Podiatry Articles and Resources
2020 Podiatry Cheat SheetOrder yours today!![]() News and Important InformationOIG Announces New Review For Medicare Part B Payments for Podiatry and Ancillary Services in 2020 The difference between Jones and Proximal Diaphyseal Fractures of the Fifth Metatarsal (2018-10-23) Therapeutic Shoes for Individuals with Diabetes - Medicare Benefit Policy Manual Chapter 15, 140 Images![]() ![]() ![]() ![]() Code SetsCPT CodesCPT Procedure Codes ICD-10-CM Diagnosis CodesICD-10-CM Diagnosis Codes Toe ModifiersList of Toe Modifiers Find-A-Code's Tools & ResourcesClick-A-DexFor quick drill-down and easy code selection. Build-A-CodeStep-by-step coding from all major code sets. Pro Fee CalculatorVerify Medicare Reimbursement and UCR Fees for Professional Services NCCI Edits Validator ToolAvoid denials by checking codes for any errors Commercial Payer Policy SearchInstantly search through over 34,000 payer policies for codes or keywords Find-A-NPINPI Look-Up Tool (National Provider Identifier number) Durable Medical Equipment ResourcesDME Topics PageFind-A-Codes DME Topics Page DMEPOS Product SearchQuick Product and HCPCS Code Look Up Tool Check-A-ListUse this tool to create and complete checklists for DME Standard Written Order (SWO)Dates of Service on or After January 1, 2020 Diabetes ResourcesNoridian Diabetes Information PageDiabetic, Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT) Additional Links and ResourcesNoridian: Podiatry ResourcesNoridian JE Part B Podiatry Resources Medicare Podiatry ServicesMLN Fact Sheet Medicare Podiatry Services MLN Fact SheetEducation on Medicare coverage of podiatry services. Drugs and Biologicals Pub-100 Ch 17Drugs and Biologicals Pub-100 Ch 17 Billing Requirements for OPPSBilling Requirements for OPPS Providers with Multiple Service Locations CGS MedicarePodiatry Specialty Manual CDE'sCMS- Clinical Data Elements Select the title to see a summary and a link to the full article. October 7th, 2020 Stay out of Trouble — Understand the Qualified Medicare Beneficiary (QMB) ProgramPublished October 7th, 2020 |To assist low-income Medicare beneficiaries, CMS created the Qualified Medicare Beneficiary (QMB) program; a Medicaid benefit which pays for Medicare deductibles, coinsurance, or copays for any Medicare-covered items and services for Medicare Part A, Part B, and Medicare Advantage (Part C). Providers/suppliers are prohibited from billing premiums and cost sharing to Medicare beneficiaries who are enrolled in QMB. July 14th, 2020 Are NCCI Edits and Modifiers Just for Medicare?Published July 14th, 2020 |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 ... April 8th, 2020 ICD-10-CM Official Coding and Reporting Guidelines Updated for COVID-19Published April 8th, 2020 |The ICD-10-CM Official Coding and Reporting Guidelines have just been updated to include COVID reporting. Additional information beyond the previously released interim guidelines are included. These are the rules that should be followed for claims submission. The notice states that this is for April 1, 2020 through September 30, 2020. March 31st, 2020 CMS-Coverage for Therapeutic Shoes for Individuals with DiabetesPublished March 31st, 2020 |Therapeutic shoes and inserts can play a vital role in a diabetic patient's health. Medicare may cover one pair every year and three pairs of custom inserts each calendar year if the patient qualifies and everything is handled correctly. Medicare Benefit Policy Manual explains what is needed for a person with diabetes to ... March 5th, 2020 The difference between Jones and Proximal Diaphyseal Fractures of the Fifth Metatarsal (2018-10-23)Published March 5th, 2020 |Distinguishing the difference between Jones and Proximal Diaphyseal Fractures of the Fifth Metatarsal can be complicated, here are some examples from PubMed;
A Jones fracture currently is defined as an acute fracture of the fifth metatarsal at the junction between the proximal diaphysis and metaphysis of the fifth metatarsal without distal extension beyond the fourth to fifth intermetatarsal articulation.
Tuberosity avulsion fracture (also known as pseudo-Jones fracture or dancer's fracture)
A proximal diaphyseal fifth ... August 9th, 2019 The OIG Work Plan: What Is It and Why Should I Care?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 ... July 12th, 2019 5 Ways to Minimize HIPAA LiabilitiesPublished 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 ... April 23rd, 2019 OIG Announces New Review For Medicare Part B Payments for Podiatry and Ancillary ServicesPublished April 23rd, 2019 |Due to prior OIG work identifying inappropriate payments for podiatrists and ancillary services, the OIG announced in Feb 2019 they will begin a new review starting in 2020. The OIG stated they will review Medicare Part B payments to determine if medical necessity is supported in accordance with Medicare requirements.
Part of the ... January 4th, 2019 Nine New Codes for Fine Needle Aspirations (FNA) in 2019Published 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 ... There are more articles. View all articles... View articles for the current specialty by subtopic: Select the webinar title to view a summary and link to the webinar video. April 2nd, 2020 Injection Coding Changes for 2020Injection Coding Changes for 2020 Advanced Beneficiary Notice of Noncoverage (ABN) Form Instructions ToolBilateral Surgeries: Claim SubmissionCommonly Used Medicare Modifiers - GA, GX, GY, GZDME Billing guideanceMedicare Part B Clinical Laboratory Fee ScheduleNoridian Fee-for-Time Compensation Arrangements and Reciprocal Billing PoliciesNoridian: Allowed Amount ReductionsPhysician Assistant (PA) Resources NoridianSummary of the HIPAA Privacy Rule by HHSUtah Department of Licensing - Podiatry Medicare Podiatry ResourcesSelect the podcast title to view a summary and link to the podcast. August 25th, 2020 Do You Have All the Right Dental Resources Needed to Succeed in Dental Medical Billing and Coding?Discussion with LaMont Leavitt (CEO of innoviHealth) and Christine Taxin (Adjunct professor at New York University, President of Dental Medical Billing, and Links2Success).
Some of the resources and tools they discuss will help you with your dental coding/billing and education.
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