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News and Important InformationNeonate Coding When Child is Transferred Code SetsCPT CodesCPT Procedure Codes ICD-10-CM CodesICD-10-CM Diagnosis Codes Find-A-Code's Tools & ResourcesClick-A-Dex™Click-A-Dex™ Index Search Tool Build-A-CodeStep-by-step coding from all major code sets. NCCI Edits ValidatorValidate using NCCI edits for errors in code selection. Pro-Fee CalculatorVerify Professional Fees for reimbursement. Commercial Payer PoliciesView Clinical Indications for Medical necessity on procedures, Suggested Code Selection to assist your clinical judgment includes citations. Find-A-NPI™Find-A-NPI™ Fast Provider Lookup Additional Links and ResourcesPhysician Assistant (PA) ResourcesQualifications, covered services, physician supervision, etc Drugs and Biologicals Pub-100 Ch 17Drugs and Biologicals Pub-100 Ch 17 Family Practice|Primary Care ArticlesClick the article title to view a summary and link to the full article. Do ICD-10 Updates Have Your Heart Beating Irregularly? Check Out the New Atrial Fibrillation CodesOctober 1st, 2019 | Published October 1st, 2019 Atrial fibrillation (AF) is the most common type of abnormal heart rhythm (arrhythmia). It is caused by a disorder in the heart’s electrical system. AF is the result of abnormal contractions of the atria (upper two chambers of the heart) causing them to quiver and beat out of sync with ... Vaccine Administration - When The Right Vaccine Code is Not EnoughSeptember 30th, 2019 | Published September 30th, 2019 Understanding how to apply immunization administration codes properly will support correct reimbursement for vaccinations. Reporting the right vaccine code alone is not enough to guarantee proper billing. The majority of the time, providers can charge for the vaccine/product as well as the administration of the vaccine; always consult your payer ... The OIG Work Plan: What Is It and Why Should I Care?August 9th, 2019 | Published August 9th, 2019 - Last Review/Update August 14th, 2019 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 ... The Facts of Critical CareJuly 19th, 2019 | Published July 19th, 2019 - Last Review/Update July 30th, 2019 Critical care services remain to not only be an area of confusion for providers, coders, and auditors, but also a constant target for the carriers for audit. We can sit back and look at critical care and think of all of the ways the code descriptor and/or use could be ... 5 Ways to Minimize HIPAA LiabilitiesJuly 12th, 2019 | Published July 12th, 2019 - Last Review/Update July 30th, 2019 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 ... How to Properly Report Monitoring Patients Taking Blood-thinning MedicationsJune 18th, 2019 | Published June 18th, 2019 - Last Review/Update June 19th, 2019 Codes 93792 and 93792, which were added effective January 1, 2019, have specific guidelines that need to be followed. This article provides some guidance and tips on properly reporting these services. Coverage for Hearing Aids and Auditory ImplantsApril 23rd, 2019 | Published April 23rd, 2019 For hearing impairment, Medicare is firm in its stance on when it will and will not cover hearing correction. In the PUB 100-02 Medicare Benefit Policy Manual, Chapter 16, Medicare cites the Social Security Act by explaining:
"..."hearing aids or examination for the purpose of prescribing, fitting, or changing hearing aids" ... How to Report Imaging (X-Rays) of the ThumbMarch 18th, 2019 | Published March 18th, 2019 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 ... Answers to Your Auditing & Compliance QuestionsMarch 4th, 2019 | Published March 4th, 2019 - Last Review/Update March 7th, 2019 National Alliance of Medical Auditing Specialists (NAMAS) hosts a forum where auditing and compliance professionals can get answers to their questions, and exchange information with other professionals across the country. Recently, we've received the following question regarding fracture care that we'd like to share below.
