E/M).

Mar 18th, 2021

How Reporting E/M Based on Time May Lose Money

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Just like math teachers who require students to show their work so they can see how the student reached their answer, providers are also required to "show their work" through the documentation process in the medical record. By the time a provider has reviewed the patient's subjective complaints (i.e., patient's ...

Mar 16th, 2021

Critical Evaluation and Management Changes Recently Announced by AMA

by Wyn Staheli, Director of Content - innoviHealth

On March 9, 2021, the American Medical Association (AMA) announced some pretty significant changes in relation to reporting Evaluation and Management (E/M) services, particularly for Office or Other Outpatient Services (99202-99215). The AMA Editorial Panel had previously met to discuss how to address concerns and made changes surrounding Office or Other Outpatient Services which are retroactive to January 1, 2021. Learn more about those changes in this article.

Feb 22nd, 2021

COVID Vaccinations — FREE Legal and Ethical Considerations Webinar

by Wyn Staheli, Director of Content - innoviHealth

Learn about legal and ethical implications of the COVID-19 vaccine with this free webinar held on Wednesday, February, 24, 2021.

Feb 17th, 2021

Why CMS Created G2212 for Prolonged Services Instead of 99417

by Wyn Staheli, Director of Content - innoviHealth

This article discusses WHY CMS decided to create code G2212 to be used with prolonged office Evaluation and Management (E/M) services instead of code 99417 as of January 1, 2021. The proposed Medicare Physician Fee Schedule stated that code 99417 would be used so it is essential to understand why they made this change to avoid potential problems with billing these services.

Feb 3rd, 2021

How To Properly Report Prolonged Services Using 99417 or G2212

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Prolonged Evaluation & Management codes underwent big changes in 2021, including the creation of a new prolonged code (99417), reportable only with codes 99205 or 99215. While Medicare has agreed to accept the AMA's CPT E/M coding changes, they have formulated an opinion contrary to how CPT calculates time specific ...

Jan 11th, 2021

HIPAA Penalty Changes

by Wyn Staheli, Director of Content - innoviHealth

On January 5, 2021, H.R. 7898 was signed into law by President Trump. This new law modifies the HITECH Act such that when an organization experiences a breach, fines and/or penalties may be reduced if (for at least a year) they have instituted “recognized security practices” as defined within the law.

Oct 12th, 2020

What is the Difference Between the Medicare 1995 and 1997 Documentation Guidelines for E/M Services?

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

When Medicare determined that providers could follow EITHER the 1995 OR the 1997 Documentation Guidelines for Evaluation and Management Services to determine which level of E/M service to report, because CMS had not clarified that portions of the 1995 and 1997 guidelines could be used together to determine the level of ...

Oct 1st, 2020

New Codes for Cytokine Release Syndrome (CRS)

by Wyn Staheli, Director of Content - innoviHealth

New codes for Cytokine Release Syndrome (CRS) are effective October 1, 2020 based on the grade/severity of the symptoms. This article covers the new grading scales.

Aug 24th, 2020

2021 Brings Another Risk Adjustment Calculation Change

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

In 2021, a big change in Risk Adjustment score calculations will take place, which will affect payments to Medicare Advantage (MA) plans for the coming year and take us closer to quality and value-based programs instead of fee-for-service (FFS) or risk-adjusted (RA). Currently, CMS pays a per-enrollee capitated...

Aug 10th, 2020

Modifier 50 — Four "Must Know" Tips For Getting Paid

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Modifiers added to an HCPCS or CPT© code alters the code description, providing clarity about the service for proper claim processing and reimbursement. Here are four things you must know about modifier 50 to ensure proper payment. - Modifiers are either informational or payment related. Informational modifiers provide additional...

Jul 14th, 2020

Are NCCI Edits and Modifiers Just for Medicare?

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ...

Jun 10th, 2020

MEGA - NCCI Edit Changes - WHO Knew?

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

There was no huge announcement when CMS released new files in April. The files that were released on April 7, 2020, actually replaced files to update the NCCI edits on Procedure to Procedure (PTP) edits and Medically Unlikely Edits (MUE). The updated files included; 291,902 Deleted Procedure to Procedure (PTP) edits 197 Deleted Medically Unlikely ...

May 13th, 2020

Are Diagnoses from Telehealth Services Eligible for Risk Adjustment?

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

On April 10th, CMS released a memo with the subject line, “Applicability of diagnoses from telehealth services for risk adjustment,” suggesting there may be some telehealth services that might not qualify for risk adjustment. However, in the memo CMS states: “Diagnoses resulting from telehealth services can meet the risk adjustment face-to-face ...

May 5th, 2020

ICD-10-CM - Supplement information for E-Cigarette/Vaping Reporting

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

The CDC has released additional information and coding guidance for reporting encounters related to the 2019 health care encounters and deaths related to e-cigarette, or vaping, product use associated lung injury (EVALI). The update offers coding scenarios for general guidance, poisoning and toxicity, substance abuse and signs and symptoms. ICD-10-CM Official Coding Guidelines - ...

May 4th, 2020

Additional Telehealth Changes Announced by CMS

by Wyn Staheli, Director of Content - innoviHealth

On April 30, 2020, CMS announced additional sweeping changes to meet the challenges of providing adequate healthcare during this pandemic. These changes expand the March 31st changes. The article covers some of the key changes. See the official announcement in the references below.

Apr 20th, 2020

Clarify the Complexity Please! NDC Codes and Drug Classification Systems

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Different Drug classification systems are used to categorize drugs to identify the medication, with each system having their own logic. There are four main drug classification systems used in the United States, not to be confused with a class of drugs or "Drug Class". A drug class is the way drugs ...

Apr 20th, 2020

Dismal OIG Report on Telemedicine

by Wyn Staheli, Director of Content - innoviHealth

Providers need to understand the rules for reporting telemedicine services. A recent OIG report shows that this is not the case. What problems are being found in documentation claims? As providers are expanding their telehealth offerings, now is the time to understand the potential pitfalls since disallowed amounts will be taken back.

Apr 16th, 2020

Hypertension ICD-10-CM Coding Table, Guidelines, and Tips

by Wyn Staheli, Director of Content - innoviHealth and Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Coding hypertension properly requires knowing all the guidelines. This article summarizes how hypertension is coded using ICD-10-CM and includes tips, definitions and a very helpful coding table summarizing your options.

Apr 15th, 2020

CMS Temporarily Suspends Contract-Level RADV Audits

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

The Centers for Medicare and Medicaid Services (CMS) is suspending contract-level RADV audits, related to the payment year 2015 and will not initiate any new ones until after the public health emergency has ended. Any documentation already submitted will be reviewed as usual.

Apr 13th, 2020

CMS Announces Final 2021 HCC Risk Adjustment Changes

by Wyn Staheli, Director of Content - innoviHealth

On April 6, 2020, the Centers for Medicare & Medicaid Services (CMS) published their final Medicare Advantage (MA) and Part D payment methodologies for CY 2021. Read more to be prepared for these upcoming changes.

