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How Many Modalities Are Too Many?Read the article HERE. Strapping and Kinesio Taping Coding DifferencesRead the article HERE. Check Out Find-A-Code's Tools & ResourcesE/M UniversityE/M University CMS.govCMS.gov Novitas SolutionsMedicare Part B Procedure Coding ArticlesClick the article title to view a summary and link to the full article. Electrical Stimulation and Electromagnetic Therapy DevicesMay 13th, 2019 | Published May 13th, 2019 - Last Review/Update May 20th, 2019 Electrical Stimulation and Electromagnetic Therapy Devices can be used for pain, muscle atrophy, help spinal cord injuries, treat symptoms caused by other medical conditions and can be used in the treatment of wounds. This Regence BC/BS article lists codes and devices and gives guidance on coding from Medicare Advantage viewpoint. How Many Modalities Are Too Many?June 4th, 2018 | Published June 4th, 2018 - Last Review/Update January 30th, 2019 Q: I have a payor who is denying modalities, claiming that they are “excessive”. At a single encounter I billed for:
98940- Chiropractic manipulative treatment (CMT); spinal, 1-2 regions
97110- Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
G0283- Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
97010- Application of a modality to 1 or more areas; hot or cold packs
Is this excessive? How do I know how much is too much? How to Code Screening and Diagnostic ColonoscopyFebruary 1st, 2018 | Published February 1st, 2018 The following information is from BC Advantage.
Colonoscopy is a common procedure performed byGastroenterologists. CPT defines a colonoscopy examination as "the examination of the entire colon, from the rectum to the cecum or colon-small intestine anastomosis, and may include examination of the terminal ileum or small intestine proximal to an anastomosis" ... Strapping and Kinesio Taping Coding DifferencesFebruary 1st, 2018 | Published February 1st, 2018 There are differences between the purposes of strapping and taping and using the correct codes depends on the application - literally.
Strapping: This application is for the purpose of immobilizing an area. It is clinically indicated for the treatment of fractures, dislocations, sprains/strains, tendonitis, post-op reconstruction, contractures, or other deformities involving soft tissue.
Coding: ... Psychiatric Partial Hospitalization ProgramsJanuary 25th, 2018 | Published January 25th, 2018 Psychiatric Partial Hospitalization Programs (PHPs) are a more comprehensive level of care than Intensive Outpatient Programs (IOPs - click here to read more about IOPs). When the patient requires a minimum of 20 hours per week and hospitalization is not clinically indicated, a PHP can be the most effective type of ... NEW on Find-A-Code...National Coverage Determinations (NCDs)January 23rd, 2018 | Published January 23rd, 2018 - Last Review/Update January 25th, 2018
Medicare limits its coverage of services to those considered to be reasonable and necessary for the diagnosis and treatment of an injury or illness based on coverage guidelines. National Coverage Determinations (NCDs) are created based on research, evidence-based processes, public participation, and other resources, and made available to the public. ... Medicare Requiring Specific Modifiers on Therapy ServicesJanuary 15th, 2018 | Published January 15th, 2018 Medicare's MLN Matters Number: MM10176 was recently revised to identify services subject to their therapy cap. The revision became effective on January 1, 2018 and some providers have begun to receive claim rejections because they are not using the appropriate modifier. The article states the following:
Services furnished under the Outpatient ... Billing with a GP ModifierJanuary 15th, 2018 | Published January 15th, 2018 - Last Review/Update January 30th, 2019 Q: When patients have a true Medicare secondary insurance we've always billed other Medicare non-covered codes such as G0283 for electric stimulation with modifier GY because we are aware Medicare will not pay for that service but the secondary insurance does. We just were notified by our MAC that GY is not a valid modifier and I have to enter a GP or other therapy modifier. What is the new proper modifier to enter? There are more articles. View all articles... View articles for the current subject by subtopic: Procedure Coding TipsAccess to this feature is available in the following products:
Click here to Sign In to your account. Procedure Coding WebinarsClick the webinar title to view a summary and link to the webinar video. Coding and Billing Transitional Care and Chronic Care Management Services (TCM and CCM)May 8th, 2019 Coding and Billing Transitional Care and Chronic Care Management Services (TCM and CCM) HCC Coding ToolJanuary 10th, 2019 How to use Find-A-Code's HCC Coding Tool Coding and Auditing in CardiologyJanuary 14th, 2019 Join Aimee Wilcox for a webinar on cardiovascular coding. In this webinar we'll review EKG reporting regulations, myocardial perfusion imaging, cardiac stress testing, echocardiograms, pacemaker implantation & replacement, and a few others. We'll discuss the best way to use LCDs and commercial payer policies to set coding policies for compliance in your organization. Success with Out-of-Network Billing in Today's Environment Part 2January 14th, 2019 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. 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. Success with Out-of-Network Billing in Today's Environment Part 1January 14th, 2019 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. 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. Evaluation and Management Coding and AuditingJanuary 14th, 2019 Are you responsible for selecting or reviewing Evaluation and Management service levels? Do you wonder how well you know the rules and how to apply them? Join Aimee in this webinar to review and then applly the rules of E/M coding. She will also do a live demonstration of the new Find-A-Code E/M Calculator Tool to assess the level of E/M service for two office visits, one new (99201-99205) and the other established (99212-99215). Coding and Auditing TeleHealth ServicesJanuary 15th, 2019 Do you report or audit Telemedicine services now or are you considering offering them? Come and learn more about the rules and guidelines surrounding Telehealth services including, documentation requirements, eligible CPT and HCPCS Level II codes, modifiers, and the newest updates to Medicare Telehealth policies. Using Find-A-Codes Anatomy ImagesJanuary 15th, 2019 Diagnosis coding is difficult when clinician documentation does not match up with the definitions found in the ICD-10-CM code set. Find-A-Code's anatomy images educate both coders and students - bridging the gap between coders and clinicians while simplifying code selection. Coding Auditing Inpatient Evaluation and Management — A Hands-On ExperienceJanuary 15th, 2019 Do your providers perform and report Evaluation and Management (E/M) services in the inpatient setting? Does the documentation match with the services being billed, or does it fall short? Join Aimee for a hands-on audit of an inpatient E/M service and get an idea of the information and documentation needed to correctly code inpatient E/M services. FAC Updates Plus Tools for HCC Coding Chart Review FebruaryJanuary 15th, 2019 Join Taylor to see how you can access free CEUs in 3 clicks, included with top-tier Find-A-Code subscriptions! Also highlighting our New and Improved NCDs system, and how to use the WK Drug Database for HCC Coding/Chart Review 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. Learn How to Optimize Your Subscription, Searching and MoreJanuary 15th, 2019 Be more productive, work smarter not harder using Find-A-Code. With so much to offer, it is important to understand how to navigate our site to get the most out of your subscription. 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. 2018 Updates and New ToolsJanuary 15th, 2019 2018 Find-A-Code updates and new tools Proper Coding and Billing for Drugs, Biologicals and InjectionsJanuary 15th, 2019 Proper Coding and Billing for Drugs, Biologicals and Injections How Can Local Coverage Determinations Ensure ReimbursementJanuary 15th, 2019 How Can Local Coverage Determinations Ensure Reimbursement The Proper Application of Modifiers - Part 1January 15th, 2019 The Proper Application of Modifiers - Part 1 The Proper Application of Modifiers - Part 2January 15th, 2019 The Proper Application of Modifiers - Part 2 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 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 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 subject by subtopic: Procedure Coding Resources/Links |
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