Q: I recently noticed CPT 26600, ... Attestations Teaching Physicians vs Split Shared VisitsFebruary 1st, 2019 | Published February 1st, 2019 - Last Review/Update February 7th, 2019 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 ... Q/A Neonate Coding When Child is Transferred (2019/01/17)January 28th, 2019 | Published January 28th, 2019 Codapedia Forum - Questions & Answers
Q/A: Neonatologist was at the birth of a very critical child, she billed 99468 and then it was decided to transfer the child to another facility, she also billed 99291 and 99292 x 3. Her time was denied, how should she have billed for the initial ... Home Oxygen TherapyJanuary 22nd, 2019 Nine New Codes for Fine Needle Aspirations (FNA) in 2019January 4th, 2019 | Published January 4th, 2019 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 ... Wolters Kluwer Drug PricingOctober 17th, 2018 | Published October 17th, 2018 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... Home Oxygen Therapy -- CMN for OxygenJune 14th, 2018 | Published June 14th, 2018 The Certificate of Medical Necessity (CMN) for Oxygen is a required form that helps to document the medical necessity for oxygen therapy. It also documents other coverage criteria for the oxygen use. For payment on a home oxygen claim, the information in the supplier’s records or the patient’s medical record must be substantiated with the information in the CMN. Preventive Medicine: General ProceduresMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update July 30th, 2018 Preventive Medicine Topics Page
General Procedures
Procedure Codes 36415: Collection of venous blood by venipuncture 90471: Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) 90472: Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List ... Preventive Medicine: Hepatitis C Virus (HCV) ScreeningMay 9th, 2018 | Published May 9th, 2018 - Last Review/Update August 1st, 2018 Preventive Medicine Topics Page
Hepatitis C Virus (HCV) Screening
Procedure Codes G0472: Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 87522: Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed 86804: Hepatitis C antibody; confirmatory test (eg, ... Home Oxygen Therapy -- A Face-to-Face EncounterMarch 27th, 2018 | Published March 27th, 2018 - Last Review/Update June 14th, 2018 What is required for a Home Oxygen Therapy, Face-to-Face Encounter. Documentation for Ordering Oxygen Supplies and EquipmentMarch 9th, 2018 | Published March 9th, 2018 - Last Review/Update March 26th, 2018 The Medicare Learning Network provides guidance on required documentation for Ordering Oxygen Supplies and Equipment. Documentation for Manual WheelchairsMarch 8th, 2018 | Published March 8th, 2018 - Last Review/Update March 15th, 2018 The Medicare Learning network provides guidance on how to prevent denials for Manual Wheelchair Bases.... Documentation for Home Health Services (Part A non DRG)March 8th, 2018 | Published March 8th, 2018 - Last Review/Update March 27th, 2018 The Medical Learning Network provides coverage guidance, which should be documented, for home health services. Documentation and Orders for Respiratory Assistive DeviceMarch 8th, 2018 | Published March 8th, 2018 - Last Review/Update March 27th, 2018 The Medicare Learning Network provides guidance on required documentation for a respiratory assistive device and ordering guidelines. Medicare's Integrated Behavioral Healthcare Services and Collaborative Care ProgramJanuary 18th, 2018 | Published January 18th, 2018 Over the last several years, primary care has begun to integrate behavioral health services to better address shortfalls in patient quality of care. Some of the first codes were the Health and Behavior Assessment/Intervention (96152-96155) codes, which were added in 2002. Since then, many different models have been experimented with and have ... Preventative Services: Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)January 11th, 2018 | Published January 11th, 2018 The following information from the Medicare Learning Network provides guidance on Ultrasound Screening for Abdominal Aortic Aneurysm (AAA) There are more articles. View all articles... View articles for the current specialty by subtopic: Family Practice|Primary Care TipsFamily Practice|Primary Care WebinarsClick the webinar title to view a summary and link to the webinar video. Coding and Billing Chronic Care Management ServicesJuly 9th, 2019 Coding and Billing Chronic Care Management Services