Apr 13th, 2020

Financial Impact of CARES Act on Healthcare Providers

by Wyn Staheli, Director of Content - innoviHealth

The recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act has several provisions to ease the financial burden being faced by healthcare providers who have been impacted by the effect of the coronavirus. Learn more about how the Provider Relief Fund and the Accelerated and Advance Payment Program work.

Apr 1st, 2020

External Cause Status Coding (Y99)

by Wyn Staheli, Director of Content - innoviHealth

This innoviHealth book (i.e., ICD-10-CM Coding, Reimbursement Guide) resource discusses requirements for properly coding external causes. Mandatory reporting of these codes is not always required by all payers and even when they are required, it might only be in certain situations (e.g., drug overdose, personal injury).

Mar 24th, 2020

"What is the ICD-10 code for...?" - Search Smarter With Find-A-Code Tools

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Do you still find yourself searching the internet for an ICD10 code? Medical coders often type into their search engine, what is the ICD10 code for ... and a specific diagnosis code, to avoid repeatedly dragging out the incredibly large ICD10 codebook. Ironically, some of the most commonly searched ICD10 diagnoses include: ...

Mar 21st, 2020

Understand the New Codes for Testing & Reporting the COVID-19 Coronavirus (SARS-CoV-2)

by Aubrie Rowley

The current coronavirus pandemic refers to COVID-19, a novel or new type of coronavirus known as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The first victim of the virus was identified in Wuhan, Hubei, China at the end of 2019. There is no immunization available to prevent it from spreading and ...

Feb 20th, 2020

New HCPCS Code for Coronavirus Testing Announced

by Wyn Staheli, Director of Content - innoviHealth

Currently, healthcare providers testing patients for Coronavirus must use an unspecified code. To provide better tracking, on February 13, 2020, CMS announced the creation of a new HCPCS code.

Jan 21st, 2020

Inadequate Exclusion Screenings Could Put Your Practice at Risk

by Wyn Staheli, Director of Content - innoviHealth

Exclusion screenings require far more than just checking a name on a federal database at the time you are hiring someone. Far too many providers don’t realize that in order to meet compliance requirements, there is MUCH more involved. There are actually over 40 exclusion screening databases/lists that need to be checked.

Jan 7th, 2020

Denials due to MUE Usage - This May be Why!

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

CMS assigns Medically Unlikely Edits (MUE's) for HCPCS/CPT codes, although not every code has an MUE. MUE edits are used to limit tests and treatments provided to a Medicare patient for a single date of service or for a single line item on a claim form. It is important to understand MUE's are ...

Dec 30th, 2019

Medicare Changes Bilateral Reporting Rules for Certain Supplies

by Wyn Staheli, Director of Content - innoviHealth

DME suppliers must bill bilateral supplies with modifiers RT and LT on separate claim lines or they are being rejected.

Dec 19th, 2019

Reporting the Health Effects of Vaping Now and in April 2020

by Wyn Staheli, Director of Content - innoviHealth

To report vaping related conditions/disorders, use the official CDC guidelines to ensure proper documentation of vaping related health conditions. There is also a new code that will become effective April 1, 2020.

Dec 9th, 2019

CMS says Codes are on the Move!

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Have you noticed your LCDs are missing something? CMS is moving codes out of LCDs and into Billing and Coding Articles. MACs began moving ICD-10-CM, CPT/HCPCS, Bill Type, and Revenue codes in January 2019, and will continue through January 2020. Therefore, if there is an LCD with its codes removed, you will find ...

Nov 25th, 2019

Hypertension ICD-10-CM Code Reporting Table

by Wyn Staheli, Director of Content - innoviHealth

In ICD-10-CM, hypertension code options do not distinguish between malignant and benign or between controlled and uncontrolled. What is important for code selection is knowing if the hypertension is caused by or related to another condition. The following table shows some of these options.

Nov 12th, 2019

HIPAA Final Rule Eliminates HPID and OEID

by Wyn Staheli, Director of Content - innoviHealth

Final rule eliminates the requirement for health plans to obtain a unique health plan identifier (HPID) and also eliminates the voluntary use of the other entity identifier (OEID). This change becomes effective December 27, 2019.

Nov 11th, 2019

And Then There Were Fees...

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Find-A-Code offers fees and pricing for just about everything, this article will address two of some of the most common payment systems with CMS. (OPPS) -Outpatient Medicare Outpatient Prospective Payment System. (MPFS)- Medicare Physician Fee Schedule The Fees section on each code page is determined on the type of services...

Oct 21st, 2019

VA- Reasonable Charges Rules, Notices, & Federal Register

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Oct 7th, 2019

Hypertension & ICD-10

by Raquel Shumway

Hypertensive Diseases and ICD-10. Helps and examples for these codes.

Oct 1st, 2019

2020 Official ICD-10-CM Coding Guideline Changes Are Here!

by Wyn Staheli, Director of Content - innoviHealth

It’s that time of year for offices to get ready for the ICD-10-CM code revisions. As part of that process, it’s also good to know what is going on with the ICD-10-CM Official Guidelines for Coding and Reporting. In the examples listed below, strikeout text is deleted and highlighted text ...

Sep 30th, 2019

CMS and HHS Tighten Enrollment Rules and Increase Penalties

by Wyn Staheli, Director of Content - innoviHealth

This ruling impacts what providers and suppliers are required to disclose to be considered eligible to participate in Medicare, Medicaid, and Children's Health Insurance Program (CHIP). The original proposed rule came out in 2016 and this final rule will go into effect on November 4, 2019. There have been known problems ...

Aug 20th, 2019

Are You Aware of Medicare Advantage Plans Timely Filing Rules?

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

The Medicare Fee for Service (FFS) program (Traditional or Original Medicare) has a timely filing requirement; a clean claim for services rendered must be received within one year of the date of service or risk payment denial. As any company who has billed Medicare services can attest, the one-year timely filing ...

Aug 16th, 2019

Medical ID Theft

by NAMAS

Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...

Aug 13th, 2019

How to Properly Report Prolonged Evaluation and Management Services

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Have you ever had a patient take more time with the provider than they were scheduled for? Do you understand which codes to report and the rules that govern them to allow for better reimbursement? Prolonged Service codes were created just for that reason but you must carefully follow the documentation ...

Aug 9th, 2019

The OIG Work Plan: What Is It and Why Should I Care?

by NAMAS

The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...

Jul 26th, 2019

Anthem is Changing their Timely Filing Requirements for All Plans, Including Medicare Advantage

by NAMAS

Anthem has been very busy sending out notices stating that, beginning October 1, 2019, all timely filing deadlines for claims will be 90 days. We've seen this letter, or something very similar, sent to doctors and other healthcare providers from California to Kentucky. In their notice, Anthem states: "Effective for all commercial ...

Jul 22nd, 2019

Are These Problems Hurting Your Practice?

by Wyn Staheli, Director of Content - innoviHealth

There are many things that can be missed when trying to run an effective and profitable practice. This article covers some important tasks that are often overlooked such as not reviewing your payer contracts or failing to check eligibility.

Jul 12th, 2019

5 Ways to Minimize HIPAA Liabilities

by BC Advantage

Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...

