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News and Important InformationGlobal Surgical Package: When to Bill and When Not to Bill 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 ResourcesNoridian: Surgery ResourcesNoridian JE Part B Surgery Resources General Surgery ArticlesClick the article title to view a summary and link to the full article. Medical ID TheftAugust 16th, 2019 | Published August 16th, 2019 - Last Review/Update August 20th, 2019 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. ... 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 ... Auditing Hospitalist ServicesMay 31st, 2019 | Published May 31st, 2019 - Last Review/Update June 4th, 2019 Auditing Hospitalist Services
The inpatient side of coding and auditing can be enormously complex, with many more moving parts than are typically found in the outpatient setting. In this audit tip, we will discuss a few of the challenges that come with auditing one of the most important players in the ... 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 ... 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... Q/A: Which Modifiers to Use When Billing 44005 and 36556 TogetherMarch 26th, 2018 | Published March 26th, 2018 - Last Review/Update April 11th, 2018 I have a denial for 44005 and 36556 being billed together. I added modifiers 51, 59, and Q6 to 36556 but I am afraid it will deny again? 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. There are more articles. View all articles... View articles for the current specialty by subtopic: General Surgery TipsAccess to this feature is available in the following products:
Click here to Sign In to your account. General Surgery WebinarsClick the webinar title to view a summary and link to the webinar video. 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) 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. 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 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. 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