... E/M and the Organ Systems Part 2 of 2February 28th, 2019 E/M and the Organ Systems Part 2 of 2 E-M and the Organ Systems (Part 1)February 21st, 2019 E-M and the Organ Systems (Part 1) Anatomy of the Ankle and Common InjuriesJanuary 14th, 2019 Join Brandon Leavitt as we master the anatomy of the foot and ankle and common diseases and injuries which are found with this joint. We will also cover how these terms are described in ICD-10-CM. Coding and Auditing for Upper Extremity ProceduresJanuary 14th, 2019 In this webinar, Aimee will review coding and auditing information for procedures commonly performed on the upper extremities and how to locate vital information that could help prevent coding errors and reduce risk in case of an audit. Anatomy and Diagnostic Coding for Wound CareJanuary 14th, 2019 In this webinar, Brandon Leavitt will review the anatomy of wounds from injury, disease, and other conditions and the proper ICD-10-CM coding for them. A review of pressure and non-pressure, and venous stasis ulcers, burns, corrosions, neoplasms, and other diseases affecting the integument will be presented. Coding and Auditing Wound CareJanuary 14th, 2019 In this webinar, Aimee will review wound care coding and auditing information for wound care services, including proper modifier use, NCCI edits, Medicare coverage guidelines, and documentation requirements. Radiology Coding Auditing Dexa Scans for Osteoporosis & Mammograms for the BreastJanuary 14th, 2019 Learn important coding tips when billing Dexa scans (for osteoporosis) and mammograms (for breast diseases). Coders and clinicians specializing in Radiology, Family Practice, Orthopedics, and OB-GYN will all find useful information for their practice. This is a follow-up from the webinar "Diagnosis of osteoporosis and diseases of the breast". Diagnosis of Osteoporosis and Diseases of the BreastJanuary 14th, 2019 Osteoporosis diagnosis and breast diseases will be covered in this webinar, benefiting coders and clinicians specializing in Radiology, Family Practice, Orthopedics, and OB-GYN. This will prepare participators for the following Find-A-Code webinar on radiology coding, which will explain coding/billing for Dexa scans to detect osteoporosis, and mammogram screening for breast evaluation. All About Knee Coding & AuditingJanuary 14th, 2019 Total knee replacement now acceptable ASC procedure also, not auditing for a year.
Knee replacement coding, knee joint injections, auditing using FAC, LCDs, drugs, modifiers. Anatomy of the KneeJanuary 14th, 2019 Coders and billers in orthopedic practices must
understand the knee extensively. Join Dee to
master the anatomy of the knee joint, and
understand how it applies to ICD-10-CM
diagnosis coding. The Proper Way to Report Surgical ModifiersJanuary 15th, 2019 Applying the wrong modifier to a surgical procedure can cause a claim to deny or put you at risk of over-payment and accusations of fraud and abuse. Join Aimee as she demonstrates the proper use of surgical modifiers. The Proper Way to Report ModifiersJanuary 15th, 2019 Modifier 25 has long been a coding conundrum and an auditor's gold mine. Don't risk take-backs, penalties, or accusations of fraud and abuse. Join Aimee in this webinar on how to properly report modifier 25 and have confidence in your code reporting. Surgical Coding and AuditingJanuary 15th, 2019 Ever wonder what an auditor is looking for when they review your surgical coding? Join Aimee and review the basic rules and documentation requirements. We’ll tear apart a