Jul 5th, 2019

Helping Others Understand How to Apply Incident to Guidelines

by NAMAS

Over the past few months, I have worked with different organizations that have been misinterpreting the "incident to" guidelines and, in return, have been billing for services rendered by staff that are not qualified to perform the services per AMA and CPT. What I found within the variances is that ...

Jun 27th, 2019

2018 Medicare Improper Payment Report Shows Slight Improvement but There's Still Work to be Done

by Wyn Staheli, Director of Content - innoviHealth

The Medicare Improper Payment Report for 2018 is not a measurement of fraud. Rather, it is an estimate of the claims paid by Medicare which did not meet Medicare coverage, coding, and billing rules. The estimated Medicare FFS payment accuracy rate (claims paid correctly) from July 1, 2016 through June 30, 2017, was 91.9 percent. ...

Jun 21st, 2019

Small Breaches Can Be Subject to Large Penalties

by NAMAS

Small Breaches Can Be Subject to Large Penalties We may have heard about the large fines issued by the Office for Civil Rights (OCR) against big organizations like Anthem or the University of Texas MD Anderson Cancer Center. These organizations have been in the news due to privacy breaches that constituted violations ...

Jun 17th, 2019

Extrapolation Policies Apply to RAD-V Audits

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Risk Adjustment is a program that was implemented to identify and support Medicare beneficiaries with health conditions, illnesses, or injuries that put them at risk of death or organ system/bodily function failure. Through Risk Adjustment (RA), Medicare ensures their beneficiaries are being followed at least annually for any healthcare conditions ...

Jun 14th, 2019

A United Approach

by NAMAS

A United Approach As auditors, we all have a different perspective when evaluating documentation. It would be unreasonable to think that we all view things the same way. In my opinion, differing perspectives are what makes a great team because you can coalesce on a particular chart, work it through and ...

Jun 13th, 2019

What Medical Necessity Tools Does Find-A-Code Offer?

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Find-A-Code is a great resource for individuals working in all aspects of healthcare, from providers and ancillary staff to the attorneys and payers who assess and critique the documentation supporting the services performed. When recently asked what tools Find-A-Code has to help support medical necessity, our response was, "We provide many resources ...

Jun 6th, 2019

How to Code Ophthalmologic Services Accurately

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Have you ever tried to quickly recall the elements required to support a comprehensive ophthalmologic exam versus an intermediate one? Make coding decisions quickly by creating a cheat sheet containing vital information that allows you to quickly select the right code. According to Article A19881 which was published in 2004 and ...

May 29th, 2019

Noting "Noncontributory" for Past Medical, Family, Social History - Is It Acceptable?

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Is "noncontributory" really an unacceptable word to describe a patient whose family history doesn't have any bearing on the condition being evaluated and treated today?

May 21st, 2019

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

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

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

Apr 29th, 2019

Medicare Revises Their Appeals Process

by Wyn Staheli, Director of Content - innoviHealth

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

Apr 26th, 2019

Medicare Revises Their Appeals Process

by Wyn Staheli, Director of Content - innoviHealth

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

Apr 23rd, 2019

Let's Talk High Risk E/M Services

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Have you ever assigned a high-complexity E/M code (e.g., 99205, 99215, 99223, 99233, 99245, etc.) and wondered if it would stand up to further scrutiny? Well, let’s take a closer look at the requirements for reporting high-level E/M services. Both the American Medical Association and Medicare-published E/M Guidelines agree that a ...

Apr 23rd, 2019

What is Medical Necessity and How Does Documentation Support It?

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

We recently fielded the question, “What is medical necessity and how do I know if it's been met?" The AMA defines medical necessity as: It is important to understand that while the AMA provides general guidance on what they consider medically necessary services, these particular coding guidelines are generic and may be ...

Apr 8th, 2019

Prepayment Review Battle Plan

by Wyn Staheli, Director of Content - innoviHealth

Any type of payer review can create some headaches for providers and cause problems for a healthcare office. Even for a practice that has taken administrative steps to try and prevent a prepayment review, it can still happen. A prepayment review means that you must include documentation WITH your claim. ...

Apr 1st, 2019

Q/A: Can I Tell a Medicare Patient Which Option to Check on the ABN?

by Wyn Staheli, Director of Content - innoviHealth

Question My patient seemed confused about which of the options they should check. Can I just tell them which one they should check? Answer No! That could be construed as coercion. The official instructions state “Under no circumstances can the notifier decide for the beneficiary which of the 3 checkboxes to select.” Now, this ...

Mar 27th, 2019

Pain Codes in ICD-10-CM

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

When coding with ICD-10-CM, pain codes can be found in different sections: The Body System affected or site-specific pain codes, such as Low Back Pain M54.5, can be found in Chapter 13. Diseases of the Musculoskeletal system (M00-M99). Other examples might be ocular pain H57.1, found in Chapter 7. Diseases of ...

Mar 25th, 2019

Clearing Up Some Medicare Participation Misunderstandings

by Wyn Staheli, Director of Content - innoviHealth

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

Mar 22nd, 2019

Q/A: How do we Know Which Codes a Payer Will Allow?

by Wyn Staheli, Director of Content - innoviHealth

How do we know which codes a payer will allow? The best way to determine the codes (CPT, ICD-10-CM and HCPCS) allowed by a payer is to review their payer policy. While it is good to know the official guidelines (e.g., ICD-10-CM Official Guidelines for Coding and Reporting, AMA Guidelines, Medicare ...

Mar 21st, 2019

The Impact of Medical Necessity on High Level E/M Services

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

I was recently asked the question, "Does 99233 require documentation of a past medical, family, and/or social history (PFSH)?" The quick answer is, "it depends." Code 99233 has the following minimal component requirement: Subsequent inpatient E/M encounters can meet the code level requirement either by component scoring & medical necessity or time & medical necessity. ...

Mar 18th, 2019

How to Report Imaging (X-Rays) of the Thumb

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

If you've ever taken piano lessons, you know that the thumb is considered the first finger of the hand. Anatomically, it is also referred to as the first phalanx (finger). However, when you are coding an x-ray of the thumb, images are captured of the thumb, hand, wrist, and all ...

Mar 7th, 2019

Q/A: Can you Help me Understand the New Medicare Insurance Cards?

by Wyn Staheli, Director of Content - innoviHealth

As many of you are aware, CMS began issuing new Medicare identification cards last year which required the replacement of social security numbers with a new Medicare Beneficiary Identifier (MBI). All cards have now been mailed out and patient's should have the new cards when they come in. Currently, we are in the transition period until January 2020.

Mar 4th, 2019

UnitedHealthcare to Discontinue Coverage of Consultations

by Wyn Staheli, Director of Content - innoviHealth

In United Healthcare's March provider bulletin, they announced that beginning on June 1, 2019, they will be phasing out coverage of consultation services (99241-99255).

Mar 1st, 2019

Understanding NCCI Edits

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Medicare creates and maintains the National Correct Coding Initiative (NCCI) edits and NCCI Policy Manual, which identify code pair edits. When performed on the same patient, on the same day, and by the same provider, the secondary code is considered an integral part of the primary code, and payment for ...

