Billers and coders are sailing into 2020 with a host of new updates for shoulder surgical procedures that they need to be familiar with. This complex, fast-changing coding environment demands attention to detail, says orthopedics expert Margie Scalley Vaught. Vaught, who has more than 30 More..
Modifier mistakes leads to Claims denials. They slow your revenue cycle, take up valuable staff time, and put a dent in your bottom line. We get it—coding and billing is complicated enough without having to worry about Medicare modifiers. But incorrect use of CMS modifiers More..
5 Ways a Medical Scribe Can Benefit Physician Practice Bottom Line by increasing physician productivity, proper documentation and patient satisfaction. Like most providers, your number one goal is to provide the very best care for your patients. But maintaining profitability for your practice is undoubtedly More..
The shift towards value-based payment continues to pick up speed, and now, primary care providers have a new value-based payment model to choose from. CMS recently announced two new, voluntary direct contracting pay models that providers can opt into beginning in 2020. These new models More..
Whether a family wants a surveillance camera in their loved one’s room or your staff takes random pictures to post on social media, camera use compliance—not to mention patient privacy—in long term care (LTC) facilities is a real concern. You have an obligation, mandated by More..
To get paid for all you do, you must correctly code each and every procedure performed—which sometimes means unbundling codes using modifier 59 (Distinct procedural service). However, to decide if and when modifier 59 is appropriate, you must do some heavy lifting. Appending modifier 59 More..
If you’re running into problems when reporting CPT code 29826 for acromioplasty, you’re not alone. Follow these expert tips to ensure that you’re coding properly and avoid unnecessary claim denials. Crucial: The most important thing to remember when reporting code 29826 is that it’s not More..
From CPT® and ICD-10-CM code updates, to significant revisions to Medicare guidelines, you have a lot to contend with for your cardiology practice’s coding and billing in 2019. Here are some of the most important changes that you need to know. For 2019, you’ll face More..
Modifier 25 used to be your friend, but it may soon become your biggest foe when reporting 2019 CPT codes. Now, government and private payers alike are flagging claims involving modifier 25 for denials and severe payment cuts. Get the guidance you need on modifier More..
To do spinal coding right in 2019, you’ve got to get straight on several new techniques, guidelines and procedures that promise to complicate your billing. And you’ve got to do it quick given that payers and regulators are scrutinizing spinal procedures more closely than ever More..