couple of operative reports, code them, review NCCI edits, modifiers, and more. Get an idea of how you are doing and things you may want to incorporate into your practice to be better prepared when an audit comes your way. Also, we’ll review our cool Code-A-Note tool and how it can help you locate CPT and ICD-10-CM codes quickly. This tool is great for new coders, coders new to a specialty, difficult coding situations, or anyone who just wants a second opinion on their code options. Proper Coding and Billing for Drugs, Biologicals and InjectionsJanuary 15th, 2019 Proper Coding and Billing for Drugs, Biologicals and Injections What is RBRVS and How Can It Benefit Your OrganizationJanuary 15th, 2019 What is RBRVS and How Can It Benefit Your Organization How to Check NCCI Edits Using FindACodeJanuary 15th, 2019 How to Check NCCI Edits Using FindACode ICD-10-CM Training - Session 08January 21st, 2019 ICD-10-CM Training - Session 08 ICD-10-CM Training - Session 07January 21st, 2019 ICD-10-CM Training - Session 07 ICD-10-CM Training - Session 06January 21st, 2019 ICD-10-CM Training - Session 06 ICD-10-CM Training - Session 05January 21st, 2019 ICD-10-CM Training - Session 05 ICD-10-CM Training - Session 36January 22nd, 2019 ICD-10-CM Training - Session 36 ICD-10-CM Training - Session 35January 22nd, 2019 ICD-10-CM Training - Session 35 ICD-10-CM Training - Session 34January 22nd, 2019 ICD-10-CM Training - Session 34 ICD-10-CM Training - Session 33January 22nd, 2019 ICD-10-CM Training - Session 33 ICD-10-CM Training - Session 04January 21st, 2019 ICD-10-CM Training - Session 04 ICD-10-CM Training - Session 32January 22nd, 2019 ICD-10-CM Training - Session 32 ICD-10-CM Training - Session 31January 22nd, 2019 ICD-10-CM Training - Session 31 ICD-10-CM Training - Session 03January 21st, 2019 ICD-10-CM Training - Session 03 ICD-10-CM Training - Session 02January 21st, 2019 ICD-10-CM Training - Session 02 ICD-10-CM Training - Session 30January 22nd, 2019 ICD-10-CM Training - Session 30 ICD-10-CM Training - Session 29January 22nd, 2019 ICD-10-CM Training - Session 29 ICD-10-CM Training - Session 28January 22nd, 2019 ICD-10-CM Training - Session 28 ICD-10-CM Training - Session 27January 22nd, 2019 ICD-10-CM Training - Session 27 ICD-10-CM Training - Session 01January 21st, 2019 ICD-10-CM Training - Session 01 ICD-10-CM Training - Session 26January 21st, 2019 ICD-10-CM Training - Session 26 ICD-10-CM Training - Session 25January 21st, 2019 ICD-10-CM Training - Session 25 ICD-10-CM Training - Session 24January 21st, 2019 ICD-10-CM Training - Session 24 ICD-10-CM Training - Session 23January 21st, 2019 ICD-10-CM Training - Session 23 ICD-10-CM Training - Session 22January 21st, 2019 ICD-10-CM Training - Session 22 ICD-10-CM Training - Session 21January 21st, 2019 ICD-10-CM Training - Session 21 ICD-10-CM Training - Session 20January 21st, 2019 ICD-10-CM Training - Session 20 ICD-10-CM Training - Session 19January 21st, 2019 ICD-10-CM Training - Session 19 ICD-10-CM Training - Session 18January 21st, 2019 ICD-10-CM Training - Session 18 ICD-10-CM Training - Session 17January 21st, 2019 ICD-10-CM Training - Session 17 ICD-10-CM Training - Session 16January 21st, 2019 ICD-10-CM Training - Session 16 ICD-10-CM Training - Session 15January 21st, 2019 ICD-10-CM Training - Session 15 ICD-10-CM Training - Session 14January 21st, 2019 ICD-10-CM Training - Session 14 ICD-10-CM Training - Session 13January 21st, 2019 ICD-10-CM Training - Session 13 ICD-10-CM Training - Session 12January 21st, 2019 ICD-10-CM Training - Session 12 ICD-10-CM Training - Session 11January 21st, 2019 ICD-10-CM Training - Session 11 ICD-10-CM Training - Session 10January 21st, 2019 ICD-10-CM Training - Session 10 ICD-10-CM Training - Session 09January 21st, 2019 ICD-10-CM Training - Session 09 There are more webinars. View all webinars... View webinars for the current specialty by subtopic: Family Practice|Primary Care Resources/Links
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