Feb 14th, 2019

Proposed Rule: Expanded Telemedicine Benefits for Medicare Advantage Beneficiaries

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Telemedicine continues its rise, with new technologies allowing for better communication and access to more aspects of healthcare than ever before. Each year Medicare has made strides, albeit small strides, in their telemedicine coverage while commercial payers continue to make great strides, constantly improving and expanding telemedicine service offerings to ...

Feb 12th, 2019

Coding Medicare Initial Preventive Physical Exams (IPPE)

by Aubrie Rowley

The Medicare Initial Preventive Physical Exam (IPPE), also commonly referred to as the “Welcome to Medicare Physical”, may seem daunting to many, but when broken out to identify the requirements is fairly straightforward. Purpose An IPPE helps the Medicare beneficiary (the patient) get to know their healthcare provider at a time when they ...

Feb 7th, 2019

Q/A: Do Digital X-rays Have Their Own Codes?

by Wyn Staheli, Director of Content - innoviHealth

Question Are you aware if digital x-ray of the spine requires a different code than plain x-ray? If so, where can I find the information specific to digital x-ray codes? Answer There are no separate codes for digital x-rays. However, there may be modifiers that are required to be submitted with the usual ...

Feb 5th, 2019

Clinical Staff vs. Healthcare Professional

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

State scope of practice laws and regulations will help determine who is considered Clinical staff and Other qualified Health Care professionals. Physician or other qualified healthcare professionals: Must have a State license, education training showing qualifications as well as facility privileges. Examples of Qualified Healthcare professionals: (NOTE: this list is not all-inclusive, please refer to your payer ...

Feb 1st, 2019

Attestations Teaching Physicians vs Split Shared Visits

by BC Advantage

Physicians often use the term "attestation" to refer to any kind of statement they insert into a progress note for an encounter involving work by a resident, non-physician practitioner (NPP), or scribe. However, for compliance and documentation purposes, "attestation" has a specific meaning and there are distinct requirements for what ...

Jan 28th, 2019

Empowering Medicare Beneficiaries

by Find-A-Code™

BLOG: CMS announced a NEWS release today making it easier to help Medicare Beneficiaries access cost and quality information. CMS announced, "Today, the Centers for Medicare & Medicaid Services (CMS) launched a new app that gives consumers a modernized Medicare experience with direct access on a mobile device to some of ...

Jan 25th, 2019

Medical Necessity vs. Documentation for Inpatient Services

by NAMAS

Auditing the documentation of inpatient and observation E/M services can often be challenging. Many of the notes we are provided for review include so much information that the note feels like a short novel instead of documentation for one date of service. This over-documentation can make it difficult to see ...

Jan 23rd, 2019

Everything You need to Know about Drugs

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

We have it all! Search our WK Drug Database for drugs and pharmaceuticals. When it comes to support and guidance the WK Drug Database offers a paramount search and is conveniently presented in one place. Pricing GPIs NDCs Billing Codes Indications/Diseases Packaging Information Active and Inactive and more... Additionally, learn more about drugs and pharmaceuticals that can be used to detect, treat, or monitor ...

Jan 23rd, 2019

How to Report Co-Surgeons Using Modifier 62

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Modifier 62 is appended to surgical claims to report the need for the skills of two surgeons (co-surgeons) to perform a procedure, with each surgeon performing a distinct part of the same procedure, during the same surgical session. An easy way to explain this is to visualize a patient requiring cervical fusion where ...

Jan 4th, 2019

Nine New Codes for Fine Needle Aspirations (FNA) in 2019

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

If your practice performs a lot of fine needle aspirations (FNA), you probably have the code options memorized (10021 without image guidance and 10022 with image guidance). However, the 2019 CPT codes now include nine (9) new FNA codes (10004-10012), one deleted FNA code (10022) and one revised FNA code ...

Jan 3rd, 2019

CMS Finalizes Major Changes to ACO Program

by Wyn Staheli, Director of Content - innoviHealth

Back in August of 2018, as part of the Medicare Shared Savings Program (Shared Savings Program), CMS proposed some sweeping changes for Accountable Care Organizations (ACOs). There has been some controversy over these changes which require ACOs to move to two-sided models. In this Final Rule which was scheduled to be published in the Federal Register ...

Jan 3rd, 2019

Dry Needling

by Wyn Staheli, Director of Content - innoviHealth

The correct coding of dry needling, also known as trigger point needling, has been a subject of confusion for quite some time. The American Chiropractic Association (ACA) and the American Physical Therapy Association (APTA) have been working together for several years to obtain appropriate codes to describe this service. In ...

Nov 29th, 2018

Errors Billing Outpatient Services When Patient is also Inpatient

by Wyn Staheli, Director of Content - innoviHealth

The OIG recently reported that Medicare inappropriately paid acute-care hospitals for outpatient services provided to patients who were inpatients of another facility including long term care hospitals, inpatient rehabilitation facilities, inpatient psychiatric facilities, and critical access hospitals. CMS suggests using the following resources to ensure compliance: Medicare Inappropriately Paid Acute-Care Hospitals for ...

Nov 28th, 2018

Q/A: Do Croft Guidelines Apply After Time has Passed Since the Accident?

by Tom Grant DC, Med-Legal Consultant, Pragma Intel Director of Education

Question: Do the Croft Guidelines apply to a patient's condition immediately following the collision or are they applicable to a patient's state when they first come to see you? Whether that has been weeks or months since the collision without treatment?

Nov 26th, 2018

Allergy Immunotherapy Coding Guidelines (CMS) Effective: 01/01/2006

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Immunotherapy (Allergy Shots) is a medical treatment to used to treat and prevent reactions or desensitize the immune system to specific allergens that trigger allergy symptoms. Payers have specific coverage guidance and rules for reporting injections, the specific type of antigen(s) provided and how they should be reported. Below are the coding guidelines from ...

Nov 26th, 2018

Reciprocal Billing and Locum Tenens Arrangements Changes

by Wyn Staheli, Director of Content - innoviHealth

CMS has made changes to their payment policies for reciprocal billing arrangements and Fee-For-Time compensation arrangements (formerly referred to as locum tenens arrangements). Providers need to be aware of these changes and update their policies as appropriate.

Oct 30th, 2018

Documentation Requirements for Allergy Testing 10/29/2018

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Per CMS, First Coast Service Options LCD 33261: Medical record documentation (e.g., history & physical, office/progress notes, procedure report, test results) must include the following information, and be available upon request: A complete medical and immunologic history and appropriate physical exam obtained by face-to-face contact with the patient. The medical necessity for performing ...

Oct 17th, 2018

Wolters Kluwer Drug Pricing

by Find-A-Code™

Wolters Kluwer provides unit and package pricing for multiple drug price types: Average Wholesale Price (AWP), Wholesale Acquisition Cost (WAC), Direct Price (DP), Manufacturer's Suggested Wholesale Price (SWP), Centers for Medicare & Medicaid Services, Federal Upper Limit (CMS FUL), Average Average Wholesale Price (AAWP), Generic Equivalent Average Price (GEAP). Average...

Oct 16th, 2018

Q/A: What Codes do I use for CLIA-Waived Tests?

by Wyn Staheli, Director of Content - innoviHealth

Question: I am a certified DOT medical examiner and have applied to get my CLIA lab (waiver) for urinalysis, finger prick blood tests for A1c, cholesterol and glucose. I realize I cannot diagnose patients with these tests, but I am using them to make decisions in the DOT process and with ...

Sep 12th, 2018

Join QPro Today and Get Certified

by Find-A-Code™

Join QPro Today and Get Certified! To have a credential in the medical profession shows you have met a minimum standard for professional and ethical standards. Often employers prefer to hire staff that will be involved with any type of patient information such as coding, to show proof they have met certain ...

Aug 31st, 2018

Finalized Confidentiality of Alcohol and Drug Abuse Patient Records Regulations

by Wyn Staheli, Director of Content - innoviHealth

In January, the U.S. Department of Health and Human Services (HHS) issued updates to the privacy regulations regarding the confidentiality of patient information of substance use disorder patients (42 CFR Part 2). This notice included references to better alignment with HIPAA regulations, but did state that Part 2 is more protective ...

Aug 20th, 2018

PSAVE Pilot Program - What Does it Mean to You?

by Wyn Staheli, Director of Content - innoviHealth

Noridian's pilot program Provider Self-Audit with Validation and Extrapolation (PSAVE) has been extended which means that it has been successful for the payer, which means that they are saving money. Historically, when a pilot program is proven to be successful, it isn’t too long before other MACs follow. Before signing up to participate, providers need to carefully evaluate the program. Are the benefits worth the costs?

Aug 16th, 2018

Medicare Timed Codes Guidelines

by Wyn Staheli, Director of Content - innoviHealth

Medicare's guidelines for reporting of timed codes is found in Medicare Claims Processing Manual Chapter 5, Section 20.2. Also known as the '8 minute' rule, it describes how to calculate time for appropriate reporting when more than one timed code is performed at the same time. It should be noted that while ...

Aug 16th, 2018

Using Modifiers 96 and 97

by Wyn Staheli, Director of Content - innoviHealth

The Affordable Care Act (ACA) requires coverage of certain essential health benefits (EHBs), two of which are rehabilitative and habilitative services and devices. Since the ACA did not define these terms or specify coverage requirements, it is left up to individual states to create benchmark plans to determine coverage requirements. ...

Jul 12th, 2018

Dual Medicare-Medicaid Billing Problems

by Wyn Staheli, Director of Content - innoviHealth

It is important to keep in mind that Medicaid is run at a state level so there can be some differences when it comes to coverage. However, the rules regarding balance billing of covered services is set at the federal level. The law states (emphasis added): A state plan must provide ...

Jul 12th, 2018

Q/A: Can You Swap Out 97140 with 97530?

by Wyn Staheli, Director of Content - innoviHealth

Codes 97140 and 97530 are not interchangeable. See why.

Jun 22nd, 2018

Q/A: Do I Have a Patient with Part C sign an ABN if we are Out-of-Network?

by Wyn Staheli, Director of Content - innoviHealth

Do we need an ABN if the patient has Part C and we are out-of-network? Read More.

Jun 14th, 2018

VA Expands Telehealth

by Wyn Staheli, Director of Content - innoviHealth

On May 11, 2018, the Department of Veterans Affairs (VA) released its final rule on the "Authority of VA Health Care Providers to Practice Telehealth." Effective June 11, 2018, VA providers will be able to provide telehealth services across state lines. This move will make it easier for veterans to obtain ...

May 22nd, 2018

Q/A: Am I Supposed to List the Frequency and Duration on the ABN?

by Wyn Staheli, Director of Content - innoviHealth

How to fill out Box D (Services) on the ABN form. What information is required?

Apr 23rd, 2018

Q/A: Someone Broke into My Office. What do I do Now?

by Wyn Staheli, Director of Content - innoviHealth

My office was broken into last night. I use electronic health records, but we do store some protected health information for my patients in paper files. These files are not secured, so the burglars did have access to them. It did not appear that the files were touched as the burglars were looking for cash. What responsibilities to I have to my patients in a situation like this? Do I need to contact them and advise them that their PHI could have been compromised?

Apr 12th, 2018

Billing Nutrition Counseling

by Wyn Staheli, Director of Content - innoviHealth

Billing nutrition counseling services may not be as straight-forward as you might think. Some providers mistakenly choose Medical Nutrition Therapy (MNT) codes (97802-97804, G0270, G0271) because it states nutrition therapy in the title. However, according to CPT guidelines, when MNT assessment and/or intervention is performed by a physician or qualified healthcare professional who may report evaluation and management ...

Mar 29th, 2018

Medicare Telemedicine Changes for 2018

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Find-A-Code presented a webinar on “Coding and Auditing Telemedicine Services,” on March 29, 2018, which did not include the new and updated CMS information published in the MNL Matters Number: MM10393 on January 2, 2018. New and exciting changes were introduced in this article, which is addressed below. Originating Site Fee Each ...

Mar 13th, 2018

CPT Code for DOT exams

by Wyn Staheli, Director of Content - innoviHealth

Question: I have a provider that provides Department of Transportation (DOT) exams. I have found ICD-10 code Z02.4 (encounter for examination for drivers license) but I am unsure which CPT Code to use. Would I still use 99203 or 99204?

Mar 8th, 2018

Documentation and Orders for Laboratory Tests

by Medicare Learning Network

The Medicare Learning Network provides guidance on required documentation for ordering laboratory tests.

Mar 8th, 2018

Documentation for Home Blood Glucose Monitors (BGM)

by Medicare Learning Network

The Medicare Learning Network provides guidance on how to Prevent Denials for Home Blood Glucose Monitors (BGM)...

Mar 1st, 2018

New Bipartisian Budget Act of 2018 Provisions

by Wyn Staheli, Director of Content - innoviHealth

On February 9, 2018, the Bipartisan Budget Act of 2018 was signed into law. There were some changes which will affect Medicare payments. The following is a brief summary, for a more comprehensive summary see the References. Therapy Caps: Some therapy caps (e.g., occupational, physical therapy, speech-language pathology) were discontinued. However, modifier KX will ...

Feb 28th, 2018

Telemedicine Billing and Reimbursement

by Jared Staheli, MPP

The opportunities for providers who want to provide telemedicine continue to expand in all sectors of the healthcare market. Even the VA, long a symbol of a fossilized, bureaucratic healthcare entity, has begun to embrace this technology. Though most are familiar with what telemedicine is, many still have questions surrounding ...

Feb 21st, 2018

No HCPCS Code Available? Now What?

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

HCPCS level II codes classify products into categories for the purpose of claims processing. HCPCS level II codes are alphanumeric with a descriptive terminology that identifies the item or service used primarily for billing purposes. There are several types of HCPCS level II codes such as: Permanent National Codes Dental Codes Miscellaneous Codes Temporary National ...

Feb 5th, 2018

HIPAA Breach Settlements and Ransomware Attacks - Is Your Practice Secure?

by Wyn Staheli, Director of Content - innoviHealth

Two recent reports should make providers stop, take notice and make sure their practice's policies and procedures are up-to-date. The first one involves a HIPAA Breach settlement of a company with facilities in several states. The OCR memo stated "In addition to a $3.5 million monetary settlement, a corrective action plan ...

Feb 1st, 2018

Multiple Diagnostic Imaging Payment Reduction

by Wyn Staheli, Director of Content - innoviHealth

CMS and some other payers have adopted policies of reducing payments when certain multiple diagnostic imaging procedures (see Applicable Codes below) are performed in a single session by the same healthcare provider and/or group. They have done the same when there are multiple units for a procedure code. The rationale ...

Feb 1st, 2018

OIG Reviews Medicare Advantage Claims

by Wyn Staheli, Director of Content - innoviHealth

On January 16, 2018, the OIG released a report of their findings on claims data for Medicare Advantage plans. While it appears that there were not significant issues, they did find that: "Types of potential errors included inactive or invalid billing provider identifiers; duplicated service lines; missing required data; inconsistent dates; ...

Jan 24th, 2018

HIPAA and the Opioid Crisis

by Wyn Staheli, Director of Content - innoviHealth

HIPAA and the Opioid Crisis guidance released by HHS.

Jan 16th, 2018

Patient Relationship Codes

by Wyn Staheli, Director of Content - innoviHealth

Section 1848(r)(4) of MACRA requires that claims submitted for items and services furnished by a physician or applicable practitioner on or after January 1, 2018, include codes for the following: care episode groups patient condition groups patient relationship categories Previously, CMS decided to use procedure code modifiers to report patient relationship codes on Medicare ...

Jan 11th, 2018

Advance Beneficiary Notice of Noncoverage (ABN) Modifier Guidelines

by Find-A-Code™

The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131 may be used for services which are likely to be non-covered, whether for medical necessity or for other reasons. Refer to CMS Publication 100-04, Medicare Claims Processing Manual, Chapter 30, for complete instructions.Effective from April 1, 2010, non-covered services should be billed with modifier GA, GX, GY, or GZ, as ...

Jan 3rd, 2018

Abuse, Neglect, or Maltreatment

by Wyn Staheli, Director of Content - innoviHealth

According to the official ICD-10-CM Guidelines, in situations of maltreatment (e.g., adult and child abuse, neglect, etc.), the sequence of coding is important. Regardless of whether it is suspected or confirmed, it is important to document the type of abuse. Use the following sequence: An appropriate code from category T74- (confirmed) or T76- (suspected) Any accompanying mental ...

Dec 28th, 2017

DME Documentation Requirements

by Wyn Staheli, Director of Content - innoviHealth

Properly documenting DME orders is crucial for reimbursement. It should be noted that without meeting the payer requirements, the claim will be denied. For Medicare, the beneficiary will not be responsible for paying for the item if the provider and/or supplier do not meet requirements. Commercial payers have similar policies so carefully ...

Dec 8th, 2017

Quality Reporting and Payment Reduction

by ChiroCode™

Checking my NPI number on the CMS site.

Dec 4th, 2017

Revised ABN and Non-Participating Providers

by Wyn Staheli, Director of Content - innoviHealth

Non-participating providers have the option to strikeout part of the ABN form.

Nov 30th, 2017

Coding Carpal Tunnel Syndrome

by Wyn Staheli, Director of Content - innoviHealth

Q: In order to code carpal tunnel syndrome G56.01 or G56.02, does there need to be documentation that nerve conduction (EMG testing) has been performed to confirm the diagnosis?

Oct 31st, 2017

Modifier NU

by Brandy Brimhall, CPC CMCO CPCO CCCPC CPMA QCC

Is it necessary to use the modifier NU for all supplies? or is NU part of the code itself? Where should the NU be noted on the 1500 form?

Oct 13th, 2017

So, How Do You Decide if a Service was Provided?

by David M. Glaser, JD

An earlier coding tip explained that the oft-repeated "if it isn't written, it wasn't done" is good risk management advice, but not a legal truism.....

Sep 29th, 2017

Stark Law for Healthcare Providers

by Brandy Brimhall, CPC CMCO CPCO CCCPC CPMA QCC

Be aware of physician self-referral laws and how they affect your practice.

Sep 14th, 2017

Double Dipping in the History of the Evaluation and Management Note

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

There are many rules and guidelines a coder must be aware of when it comes to appropriately selecting an Evaluation and Management (EM) code and avoiding doubling dipping is one of them. Double dipping occurs when the same information is used in more than one of the subcomponents of history. The subcomponents of history include: Chief Complaint ...

Sep 1st, 2017

Preventive Services: Diabetes Self-Management Training (DSMT)

by Find-A-Code™

The following information from the Medicare Learning Network provides guidance on Diabetes Self-Management Training....

Sep 1st, 2017

Preventive Services: Hepatitis C Virus (HCV) Screening

by Find-A-Code™

The following information from the Medicare Learning Network provides guidance on Hepatitis C Virus (HCV) Screening....

Aug 4th, 2017

Proposed Telehealth Changes for 2018

by Wyn Staheli, Director of Content - innoviHealth

Medicare has proposed making some changes to policies regarding telehealth services. They are adding some new codes to their covered list of telehealth services and propose eliminating the requirement to use the GT modifier. Since many payers adopt similar policies, watch for further announcements from other third-party payers. Proposed Codes HCPCS code G0296 ...

Aug 4th, 2017

Veterans Choice Program

by Wyn Staheli, Director of Content - innoviHealth

In 2017, President Trump signed into law changes to the Veteran's Choice program, which allows veterans to seek care from a civilian (privately contracted) healthcare provider, closer to home, when obtaining care through the VA has become burdensome to the veteran or requires the veteran to wait too long for an appointment.

Aug 1st, 2017

Annual Wellness Visit (AWV)

by Wyn Staheli, Director of Content - innoviHealth

Annual Wellness Visits (AWVs) are a preventive medicine service. It is a comprehensive evaluation and management service which is covered by payers as part of the Affordable Care Act (ACA)'s covered services and there are typically no deductibles or co-pays.

Aug 1st, 2017

HIPAA Training Requirements

by Wyn Staheli, Director of Content - innoviHealth

HIPAA Training must be an ongoing effort in every healthcare organization.

Jul 28th, 2017

Auditing Vaccines

by Paul Chandler

Auditing vaccines can be difficult, as precise attention needs to be paid to the documentation to extract all variables needed for proper coding.

Apr 10th, 2017

False Claim Penalties Increase Again

by Wyn Staheli, Director of Content - innoviHealth

On February 3, 2017, the Department of Justice (DOJ) issued a Final Rule to increase the civil monetary penalties assessed under the False Claims Act (FCA), due to inflation for the year 2017, to an all-time high of $10,957 (minimum) to $21,916 (maximum). Thirty years ago, in 1986, Congress amended the False ...

Mar 2nd, 2017

Principal Diagnosis

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

The official guidelines for ICD-10-CM have very specific rules in determining principal diagnosis. However, it is imperative to note that it is necessary to be aware of the coding conventions in the ICD-10-CM Tabular List and Alphabetic Index as they take precedence over the official coding guidelines. Also, consider the ...

Mar 2nd, 2017

Using Modifier EY

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Some Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items require a detailed Written Order Prior to Dispensing (WOPD), while others require a Detailed Written Order (DWO) prior to billing. The specific requirements for an order are specified in the Medical Policy (Local Coverage Determination and/or Policy Article) for the ...

Feb 27th, 2017

How to Properly Dispose Protected Health Information (PHI)

by InstaCode Institute

HIPAA requires covered entities to properly dispose of Protected Health Information (PHI) in the following manner: Paper, film, or other hard copy media has been shredded or destroyed such that the PHI cannot be read or otherwise cannot be reconstructed. Electronic media has been cleared, purged, or destroyed consistent with NIST Special Publication 800-88, Guidelines for Media ...

Feb 23rd, 2017

Physician Compensation Fraud Alert

by Wyn Staheli, Director of Content - innoviHealth

In June 2015, the Office of Inspector General (OIG) issued a Fraud Alert focused on physicians and compensation arrangements. Providers need to ensure that these arrangements do not violate the Anti-Kickback Statute. Healthcare providers found to have committed fraud are subject to possible criminal, civil and administrative sanctions. In this alert ...

Feb 22nd, 2017

Global Periods

by Wyn Staheli, Director of Content - innoviHealth

What are the types of global periods?

Feb 11th, 2017

Podiatry Class Findings

by Wyn Staheli, Director of Content - innoviHealth

The following modifiers are required when reporting medically necessary routine foot care services per Medicare guidelines: Q7: One Class A finding Q8: Two Class B findings Q9: One Class B and two Class C findings Appropriate: With foot care (podiatry) codes to indicate covered foot care Inapproriate: With any code not related to foot care When the foot ...

Feb 8th, 2017

Medicare Conversion Factor

by Wyn Staheli, Director of Content - innoviHealth

In April of 2015, the Sustainable Growth Rate (SGR) formula which is used to calculate the Medicare Physician Fee Schedule (MPFS) Conversion Factor was repealed as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The conversion factor will increase by 0.5% each year until 2019 and ...

Feb 6th, 2017

Medicaid EHR Incentive

by Wyn Staheli, Director of Content - innoviHealth

The Medicare and Medicaid incentive programs are different. The Medicare EHR incentive program has been incorporated into the new Quality Payment Program (QPP). However, providers may be unaware that there is still a Medicaid EHR incentive program. The time period for signing up for the Medicaid EHR incentive program ended in 2016. ...

Feb 6th, 2017

Medicare Revises their Appeals Process

by Wyn Staheli, Director of Content - innoviHealth

On January 17, 2017, a Final Rule was published in the Federal Register outlining changes to the Medicare Appeals process in an order to streamline procedures and reduce the current backlog of appeals at the third and fourth levels of appeal. This new policy takes effect on March 20, 3017. ...

Jan 24th, 2017

Code Sets - Health Care Provider Taxonomy Code Set Link

by Raquel Shumway

Every Provider needs to know their Health Care Provider Taxonomy Codes. The Taxonomy Codes define the provider type, classification, and area of specialization. We have provided a link and instructions to help you locate your code.

Jan 16th, 2017

Alternative Payment Models (APMs) and Advanced APMs

by Wyn Staheli, Director of Content - innoviHealth

When CMS Released the NPRM regarding the Quality Payment Program (QPP), it included two payment tracks: MIPS and Advanced Alternative Payment Models (APMs). Accountable Care Organizations (ACOs), Patient Centered Medical Homes, and bundled payment models are some examples of APMs. So how do these payment models differ? According to a fact sheet ...

Dec 20th, 2016

ABN FAQs

by Wyn Staheli, Director of Content - innoviHealth

This handy FAQ addresses the uses and mis-uses of the ABN form.

Dec 13th, 2016

Health Risk Assessment

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Risk Adjustment models are used to calculate risk scores used in predicting average beneficiaries healthcare expenditures. Currently Medicare Advantage and Prescription Drug programs include a risk adjustment as a component of the bidding and payment process to standardize bids, compare bids, and adjust plan payments. If you are not familiar ...

Dec 12th, 2016

60 Day Final Rule

by Wyn Staheli, Director of Content - innoviHealth

Effective March 14, 2016, the CMS Final Rule clarifying the standards for handling overpayments for both Medicare and Medicaid takes effect. Failure to report and subsequently return an overpayment within 60 days after the overpayment was “identified” is a violation of the False Claims Act.

Dec 7th, 2016

Discounts

by Wyn Staheli, Director of Content - innoviHealth

All healthcare providers need to be aware that there are both appropriate and inappropriate ways to discount your fees. Both state and federal laws can impact your practice financial policy regarding fee discounts. Additionally, we recommend carefully reviewing either Chapter 1.5-Fees of the Behavioral Health DeskBook or the Insurance and Reimbursement chapter ...

Nov 28th, 2016

Product Wastage Documentation Requirements and Reporting: Using JW Modifier

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

When using the JW modifier for Part B drug claims for discarded drugs and biologicals, any amount of wasted material should be clearly documented in the medical record with the following information: Date, time, and location of treatment Approximate amount of product unit used Approximate amount of product unit discarded Reason for the wastage Manufacturer’s serial/lot/batch ...

Sep 17th, 2016

Government Healthcare Programs

by Wyn Staheli, Director of Content - innoviHealth

The Department of Health and Human Services (HHS) oversees all government health care programs. They are administered by various agencies such as the Centers for Medicare & Medicaid Services (CMS), the Veterans Administration (VA) and even at the state level. Here are the basic government programs: Medicare Federal Workers’ Compensation Military and Veterans Medicaid Federal ...

Aug 3rd, 2016

Billing Units

by Wyn Staheli, Director of Content - innoviHealth

Are you billing units correctly? This article outlines important considerations to ensure that claims are submitted properly.

Jun 21st, 2016

Voluntary Overpayments

by Wyn Staheli, Director of Content - innoviHealth

When a claim has been determined to be paid more than the allowed amount, it is considered an overpayment. The action to be taken depends on how the overpayment is discovered. This article covers voluntary overpayment refund procedures as well as a Voluntary Overpayment Form.

Jun 9th, 2016

Understanding and Using Taxonomy Codes to Maximize Reimbursement

by Brittney Murdock, QCC CMCS CPC

Taxonomy codes are used by insurers as indicators of legal scope of practice. Scope of practice is key to getting reimbursed under the Affordable Care Act or ObamaCare. However, Most providers will only choose one taxonomy code to describe their training. This limits their scope of practice. To maximize scope ...

Apr 13th, 2016

Telehealth Basics

by Wyn Staheli, Director of Content - innoviHealth

Telehealth and telemedicine are covered for many payers for services such as consultation, office visits, individual psychotherapy, and pharmacologic management delivered via a telecommunications system.

Mar 4th, 2016

What is an 'Other Qualified Healthcare Professional'?

by Wyn Staheli, Director of Content - innoviHealth

What's the difference between a physician, an other qualified healthcare professional, clinical staff and individual.

Feb 24th, 2016

Employee Exclusions Screenings Must be High Priority

by Wyn Staheli, Director of Content - innoviHealth

Many healthcare organizations are not aware of how critically important it is to screen their employees against ALL state and federal exclusions databases. This article has important information for organization to ensure compliance.

Feb 1st, 2016

Will Incident-To in Your Organization Pass a Compliance Audit?

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Practices that bill incident to services need to periodically audit compliance with Medicare and private payor guidelines to avoid potential denials or third-party audits.

Sep 11th, 2015

Essential Health Benefits (EHBs)

by Wyn Staheli, Director of Content - innoviHealth

Information about the mandated Essential Health Benefits (EHBs). Includes links and other helpful information.

May 11th, 2015

Modifier 33

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Modifier 33 for Preventive Care With the implementation of modifier 33 and its complicated and unique description, many coders have wondered how to properly apply it. Let's review the information we have on the modifier and see if we can better understand how and when to use it. Modifier 33 was created ...

May 7th, 2015

Personal Injury Information by Find-A-Code

by Find-A-Code™

Personal Injury is an complicated subject as it relates to medical services. This page contains helpful information as an additional resource to Find-A-Code's specialty-specific Reimbursement Guides.

Mar 17th, 2015

Patient Information Form

by Raquel Shumway

We have two different samples for Patient Information Forms. We suggest that you review both and determine which best fits your practice model. Form #2 is editable so it could be easily modified for your organization. Both forms provide the basic information necessary for all types of healthcare practices. Instructions for: Patient ...

Feb 10th, 2015

MAC Jurisdictions Resources

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

The Centers for Medicare & Medicaid Services (CMS) uses a network of contractors called Medicare Administrative Contractors (MAC) to process Medicare claims, enroll health care providers in the Medicare program and educate providers on Medicare billing requirements. MACs also handle claims appeals and answer beneficiary and provider inquiries. Even though ...

Feb 3rd, 2015

Health Care Reform

by Wyn Staheli, Director of Content - innoviHealth

Even though the health care system in the United States is one of the most expensive per capita in the world, we have a dismally low quality of care ranking. Healthcare reform (HCR) in its simplest terms is addressing these shortcomings in order to improve healthcare coverage, delivery, policies, or ...

Nov 5th, 2014

Is Modifier -59 going away?

by Jared Staheli, MPP

Anyone who uses modifier 59 needs to be aware that due to problems with the incorrect usage of this modifier (which by the way is also revised for 2015,) CMS has added four new HCPCS modifiers. An announcement by CMS stated that "CMS is establishing four new HCPCS modifiers to define subsets of the -59 modifier, a modifier used to define a “Distinct Procedural Service.”

The new codes are:

Sep 15th, 2014

Medicare Definition of Timed Codes

by Wyn Staheli, Director of Content - innoviHealth

Many procedure codes are considered "timed codes," that is, the number of units are determined by the amount of time spent performing the service. Medicare Claims Processing Manual, Chapter 5 clarification included here.

Sep 9th, 2014

Compliance Specialists

by Jared Staheli, MPP

Compliance specialists are responsible for monitoring health and human services program operations for compliance with federal and state regulations and standards in order to promote health and safety, assure that public services are delivered properly, or prevent fraud. Areas assessed may include service delivery, eligibility determination and payment, medical reimbursement, ...

Aug 26th, 2014

Q & A: What is the Definition of "New Patient" for Billing Evaluation and Management (E/M) Services?

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

Q: What is the definition of "new patient" for billing evaluation and management (E/M) services? A: Interpret the phrase "new patient" to mean a patient who has not received any professional services, i.e., evaluation and management service or other face-to-face service (e.g., surgical procedure) from the physician or physician group practice ...

Jan 1st, 2014

Testing & Screening Tools

by Wyn Staheli, Director of Content - innoviHealth

There are numerous types of behavioral health screening tools for healthcare providers. Some, like the AUDIT and SBIRT are especially applicable to primary care providers caring for Medicare beneficiaries. This page includes some general information and resources for some of these screening tools. Let us know if you would like others included ...

Nov 30th, -0001

2022-11-23-MLNC - Weekly Edition

Colorectal Cancer Screening Test: Reduced Coinsurance for Related Procedures Begins January 1 - - Ambulance Fee Schedule: CY 2023 Inflation Factor & Productivity Adjustment - - Medicare Ground Ambulance Data Collection System: Information to Help You Report - -...

Subscribers will see related documentation, coding and billing tips. Access to this feature is available in the following products:

HCC Plus
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Select the title to see a summary and a link to the full webinar information. some webinars require a subscription to view.

Jan 7th, 2020

Rock Solid Care Plans

by Evan M. Gwilliam, DC MBA CPC CCPC CPC-I QCC MCS-P CPMA CMHP AAPC Fellow

Don't ever let anyone challenge your care plans ever again. If you can know what the regulators are looking for while still being free to deliver the care you deem to be best for your patient, then you win. And your patient wins. Join Dr. Gwilliam, certified professional medical auditor, and all around nice guy, as he guides you to the steps to create rock solid care plans that will stand up to third party scrutiny.

Aug 29th, 2019

ICD-10-CM Changes Effective October 1, 2019

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Are you aware of the ICD-10-CM code changes set take effect as of October 1, 2020? Do any of them apply to your organization? Which of them will be assigned as an HCC? What are the documentation and coding guidelines applicable to them and which guidelines are changing or being ...

Jun 17th, 2019

Telehealth Policies for Medicare and Commercial Payers

Feb 21st, 2019

E/M and the Organ Systems Part 2 of 2

Feb 7th, 2019

E-M and the Organ Systems (Part 1)

Dec 10th, 2018

HCC Coding Tool

by Find-A-Code™

How to use Find-A-Code's HCC Coding Tool

Aug 30th, 2018

Success with Out-of-Network Billing in Today's Environment Part 2

by Find-A-Code™

In this webinar Maxine will be presenting information and tips for understanding and billing Employment Retirement Income Security Act (ERISA) insurance plans. She will explain the rules and regulations concerning ERISA plans, as well as procedures for handling/appealing "adverse denials" of claims. Coders and Insurance Billing Specialists should not miss this informative presentation.

Aug 16th, 2018

by Find-A-Code™

ICD-10-CM Training - Session 35

Jan 1st, 2015

ICD-10-CM Training - Session 36

by Find-A-Code™

ICD-10-CM Training - Session 36

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Allergy|Immunology Medicare Resources

2018-2019 Influenza (Flu) Resources for Health Care Professionals - Special Edition (SE) MLN Matters article SE18015 provides information about influenza (flu) resources for health care professionals and providers relevant to the 2018-2019 flu season.
September 18, 2014 - "2014-2015 Influenza (Flu) Resources for Health Care Professionals" MLN Matters® Article - Released - MLN Matters® Special Edition Article #SE1431, "2014-2015 Influenza (Flu) Resources for Health Care Professionals" was released and is now available in downloadable format. This article is designed to provide education on resources and quick tips that health care professionals can use to help prevent the spread of the flu. It includes a list of educational resources designed to help health care professionals understand Medicare guidelines for seasonal flu vaccines and their administration.

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